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HomeMy WebLinkAbout102815 FORT COLLINS-LOVELAND WATER DISTRICT - INSURANCE CERTIFICATE (3)CERTIFICATE OF COVERAGE Certificate #: 5 Administrator Colorado Special Districts Property and Liability Pool P.O. Box 1539 Portland OR 97207-1539 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE COVERAGE DOCUMENT. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE COVERAGE DOCUMENTS LISTED HEREIN. COMPANIES AFFORDING COVERAGE NAMED MEMBER Ft. Collins/Loveland Water District 5150 Snead Drive Fort Collins, CO 80525 COMPANYA Colorado Special Districts Property and Liability Pool COMPANY B General Reinsurance Corporation — COMPANY C Certain Underwriters at Lloyd's, London COMPANY D Safety National Casualty Corporation COVERAGES This is to certify that coverage documents listed herein have been issued to the Named Member herein for the Coverage period indicated. Nothwithstanding any requirement, term or condition of any contract or other document with respect to which the certificate may be issued or may pertain, the coverage afforded by the coverage documents listed herein is subject to all the terms, conditions and exclusions of such coverage documents. co LTR Type of Coverage Coverage # Effective Date Expiration Date Limits A, B General Liability X Commercial General Liability X Public Officials Liability X Employment Practices X Occurrence 24C54045-456 1 1/1/2011 1/1/2012 General Aggregate Unlimited ' Except that for claims, occurrences or suits to which the monetary limits of the Colorado Governmental Immunity Act, C.R.S. 24-10-101, et. seq., as amended, apply, there shall be a further sublimit of (a) $150,000 for an injury to any one person in any single occurrence; and (b) $600,000 for an injury to two or more persons in any single occurrence; but in the event of an injury to two or more persons in any single occurrence, the sublimit shall not exceed $150,000 for each injured person. Each Occurrence ' $1,000,000 A B Automobile Liability X Scheduled Autos X Hired Autos X Non -Owned Autos 24C54045-456 1/1/2011 1/1/2012 Each Occurrence • $1,000,000 A, C Auto Physical Damage X Scheduled Autos X Hired Autos 24C54045-456 1/1/2011 1/1/2012 See below if applicable. A' B Excess Liability X Other Than Umbrella Form 24C54045-456 1/1/2011 1/1/2012 General Aggregate Unlimited Each Occurrence ` $2,000,000 A C Property 24C54045-456 1/1/2011 1/1/2012 See below if applicable. DESCRIPTION: $150,000/person & $600,000/occ for claims subject to the CO Governmental Immunity Act. For claims not subject to the Act, limits are $1,000,000 combined single limit/occ. $2,000,000 general aggregate $1,000,000 products/completed operations aggregate. CERTIFICATE HOLDER City of Fort Collins POB 580 Ft. Collins, CO 80522 CANCELLATIOWSHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. By: Joseph E. DePaepe Date: 1/7/2011 1�--7-L -1 w-V &(+w-