HomeMy WebLinkAbout112616 DOWNTOWN DEVELOPMENT AUTHORITY - INSURANCE CERTIFICATEClient#: 24255
DOWDE
ACORDT., CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
12/01 /2010
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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).
PRODUCER
Flood & Peterson Ins., Inc.
Corporate Mailing Address:
P. O. Box 578
CONTACT
NAME: Sandy Schlfferns
PHONE FAX
A/c No Ext : 970 356-0123 A/C, No : 9705066836
E-MAIL d san
ADDRESS: y.schifferns@f p' insurance.com
PRODUCER
Greeley, CO 80632
CUSTOMER ID #:
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURED
INSURER A: Travelers Insurance Company
Downtown Development Authority
19 Old Town Square #230
Fort Collins, CO 80524
INSURER B :
INSURERC:
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
TYPE OF INSURANCE
DDL
UB
POLICY NUMBER
POLICY EFF
MWDD/YYYY
POLICY EXP
MWDD/YYYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE -1 OCCUR
1660267P20181ND11
1/01/2011
01/01/2012
EACH OCCURRENCE
$1 000 000
DAMAGE
S ( ERENTED
PREMISa oc ES currence)
$100,000
MED EXP (Any one person)
$5,000
PERSONAL & ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY 7 PRO LOC
PRODUCTS - COMP/OP AGG
$2,000,000
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
1660267P20181ND11
1/01/2011
01/01/2012
COMBINED SINGLE LIMIT
(Ea accident)
$Included
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
$
$
A
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
ISFCUP2094T2421ND1
1/01/2011
01/01/2012
EACH OCCURRENCE
$1 000 000
AGGREGATE
$1 000 000
DEDUCTIBLE
RETENTION s 5000
$
X
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? ❑
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
IKUB267P201811
1/01/2011
01/01/201
X WCSTArU- OTH-
ER
E.L. EACH ACCIDENT
$500,000
E.L. DISEASE - EA EMPLOYEE
s500,000
E.L. DISEASE - POLICY LIMIT
$500 000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
Certificate Holder is listed as Additional Insured as their interest may
appear
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Ft. Collins ACCORDANCE WITH THE POLICY PROVISIONS.
P O Box 580
Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE
F76C)oQ 7' 40S00*0 a T-JC-.
01988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S576662/M576661 SXC