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Home My WebLink About315931 BIG THOMPSON WATERSHED FROUM - INSURANCE CERTIFICATEill.� CERTIFICATE OF LIABILITY INSURANCE 12 Ei91°2012 THIS CERTIFICATEIS 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 INSURERISI, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONALINSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statementon this certificate does not confer rights to the certificate holder in lieu of such endorsementls). PRODUCER PAYCHEX INSURANCE AGENCY INC 210705 P: O - F: (888)443-6112 PO BOX 33015 CONTACT PHOE A (AIE-MAI"q,E"'' Arc, Nq): (eea)4na-6112 ADDRESS: INSURERS) AFFORDING COVERAGE NAICN SAN ANTONIO TX 78265 INSURER A: Twin City Fire Tn5 CO INSURED ^ (ram l INSURER B: INSURER C BIG THOMPSON WATERSHED FORUM 800 S TAFT AVE NsuRERD: INSURER E: LOVELAND CO 80537 INSURER F COVERAGES 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. IPOLICY LTR Lm TYPE OF INSURANCE INSR WVD POLICY NUMBER EFF (MMIDDIVYYYI POLICY E)(P IMMIDDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE 5 PREMISES Ca occurrence) 5 COMMERCIAL GENERAL LIABILITY CLAIMS -MADE U OCCUR MED EXP (Any one Person) $ _I I u u PERSONAL 6 ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY U JECCT U LOG I $ AUTOMOBILE UABILrt COMBINED SINGLE LIMIT E. accidenrl $ ANY AUTO BODILY INJURY (Per Person) S BODILY INJURY War accident) $ ALL OWNED SCHEDULED I u u AUTOS I_I AUTOS PROPERTY DAMAGE HIRED AUTOS NON -OWNED I (Per accident) s AUTOS S UMBRELLA LIAB U OCCUR EACH OCCURRENCE $ AGGREGATE 5 EXCESS LIAB CLAIMS -MADE U u I DEDI I RETENTION 5 5 WORKERS COMPENSATION STA OER AND EMPLOYERS' LIABILITY Y I N X I TORY LIMITS E.L. EACH ACCIDENT s ZOO 000 A ANY PROPRIETORIPARTNERIEXECUTIVE— OFFICERIMEMBER EXCLUDED] u NIA U 96 WEG E.L. DISEASE - EA EMPLOYE $ l O O O O O Mandatory in NHI PE5980 01/01/2013 01/01/2014 EL.DISEASE - POLICY LIMIT $500,000 DIf ES CRIPTION OF OPERATIONS below uu DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule. it more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED The City Of Fort Collins BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE Fort Collins WTP DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZEQ PIPRESENTATIVE 4316 LAPORTE AVE FORT COLLINS, CO 80521aZul��^� 0 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD