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HomeMy WebLinkAboutPROJECT SELF-SUFFICIENCY OF LOVELAND-FORT COLLINS - INSURANCE CERTIFICATErltnntg- '$SAA7 PROSE ACORD. CERTIFICATE OF LIABILITY INSURANCE O06/192012ATE YY) O6/19/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poiicy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Flood & Peterson Ins., Inc. P. O. Box 578 Greeley, CO 80632 970 356-0123 CONTACT NAME: Nicole Koehn NE 970-506-3286 970-330-1867 AIC No EH : A/C No Roofless: nicole.koehn@floodandpeterson.com CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC e INSURED --� Project Self -Sufficiency of Lvld-Ft Col 375 W. 37th St., Suite 150 Loveland, CO 80538-2261 INSURER A: The Cincinnati Insurance Compan INSURER B: INSURER C INSURER D: INSURER E: INSURER F : nnVFRAnFC CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POLICY NUMBER MWDDNY MRNDDNXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERALUASWTY CI -AIMS -MADE N OCCUR ENP0145101 4/25/2012 04/25/2013 1$ EACH OCCURRENCE S1 000 OOO PREMISES Ea occurrence $100000 MED EXP (Any one Person) $1 O 000 PERSONAL If ADV INIURY $1 000 000 GENERALAGGREGATE s2,000,000 GENL AGGREGATE LIMIT APPLIES PER: 1-1 POLICY PRa LOC IFCT PRODUCTS - COMP/OP AGG $2,000,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per Person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Peraccident) $ $ UMBflELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION ANDEMPLOYERS'LIABILBY YIN ANY PROPRIETOWPARTNEREXECUTIVE❑ OFFICERMEMBER EXCLUDED? (Men"o, In NH) II yea, dascnDe under DESCRIPTION OF OPERATIONS oekm NIA WC STORYTATU-M'TS OTH- 11 EL EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT S A Garage Liability ENP0145101 4/25/2012 04/25/201 1,000,000 per accident 3,000,000 aggregate DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (Attach ACORD 101, Addlilonsl Remarks Schedule, If mono space Is required) The certificate holder is named as an additional insured as their Interest (See Attached Descriptions) City of Fort 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 /l� 0 G'-z C 01988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 of 2 #S703786/M703782 The ACORD name and logo are registered marks of ACORD PXP