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ARCHDIOCESE OF DENVER - INSURANCE CERTIFICATE (3)
1 ® - DATE (MM/DD/YYYY) _— CERTIFICATE OF LIABILITY INSURANCE 06/24/10 PRODUCER 1-303-773-9999 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Arthur J. Gallagher Risk Management Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 6399 S. Fiddlers Green Cir ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 200 Greenwood Village, CO 80111 INSURED Archdiocese of Denver 1300 S. Steele Street Denver, CO 80210-2599 COVERAGES INSURERS AFFORDING COVERAGE NAIC # INSURER A:PINNACOL ASSUR 41190 INSURER B: INSURER E: 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 ADDT ham — TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONJJJ3- LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMEU MERCIAL GENERAL LIABILITY DAMAGE O RENT PREMISES Ea occurrence $ IVIED EXP (Any one person) $ CLAIMS MADE OCCUR PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO- JECTLOC AUTOMOBILE LIABILITY ANY AUTO (Ea acccdent) INED SINGLELIMIT $ 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 $ AGGREGATE $ OCCUR CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' L IAB ILITY Y/N 4083045 07/01/10 07/01/11 WC STATU- OTH- X JORY LIMITS E.L. EACH ACCIDENT $ 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEO $ 1,000 ; 000 (Mandatory in NH) If yes, describe under SPECIAL PROVISIONS below - - - E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS RE: CCS North to perform Utility Assistance Program administration for the City of Fort Collins, Colorado from January 01, 2010 to December 31, 2010. 1 -iv aay notice ror non-payment or premium. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN C/O Director of Purchasing and Risk Management NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL P O Box 560 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fort Collins, CO 80522 USA AUTHORIZED REPRESENTATIVE AGUKU ZO (ZUUy/U1) manacen © 1988-2009 ACORD CORPORATION. All rights reserved. 16351941 The ACORD name and logo are registered marks of ACORD