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HomeMy WebLinkAboutFIRST NATIONAL BANK OF NEBRASKA INC - INSURANCE CERTIFICATE1 ® AcoRo, CERTIFICATE OF LIABILITY INSURANCE- DATE (MM/DD/YYYY) 1 17 2011 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-,,Af the'certifidate'holder is an ADDITIONAL INSURED, the policy(les) 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 onfer rights to the_ •. "..-.certificafe` holder in,lieu..ofsuch_endorsement s :. _ _. _.... _ PRODUCER""' _ ` I The Harry A . Koch Co - —' NAME:: PHONe ; ;` FAX C No - - '_ - P.Oj. BOX 45279 i i Omaha -NE 68145-=0279-....._ E-MAIL. .•., ::.': •C'.`"'.'.:!'1.; o::� ADDRESS: INSURERS AFFORDING COVERAGE " ' NAIC # _ INSURER A:Federal Insurance Company 20281 INSURED INSURER B INSURERC: First National Of Nebraska, Inc. INSURERD: Attention: Patrick Mahoney 1620 Dodge St Stop Code 1155 Omaha NE 6 8197 -1155 INSURER E : '1 INSURER F COVERAGES CERTIFICATE NUMBER: 1857774591 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 LTR TYPE OF INSURANCE ADDLISUBR INSR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY 35757477 1/18/2011 /18/2012 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence) $1, 000, 000 MED EXP (Any one person) $10, 000 ` CLAIMS -MADE a OCCUR _ PERSONAL &ADV INJURY $1, 000, 000" ` ;_ _ _ - ", - ;',;� •'; GENERAL AGGREGATE $2, 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP,`AGG $included $ ..... POLICY.,. ,..,,, . PRO-... -.._-. ,.LoC . . .. ........... . .. . .. _ ......... _ _...._ :_ • B `' `AUTONIOBILELIABIL'ITY X ANY.AUTO 73560467 " 1/18/2011 ...-.; /18/2012 _ Ea accident $1, 000, 000 'BODILYINJURY(Perper son) ALL OWNED SCHEDULED .,....._ ' 'AUTOS.. *. ... AUTOS^ -...-., = , - NON -OWNED X. HIRED AUTOS . X ; AUTOS . ,^} ; • .............. - . - -- -BODILY INJURY (Peraceident) $ ' _ ROPERTYt DAMAGE $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESS LIAR DED I I RETENTION $ $ WORKERS COMPENSATION I WC STATU- OTH- AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) N / A E.L. EACH ACCIDENT - $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) RE: BANKING SERVICES AGREEMENT THE_CITY OF FT COLLINS, ITS OFFICERS, AGENTS & EMPLOYEES ARE ADDL INSURED FOR GL BUT ONLY AS RESPECTS LIABILITY ARISING OUT OF PERFORMANCE OF WORK UNDER THIS AGREEMENT FIRST NATIONAL OF COLORADO, INC IS A NAMED INSURED UNDER THE POLICY r PPTIFICATF H(11 n;:p CANCELLATION CITY OF FORT COLLINS PO BOX 580 FORT COLLINS CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE n 19RR_21110 ACORD CORPORATINN- All riahts reserved ACORD 25 (2010/06) The ACORD name and logo are registered marks of ACORD