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455175 NATIONAL CENTER FOR CRAFTMANSHIP - INSURANCE CERTIFICATE (3)
ACORQ, CERTIFICATE OF LIABILITY INSURANCE 09/08/20o PRODUCER (970)679-7333 FAX (866)456-4265 Ewing -Leavitt Insurance Agency 4025 St. Cloud Dr. Suite 100 Loveland, CO 80538 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 0 INSURED National Center for Cra tmans ip c/o .Neil Kaufman 5680 N. Hwy 1 Fort Collins, CO 80524 INSURERA. Penn Star Insurance Company 10673 INSURERB: Pinnacol Assurance 4119D INSURERC. INSURERD: 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. INSRADD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE OM'4 POLICY EXPIRATION LIMITS A1P GENERAL LIABILITY X I COMMERCIAL GENERAL LIABILITY CLAIMS MADE rq OCCUR PAC6816847 02/05/2009"A 02/OS/2010 EACH OCCURRENCE S 1,000,00 DAMAGE TO RENTED $ 100,000 MED EXP (Amy one person) S 1,000 PERSONAL & ADV INJURY $ 1 , 000 000 GENERAL AGGREGATE S 2,000,000 GEITL AGGREGATE LIMIT APPLIES PER: X POLICY PRO- LOC JECT PRODUCTS-COMPIOPAGG $ INCLUDED AUTOMOBILE LWBIUTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON4WNEDAUTOS COMBINED SINGLE LIMB (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ S EXCESSAIMBRELLA LIABIUTY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION S EACH OCCURRENCE $ AGGREGATE $ S $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUIIVE OFFICERIMEMBER EXCLUDED? I<yes, WscAW under SPECIAL PROVISIONS below 4128791 01/15/2009 01/01/2010 X I WCSSTAMU OTH- IFR _I E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE -POLICY LIMIT $ 500,000 OTHER D�Fsc104NEast Od�CNsSltreetNSFOCtLE /OF, 4n5NSQ81EQ85�WlORSEMENTISPECIAL PROVISIONS The Fort Collins, Colorado Downtown Development Authority is named as Additional Insured Dn the General Liability as respect this project. The Fort Collins, Colorado Downtown Development Authority Attn: Anne Aspen, Project Manager 19 Old Towne Square, Suite 230 Fort Collins, CO 80524 SHOULD ANY OF THE ABOVE DESCRIBED POLICI ES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 12 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Aaron Eide ACORD 25 (2001108) ©ACORD CORPORATION 1988 PDF created with FinePrint pdfFactory trial version www.gdffactory.com 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. ACORD 25 (2001108) PDF created with FinePrint pdfFactory trial version www.pdffactory.com