HomeMy WebLinkAbout112616 DOWNTOWN DEVELOPMENT AUTHORITY - INSURANCE CERTIFICATE (2)Client#: 24255
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ACORDrn CERTIFICATE OF LIABILITY INSURANCE
DATE0/YYVV)
1 02/04/24/2013
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 policy(ies) 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
� I1p
970 356-0123 V v1
CONTACT NAME: Kelly Beauvais
PHONE 970 266-7121 FAX 970 506-6646
A/C No EXt: A/C, No:
AooaEss: kbeauvais@floodpeterson.com
CUSTOMER ID X:
INSURERIS) AFFORDING COVERAGE
NAIC X
INSURED
Downtown Development Authority
19 Old Town Square #230
Fort Collins, CO 80524
INSURER A: Colorado Special Dist. Llabllit
INSURER B:
INSURER C
INSURER 0:
INSURER E :
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 15 SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INS_
TYPE OF INSURANCE
DDL
UBR
POLICY NUMBER
MOMIDD/YCY FF
MM/DD/YYYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE 4 OCCUR
25C700103377
1/01/201301/01/2014
EACH OCCURRENCE
$1000000-
DAMAGE TO RENTED
PREMISES Me occurrence
$
MED EXP (Any one person)
$10,000
PERSONAL d ADV INJURY
It
GENERAL AGGREGATE
$
GEN'L AGGREGATE LIMIT APPLIES PER
POLICY PRO LCC
PRODUCTS - COMP/OP AGO
$
$
A
AUTOMOBILE
LIABILITY
ANYAUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
25C700103377
1/01/2013
01/01/2014
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
S
PROPERTY DAMAGE
(Per accident)
$
X
X
$
A
UMBRELLA UAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
25C700103377
1/01/2013
01/01/201
EACH OCCURRENCE
$1 000 000
)(
X
AGGREGATE
$
DEDUCTIBLE
RETENTION
$
$
A
WORKERS COMPENSATION
ANDEMPLOVERS'LIABILITY YIN
ANY PROP RIETOR/PARTN EWEXECUTIVE❑
OFFICER/MEMBER EXCLUDED]
(Mandatory in NH)
II yee, deSCribe under
DESCRIPTION OF OPERATIONS below
WA
I
12W700101941
1/01/2013
01/01/2014
X WCSTAZ OTH-
E.L. EACH ACCIDENT
$2000000
E.L. DISEASE - EA EMPLOYEE
52,000,000
E.L. DISEASE - POLICY LIMIT
I 52,000 000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required)
Certificate Holder is listed as Additional Insured as their interest may
appear
City of Ft. 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
@1988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009/09) 1 off The ACORD name and logo are registered marks of ACORD
#S762739/M762738 KLB