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HomeMy WebLinkAbout113874 FOOD BANK FOR LARIMER COUNTY - INSURANCE CERTIFICATE (4)Client#: 47247 FOOBAI ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) O6/17/2011 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: 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 Ina., Inc. P. O. Box 578 NAME: PHONE 970 356-0123 ac no Exl : A/C, No): 9703301867 Greeley, CO 80632 970 356-0123 ADDRESS: CUSTOMER ID N: INSURER(S) AFFORDING COVERAGE NAIC p INSURED Food Bank for Larimer County 1301 Blue Spruce Drive Fort Collins, CO 80524 INSURER A: Philadelphia Insurance Companje INSURER B INSURER C 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. TYPE OF INSURANCE dL POUCY NUMBER MOM%DDNYYYY POLICY /YYYY LIMITs A GENERAL LIABILITY X COMMERCIAL GENERALUABWTY CLAIMS MADE FxIOCCUR PHPK731268 7/01/2011 07/01/201 EACH OCCURRENCE $1000000 PREMISES Eaoccuoenoe S1000O0 MED EXP (Any one person) $5,000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE 32,000,000 GENL AGGREGATE POUCV LIMIT APPLIES PER: PRO- LOC IFCTAUTOMOBILE PRODUCTS - COMP/OP AGG s2,000,000 $ LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS COMBINED SINGLE UMIT (Ea accident) $ BODILY INJURY (Per person) 3 BODILY INJURY (Per accident) $ PROPERTY DAMAGE ac (Per cidenQ $ $ A X UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE PHUB347920 7/01/2011 07/01/201 EACH OCCURRENCE $4000000 AGGREGATE s4,000,000 DEDUCTIBLE RETENTION 10000 $ X $ WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETOWPARTNER/EXECUTIVEâť‘ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) ifyes, describe under DESCRIPTION OF OPERATIONS below NIA WC STATU- YLIMITS OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ A A Inland Marine D&O PHPK731268 PHSD629851 7/01/2011 7/01/2011 07/01/201 07/01/201 $57,750 Blanket $2 000 000/$2 500 Ded DESCRIPTION OF OPERATIONS / LOCATIONS VEHICLES (Attach ACORD 101, Additional Remarks schedule, If morespace is required) Attn: Deputy City Clerk - Amy Jensen (See Attached Descriptions) City of Ft Collins P O 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 F%OocR T' '0A'4ls6.s'j - CA i iNC. 01988.2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 Of 2 #S622888/M622881 The ACORD name and logo are registered marks of ACORD PXP