HomeMy WebLinkAboutPOUDRE RIVER PUBLIC LIBRARY DISTRICT - INSURANCE CERTIFICATE (3)CERTIFICATEOF COVERAGE Certificate Ni 3134
Administrator
Colorado Special Districts Property and Liability Pool
P.O. Box 1539
Portland OR 97207-1539
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN
THOSE PROVIDED IN THE COVERAGE DOCUMENT. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY
THE COVERAGE DOCUMENTS LISTED HEREIN,
COMPANIES AFFORDING COVERAGE
NAMED MEMBER
Poudre River Public Library District
201 Peterson
Fort Collins, CO 80524
COMPANY A Colorado Special Districts Property and Liability Pool
COMPANY B General Reinsurance Corporation
COMPANY C Certain Underwriters at Lloyd's, London
COMPANY D
COVERAGES
This is to certify that coverage documents listed herein have been issued to the Named Member herein for the Coverage period indicated. Nothwithstanding any
requirement, term or condition of any contact or other document with respect to which the certificate may be issued or may pertain, the coverage afforded by the coverage
documents listed herein is subject to all the terms, conditions and exclusions of such coverage documents.
CO
LTR
Type of Coverage
Coverage A
Effective Date
Expiration Date
Limits
A
B
General Liability
X Commercial General Liability
X Public Officials Liability
X Employment Practices
X Occurrence
25C26014-165
l/1/2012
1 1/1/2013
General Aggregate
Unlimited
$1,000,000
Except that for claims, occurrences or suits to which the
monetary limits of the Colorado Governmental ImmunityAct,
C.R.S. 24-10-101, et. seq., as amended, apply, there shall be a
further sublimit of (a) $150,000 for an injury to any one person in
any single occurrence; and (b) $600,000 for an injury to two or
more persons in any single occurrence; but in the event of an
injury to two or more persons in any single occurrence, the
sublimit shall not exceed $150,000 for each injured person.
Each Occurrence'
Automobile Liability
Scheduled Autos
Hired Autos
Non -Owned Autos
Each Occurrence
Auto Physical Damage
Scheduled Autos
Hired Autos
A
R
Excess Liability
X Other Than Umbrella Form
25C26014-165
1/i/2012
1/1/2013
General Aggregate
Unlimited
Each Occurrence •
$4,000,000
Property
El
DESCRIPTION
Certificate Holder is named as an additional covered Member for those coverages noted hereunder but only with respect to those liabilities that are
covered by the Pool's coverage document for the Member District. Subject to the provisions and limitations contained in C.R.S. 24-10-101. The
Pool will limit any amounts to the monetary limits and sublimits of the Colorado Governmental Immunity Act, C.R.S. 24-10-101 at. Seq., as
amended, would apply to the Covered Member.
CERTIFICATE HOLDER
City of Fort Collins
PO Box 580
Ft. Collins, CO 80522
CANCELLATIOWSHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
By: Joseph E. DePaepe Date: 11/30/2011
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