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HomeMy WebLinkAboutYOUTH ORCHESTRA OF THE ROCKIES - INSURANCE CERTIFICATEACORp. CERTIFICATE OF LIABILITY INSURANCE OP ID L DATE(MMIDDIVYYY)
YOUTH-1 1 05 18 09
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Brown & Brown Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
125 S Howes, 5th Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P O Box 2226 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins CO 80522-2226 —�—
Phone: 970-482-7747 Fax:970-484-4165 INSURERS AFFORDING COVERAGE NAIC#
INSURED -- _-- - INSURERA Pinnacol_ Assurance Company, 41190
I INSURER B:
Youth Orchestra of the -- -"
Rockies Association j INSURERC
P.O. Box 270396 _. -. ...
Ft Collins CO 80527 j INsuRERO
INSURER E:
COVERAGES
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.
INSRDD'I 1 POLICY EFFECTIVE POLICY EXPIRATION - --
LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/ODIYY ! DATE MMIDD/YY ( LIMITS
GENERAL LIABILITY
EACH OCCURRENCE $
!
( DAMAGE TO RENTED - -"
COMMERCIAL GENERAL LIABILITY
PREMISES (Ea occurence) $
CLAIMS MADE _ OCCUR
(
MED EXP (Anyone person). i $ _.
PERSONAL 8 ADV INJURY $
1 GENERAL AGGREGATE $
GEN'LAGGREGATE LIMIT APPLIES PER:
PRODUCTS COMP/OP AGG $
POLICY JECT LOC
-
AUTOMOBILE
._.
LIABILITY
j
COMBINED SINGLE LIMIT $
-
ANY AUTO
(Ea accident)
--
ALL OWNED AUTOS
---. -
BODILY INJURY
SCHEDULED AUTOS
(Per person) $
HIREDAUTOS
BODILY INJURY $
NON -OWNED AUTOS
(Per accident)
(
I PROPERTY DAMAGE i$
�
�
(Per accident)
GARAGE LIABILITY
j
AUTO ONLY EA ACCIDENT $
ANY AUTO
I � $
IOTHER THAN EAACC ..
,
AUTO ONLY: AGG 1 $
I EXCESS/UMBRELLA LIABILITY
' �
EACH OCCURRENCE $
_ OCCUR _ ] CLAIMS MADE
l AGGREGATE $ ,.
1
_ DEDUCTIBLE
(
$
RETENTION $
$
WORKERS COMPENSATION AND
j
X TORV LIMITS, 1 1 ER
A
EMPLOYERS' LIABILITY
4029998 1 06/01/09
06/01/10 EL EACH ACCIDENT $ 100000
ANY PROPRIETORIPARTNER/EXECUTIVE
OFFICERWEMBER EXCLUDED?
j
E.L.EDISEASE EA EMPLOVEE� $ lOOOOO
1y
SPes, describe under ECIALPROVISIONSbelow
j
-
E.L.DISEASE-POLICYLIMIT j $ SOOOOO
OTHER
I
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
CITYFI O
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
City of Fort
Collins
215 N. Mason
St.
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Fort Collins
CO 80521
REPRESENTATIVES.
AUT IZED REPRES
V
ACORD 25 (2001/08) © ACORD CORPORATION 1988