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HomeMy WebLinkAboutFOOTHILLS GATEWAY INC - INSURANCE CERTIFICATEClient#: 37379 FOOGA ACORD,. CERTIFICATE OF LIABILITY INSURANCE ATE(MM/DD YYYY) DATE"""' F 06/17/2011 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 ins., Inc. P. O. Box 578 Greeley, CO 80632 970 356-0123 CONTACT NAME: Kelly Beauvais PHONE 970 266-7121 970 506-6846 Ezt : A/0, No ADOREss: Kelly.Beauvais@fpinsurance.com im,—e.?Ielly.Beauvais@fpinsurance.com CUSTOMER ID#: INSURERISI AFFORDING COVERAGE NAIL 0 INSURED Foothills Gateway, Inc. 301 West Skyway Drive Fort Collins, CO 80525 INSURER A: Philadelphia Insurance Companle INSURER BPinnacol Assurance 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 POLICY NUMBER (MMOD/YYYY MM/DD/VYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I OCCUR PHPK735291 7/01/2011 07/01/2012 EACHOCCURRENCE $1000000 PREMISES Ea occurrence $100000 MED EXP (Any one person) $10,000 PERSONAL& ADV INJURY $1,000,000 GENERAL AGGREGATE $3,000,000 GEN'L AGGREGATE POLICY LIMIT APPLIES PER: Ro- LOG PECT PRODUCTS - COMP/OP AGG s3,000,000 S A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS PHPK735291 7/01/2011 07/01/2012 COa MBINED)INGLE UMU S1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ 1XX PROPERTY DAMAGE (Per accident)$ S $ A X UMBRELLA LAB EXCESS LIAB OCCUR CV.IMS.MADE PHUB348927 7/01/2011 07/01/201 EACH OCCURRENCE s2000000 AGGREGATE s2,000,000 DEDUCTIBLE RETENTION 10000 $ X $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORrPARTNER/EXECURVE — OFFICER/MEMBER EXCLUDED? (Mandatory in NH) It yes, describe under DE SCRIPTION OF OPERATIONS below WA 703552 7/01/2011 07/01/201 X YJc srnru OTH- E.L. EACH ACCIDENT $500 000 E.L. DISEASE - EA EMPLOYEE $500,000 E. L. DISEASE -POLICY LIMIT $500000 A Professional Liabilit PHPK735291 7/01/2011 07/01/201 $3,000,000 Aggregate $1 000 000 Occurrence DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD lot, Additional Remarks Schedule, it more space is required) RE: Flying Pig Charity Run/Walk Fundraiser, April 10, 2011 Certificate holder, its officers, employees and agents are named as additional insured. 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 ACORD 25 (2009/09) 1 of 1 #S622529/M622523 01988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KLB