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Home My WebLink About371490 NATIONAL DEVELOPMENT COUNCIL - INSURANCE CERTIFICATEACORO® CERTIFICATE OF LIABILITY INSURANCE �. DATE06 /20DDI11 07/ 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 1-425-454-3386 Arthur J. Gallagher Risk Management Services, Inc. CONTACT Joanne Manion NAME: PHONN 425-454-3386 at No, 425-451-3716 P.O. Box 367 EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# Bellevue, WA 98009-0367 INSURERA: Lexington Insurance Company INSURED Northern Hotel Port Collins, LP INSURER 8: Dnde rler iter9 at Lloyd's London DBA: Northern Hotel INSURER C: INSURER D: National Development Council 332 Michigan Avenue Pueblo, CO 81004 INSURER E: NSURERF: COVERAGES CERTIFICATE NUMBER: 22197067 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 I TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMIDD POLICY EXP MMIDD LIMITS A GENERAL UABILRT 13135940 06/30/1 06/30/12 EACH OCCURRENCE $ 1,000,000 % COMMERCIALGENERAL LIABILITY DAMA T RENT D PREMISES(a omurrence $ 50,000 MED EXP (My one person) $ CLAIMS -MADE OCCUR PERSONAL& ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOPAGG $2,000,000 POLICY PRO- X LOC JFCT $ A AUTOMOBILE LIABILITY 13135940 0 30 06/30/12 COMBINED SINGLE LIMIT Es accident) 1,000,000 BODILY INJURY(Per person) E ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Pera¢) iCenl ( $ % NON -OWNED HIRED AUTOS % AUTOS PROPERTY DAMAGE Per acriCant $ E A UMBRELLALIAB X OCCUR 13136436 06/30/1 06/30/12 EACH OCCURRENCE S 25, 000, 000 AGGREGATE $ 25, 000, 000 EXCESS LIAR CLAIMSMADE DED I % I RETENTIONS 10,000 $ WORKERS COMPENSATION WCSTATU- OTH- - AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUP IVE OFFICERIMEMBER EXCLUDED? NIA _ E. L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) if yes, descnice under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT E B Special Form Property NIINA04170 06/30/1 06/30/12 Real & Pars Prop 811811500 Including EQ & Flood Rental Income 553,150 Replacement Cost Ded Except EQ 1,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace is resumed) Northern Hotel, 172 North College Avenue, Fort Collins, CO 80525 Certificate Holder is included as an Additional Insured as their interest may appear $50,000,000 Blanket Limit - Real & Personal Property & Rental Income $25,000,000 Aggregate - Earthquake - $100,000 Deductible $15,000,000 Aggregate - Flood - $100,000 Deductible $50,000,000 Blanket Limit - Machinery Breakdown / $10,000 Deductible - Hartford Steem Boiler - FBP2220431 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y of Port Collins THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, 0. Box 580 AUTHORIZED REPRESENTATIVE t Collins, CO 80522- , USA (E) 1QRR-7H10 ACnRn C(1RPr3RATInN All dnMa rooar.,ed ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD jomanion 22197067