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HomeMy WebLinkAbout116359 HUMANE SOCIETY FOR LARIMER COUNTY - INSURANCE CERTIFICATE04/27/2009 16:10 3037764670 FIRST MAINSTREET PAGE 01/01 ACORD, CERTIFICATE OF LIABILI PRODUCER (303)776-5122 FAX (303)776-S49S First MainStreet Insurance S12 4th Avenue P.O. Box 847 Longmont, CO 80502 INSURED Larlmer Humane Society 5137 South College Avenue Fort Collins, CO 8OS2S PATE (MMIDDITYTT) TY INSURANCE 04/27/20W THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # wsURFRA: Great American Insurance Co. INSURERS: Great American Assurance CO, INSURERC: Pinnacol Assurance INSURER D: INSURER E; .uvt THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE P( ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHIC MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS. SUBJECT TO ALL THE TERI POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, ISR 00' POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE GENERAL LIABILITY PACS37377004 05/01/2009 OS/01/2010 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE XE OCCUR A GEWL AGGREGATE LIMIT APPLIES PER: RO POLICY M JECT LOC CAPS37377104 05/01/2009 OS, AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS B X HIRED AUTOS X NON -OWNED AUTOS GARAGE LIABILITY ANY AUTO UM6537377204 05/01/2009 OS EXCESS/UMBRELLALIABILTY X OCCUR CLAIMS MADE A DEDUCTIBLE X RETENTION $ 10,00 4015370 07/O1/2008 07 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY C OFICER/MEMBERREXCLUDED�CUTIVE If yes, dc: erlbn Under SPCCIAL PROVISIONS bel&-v OTHER SCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS rtificate Holder as Additional Insured as required by written contract p City of Fort Collins Purchasing Department Attn: James O'Neil P 0 Box S80 Fort Collins, CO 80522 ILICY PERIOD INDICATED. NOTWITHSTANDING 11 THIS CERTIFICATE MAY BE ISSUED OR AS, EXCLUSIONS AND CONDITIONS OF SUCH LIMITS EACH OCCURRENCE, $ 11000,000. DAMAGESO RENTED $ 100 000 MED EXP (Any one 9CM6n) S 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 PRODUCTS • COMP/OP AGG S 2,000,000 COMBINED SINGLE LIMIT $ (Ea sccldenq 11000,000 BODILY INJURY $ (Per perzon) BODILY INJURY $ (Perecddonl) l PROPERTY DAMAGE $ (Per accldoni) AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC $ $ AUTO ONLY: AGG EACH OCCURRENCE S 1,000,000 AGGREGATE $ 1,000,000 S S S WC STATU• I OTH- LT E.I.. EACH ACCIDENT $ 100 000 C.L. DISEASE. EA EMPLOYEE $ 100,000 EL. DISEASE - POLICY LIMIT $ S00 000 :r policy form. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Shpily Sawver/SHELLY ACORD 25 (2001/08) FAX - (970)224-6134 ©ACORD CORPORATION 1988