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Home My WebLink AboutSECURITY DOCUMENT DESTRUCTION - INSURANCE CERTIFICATE (6)UVVCttAOMb 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. INSR''p D POLICY EFFECTIVE POLICY EXPIRATION: - - '-- LTR iNSRq TYPE OF INSURANCE POLICY NUMBER DATE MMIDD/YV DATE MMIDO/YY LIMITS GENERAL LIABILITY j EACH OCCURRENCE $ 1 r 000 r 000 A X IX COMMERCIAL GENERAL LIABILITY; CPP011394804 11/21/09 11/21/10 DAMAGE TO RENTED pREMISEs{Eaoccurence) 1 1 $100r000 _._CLAIMS MADE �.XOCCUR MEDEXP(Any one person) $10r000 _ PERSONAL & ADV INJURY $ 1,000, 000 GENERAL AGGREGATE $ 1,000,066 GEN'LAGGREGATE LIMIT APPLIES PER : ,,. PRODUCTS COMP/OPAGG $ Included POLICY 1 _..1 PRO I _.� LOC IJECT ...__ _- AUTOMOBILE LIABILITY A X ANY AUTO BAP011394804 11/21/09j 11/21/10 COMBINED SINGLE LIMIT (Ea accident) $ 1 OOO QO 0 r r ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIREDAUTOS DODILY INJURY - - NON -OWNED AUTOS (Per accident) $ j ----- I i PROPERTY DAMAGE $ (Per accident) j GARAGE LIABILITY AUTO ONLY EA ACCIDENT $ ANY AUTO OTHERTHAN EAACC $ j AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 1,000,000 A X _] OCCUR CLAIMS MADE UMB011394804 11/21/09 11/21/10 _ _ AGGREGATE $ 1,000,000 $ I DEDUCTIBLE g j X RETENTION $10 r 00Q $ WORKERS COMPENSATION AND f A U X ITORY LIMITS j ER I B EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE 4108948 1Q O1 09 / / 1Q O1 lO / / E L EACH ACCIDENT $ 1 OOO OOO OFFICEWMEMBER EXCLUDED? If tle under under E L. DISEASE EA EMPLOYE r r $ 1,000,0 QQ yyes, PRO SPECIALPribe Sn below E L DISEASE - POLICY LIMIT $ 1 r 000 r 000 I OTHER i I DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS City of Fort Collins is included as Additional Insured as respects the operations of the named insured. CITYFI O SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI 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. ACORD 25 (2001/08) ©ACORD CORPORA ACORD CERTIFICATE OF LIABILITY INSURANCE GP ID P DATE (MMIDD/V09 SECURIE 11 19/ 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 1 Phone: 970-482-7747_ Fax: 970-484-4165 1 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Mountain states Mutual 14648 Document Destruction INSURERS:SecurPinnacol Assurance Company 41190 National POtBoxa2472cycling Inc DBA INSURERC _. INSURERD Ft Collins CO 80522-2472 -__ _........ I 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. INSR yiDD'4 --' _--�- -- ---- POLTOY EFFECTIVE -(POLICY EXPIRATIONI __-- ----- "- LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE MM/DOIYY DATE MMIIRWYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X I COMMERCIAL GENERAL LIABILITY CPP011394804 11/21/09 11/21/10 - DAMAGETORENTEDPREMISES(Eaoccurence), $ 100,000 ICLAIMS MADE �.X.IOCCUR MEDEXP(Any one person) $10,000 PERSONAL B ADV INJURY, $1, 000,900 _.. GENERAL AGGREGATE 1 $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP/OP AGG $ Included POLICY PRO- — I JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1 000 000 A X ANY AUTO BAP011394804 11/21/09 11/21/10 (Ea accident) r r ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per Person) HIRED AUTOS --- BODILY INJURY $ NONOWNED AUTOS i (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY EA ACCIDENT $ ANY AUTO OTHER THAN EAACC $ i I i AUTO ONLY AGG $ EXCESSIUMBRELLA LIABILITY I � EACH OCCURRENCE $ 1,000,000 A l X..,000UR I -I CLAIMS MADE UMB011394804 1 11/21/09 11/21/10 AGGREGATE $1,000,000 DEDUCTIBLE $ [X jRETENTION $10, QQ0 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS ] IN B ANY PROPRIETOR/PARTNER/EXECUTIVE 14108948 10/01/09i 10/01/10 E.L.EACH ACCIDENT OFFICERIMEMBER EXCLUDED? ,�$1,000,Q00 I E L DISEASE EA EMPLOYEFJ -- $ 1 , 000 000 If Yes,eunder SPECIAALLPPRROVISIONS below � E.L. DISEASE - POLICY LIMIT , $1,000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS City of Fort Collins 215 N Mason Fort Collins CO 80522 FTCPURC I 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 DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD 25 (2001108) S