HomeMy WebLinkAboutPROJECT SELF-SUFFICIENCY OF LOVELAND-FORT COLLINS - INSURANCE CERTIFICATErltnntg- '$SAA7
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ACORD. CERTIFICATE OF LIABILITY INSURANCE
O06/192012ATE YY)
O6/19/2012
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poiicy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
Flood & Peterson Ins., Inc.
P. O. Box 578
Greeley, CO 80632
970 356-0123
CONTACT NAME: Nicole Koehn
NE 970-506-3286 970-330-1867
AIC No EH : A/C No
Roofless: nicole.koehn@floodandpeterson.com
CUSTOMER ID #:
INSURER(S) AFFORDING COVERAGE
NAIC e
INSURED
--� Project Self -Sufficiency of Lvld-Ft Col
375 W. 37th St., Suite 150
Loveland, CO 80538-2261
INSURER A: The Cincinnati Insurance Compan
INSURER B:
INSURER C
INSURER D:
INSURER E:
INSURER F :
nnVFRAnFC CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE
POLICY NUMBER
MWDDNY
MRNDDNXP
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERALUASWTY
CI -AIMS -MADE N OCCUR
ENP0145101
4/25/2012
04/25/2013
1$
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
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