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Home My WebLink About113874 FOOD BANK FOR LARIMER COUNTY - INSURANCE CERTIFICATE (3)Client#: 47247 FnnRA1 ACORDTM CERTIFICATE OF LIABILITY INSURANCEF�,TE/22/2OO9YYY) PRODUCER Flood & Peterson Ins. Inc. P. O. Box 578 4687 W. 18th Street Greeley, CO 80632 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 # INSURED Food Bank for Larimer County 1301 Blue Spruce Fort Collins, CO 80524 INSURER A: Philadelphia Insurance Companies INSURER B: Cigna Life INSURER C: INSURERD: INSURER E: CnVFRAhFA THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS A GENERAL LIABILITY PHPK416876 07/01/09 07/01/10 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE SESDEa occurrence) $1 OO OOO CLAIMS MADE � OCCUR MED EXP (Any one person) $5 000 PERSONAL & ADV INJURY $1 OOO 000 GENERAL -AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 POLICY PRO LOC JECT - AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ _ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ _ HIRED AUTOS .. NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $_ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY, ... EACH OCCURRENCE $ .. OCCUR • CLAIMS MADE - .• AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC STATU- OTH- TO R IMITS EFL- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT _ $ E.L. DISEASE - EA EMPLOYE $ OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ B OTHER Accident Lia BAB000834 07/01/09 07/01/10 25,000 - - A Inland Marine PHPK416876 07/01/09 07/01/10 Blanket $57.750 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Attn: Deputy City Clerk - Amy Jensen IaYllaLht\IM:Lei 41ZiV City of Ft Collins P O Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESEN��T��°°'TIVE F:6CM01, 7' ®fLaf� ��C'lse,► .Z'".✓S.sr-u�+sltR � ��. ACORD 25 (2001/08) 1 of 2 #S444619/M444615 TLA o ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. /A',VKU L0-0 tLUVI/V0) 2 of 2 #S444619/M444615