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HomeMy WebLinkAbout112616 DOWNTOWN DEVELOPMENT AUTHORITY - INSURANCE CERTIFICATE (2)Client#: 24255 Well 1:1 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