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Home My WebLink About374454 ARTHUR J GALLAGHER RISK MANAGEMENT SERVICES - INSURANCE CERTIFICATEACORO(' CERTIFICATE OF PROPERTY INSURANCE 05/11/2012 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 certificate Is being prepared for a parry who has an Insurable Interest in the property, do not use this form. Use ACORD 27 or ACORD 28. PRODUCER 1-303-773-9999 Arthur J. Gallagher Rlek Management Services, Inc. CONTACT Anita Bruner NAME: -I O' 303-889-2576 N xPT: 303-889-2575 6399 S. Fiddlers Oreen Clr 2�'1 � a' Suite 700 1 4MAIL Eon enitn_brunargn j9•t® PRODUCER PRODUCER Greenwood Village, CO 80111 INSURERS AFFORDING COVERAGE NAIC0 Karen Graham INSURED INSURERA:LBIINOTON INS CO 19437 City of Port Collins INSURER B: INSURER C: P O 90i 580 INSURER 0: INSURER E: Fort Collins, CO 80522, INSURER F: LOCATION OF PREMISES I DESCRIPTION OF PROPERTY (AftwA ACORD 101, Aaaltlwul Rau S .W. d N,pul,M) 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. DISR LTR TYPE OF INSURANCE POUCYNUMBER POLICY EFFECTIVE DATE (YYIOONYYY) POLICY EXPIRATION DATE (MNSNONyYY) COVERED PROPEflTY LIYRS A I CAUSES PROPERTY OF LOSS DEDUCTIBLES 19946731 05/01/12 05/01/13 I I I BUILDING PERSONAL PROPERTY BUSINESS INCOME EXTRA EXPENSE RENTALVALUE B I(Er BUILDING BLANKET PIERS PROP BIANKET BLOC S PP Policy Dad. Vehicle Dad. f f BASIC BUILDING f BROAD CONTENTS f I SPECIAL f I EARTNWANE f WIND f I FLOOD f 100, 000, 000 I Vehicles i f 50,000 f 100,000 — CAUSES I INLAND MARINE OF LOSS NAMED PERILS TYPE OF POLICY d f $ POLICY NUMBER f f CROrE TYPE OF POLICY f f i BALER a MACHINERY/ EQUIPMENT BREAKDOWN f f f f SPECLLL CONDITIONS I OTHER COVEMDFa (ASSMI ACORD 181, AaetlonM RwIu,Y>. SCIrauN, N mon �Pa[a N,a9W,ee) Rex Fort Collins Capital Leaalnq Corporation is amed Additional Insured as respects General Liability coverage regarding the Levee Agreement dated July 27, 2004 for Dalcing Facility which terminates on June 1, 2023 and for Police Building which terminates on June 1, 2026. Fort Collins Capital Leasing Corporation 215N. Mason Street P 0 Box 500 Fort Collins, CO 80522 anlbru SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORQED REPRESENTATIVE ca All Holds resarved- ACORD 24 (2009109) The ACORD name and logo are registered marks of ACORD 27093844 AC40R& CERTIFICATE OF LIABILITY INSURANCE °05/11/20 2 OS/11/gDlg 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: H the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. H SUBROGATION IS WAIVED, subject to the terror and Conditions of the policy, certain policies may require an endorsement. A statement on this certificate time not confer rights to the certificate holder in lieu of such endorsemen s . PRODUCER 1-303-773-9999 Arthur J. Gallagher Risk management Services, Inc. CONTACT Mite Bruner NAMEPHONE FA% JA14 F,,rI. 303-889-2570 g� M I. 303-889-2575 6399 S. Fiddlers Green CSr Suite 100 EMAIL A_DPREea aaita_brmergajg.com Greenwood Village, CO 80111 INSURERS AFFORDING COVERAGE NAIC0 INSURER A: NIONS" IDIPLOYEM CAS CO 33612 aaren Graham WSURED City of Fort Collins INSURER B: INSURERC: INSURERD: P O Box 580 INSURER E: Port Collins, CO 80522 INSURER F. GOVENAGES CERTIFICATF NHMRFR• 27093871 oFVIRIYYM MIIMnro. 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. ETR TYPEOFWSURANCE SBA POLICY NUMBER YOLICYEFF LPoLICDYEXP UNIT GENERAL IIABLLITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY REM ET RENTED PREMI ES Ev ac .ol f MED UP (Any me Penn f CVUMSMADE ❑ OCCUR PERSONAL A ADV INJURY S GENERALAGGREGATE If GENt AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPADP AGO $ POLICY PRO -CT LOC $ AUTOMOBILE UNSILUY COMBINED SINGLE LIMIT ES eccMnl BODILY INJURY( Pa Poem) f ANY AUTO AUTOS AUTOS SCHEDULED BODILY INJURY (Pm emdwYJ i NONOWNED HIREDAUTOS AUTOS PROPERTY DAMAGE Per I S If UMBRELU LUIB OCCUR EACH OCCURRENCE f EXCESS IIAe CIMADE AGGREGATE f DIED I I RETENTION S S A WORKERS COMPENSATION ANDEMPLOYERS'UASILRY YIN ANY PROPRIETORPARTNEILEXECUTVE OFFICERWEMBER EXCWDE07 ❑ NIA M C005901 OS/O1/1 OS/O1/13 X WC STATU- OTM- E.L. EACH ACCIDENT S 1,000,000 E.L. DISEASE - EA EMPLOYEE f 1,000,000 (MN 'In NHI 11yu Q—fx, UMm DESCRIPTION OF OPERATIONS twI E.L.DISEASE-POLICYLIMIT f 1,000,000 DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES(AMsO ACORO 101. AddH elR.aduf SchMUM. NnNxe apse N leyured) Xvldetce of Insurance. For WC Policy - Self Insured Retention of $400,000 (CLASS CODS a7539 SIR of $750,000). SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Port Collins, CO THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 0 Box 580 AUTHORIZED REPRESENTATIVE It Collins, CO SOSZZ i USA 01988.2010 ACORD CORPORATION. All I ACUND 25 (2010105) The ACORD name and logo are registered marks of ACORD anlbru 27093871 4T b e i ii