HomeMy WebLinkAbout416522 KROLL FACTUAL DATA - INSURANCE CERTIFICATECERTIFICATE OF PROPERTY INSURANCE
6/O iz011 '
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.
If this celtiBcate Is being prepared for a party who has an insurable interest in the property, do not use this form. Use ACORD 27 or ACORD 28.
PRODUCER
AGO Risk Services, Inc. of Maryland
500 East Pratt Street
Baltimore MO 21202 USA
CONTACT
NAME
PHONE
INC, No. Exn, (866) 283-]122
FAX
(AID, Nc) (&4]) 953-5390
E-MAIL
PRODUCER 570000040536
CUSTOMER ID e.
INSURER $ AFFORDING COVERAGE
NAIC a
INSURED
Kroll Factual Data
5200 Hahns Peak Dr
Loveland CO 80538 USA
INSURERA: Affiliated FM Insurance CO.
10014
INSURER a:
INSURERC:
INSURER D:
INSURER E:
INSURER F:
LOCATION OF PREMISESI DESCRIPTION OF PROPERTY (Allacl, ACORD 101, Additional Rerv,ks SCM1eEule, H mom apace is requirtE)
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
POLICY NUMBER
POLICY EFFECTIVE
DATE(MWDDIYYYY)
POLICY EXPIRATION
DATE (MWDDIYYYY
COVERED PROPERTY
LIMITS
A
X
PROPERTY
OF LOSS
DEDUCTIBLES
wS372
06/01/2011
06/01/2012
BUILDING
PERSONAL PROPERTY
BUSINESS INCOME
w/o EAm Expense
EXTRA EXPENSE
RENTAL VALUE
BLANKET BUILDING
BLANKET PERE PROP
BLANKET BLDG & Pp
Business Inlenup
CAUSES
BASIC
BUILDING
BROAD
X
$1,000,000
%
SPECIAL
CONTENTS
EARTHQUAKE
WIND
FLOOD
X
$366,412.789
X
Blkl B&PP Ded
S10,000
X
$1,00,000
INLAND MARINE
OF LOSS
NAMED PERILS
TYPE OF POLICY
CAUSES
POLICY NUMBER
CRIME
TYPE OF POLICY
'
BOILER & MACHINERY I
EQUIPMENT BREAKDOWN
SPECIAL CONDITIONS I OTHER COVERAGES IAaich ACORD 101, Additional Remarks Schedule, N more space Is required) .
The City Of Fort Collins
Attn: City's Director of Purchasing &
Risk Management
PO Box 580
Fort Collins CO 80522 USA
SHOULD ANY OF THEMOVEDESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
CtH//G t�UU/L �Cwy� V %IG v�V4�L2�.�iYI
C 1995-2009 ACORD CORPORATION. All rights reserved.
ACORD 24 (2009/09) The ACORD name and logo are registered marks of ACORD
C.
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