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Home My WebLink AboutFOOTHILLS GATEWAY INC - INSURANCE CERTIFICATE (3)Client#: 37379 FOOGA ACORD. CERTIFICATE OF LIABILITY INSURANCE O TE"Z0;;""" 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 certlficate holder Is an ADDITIONAL INSURED, the policy(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.FAX P. O. Box 578 Greeley, CO 80632 970 356-0123 CONTANAME; Kelly Beauvais a xa �l 970 266.7121 ac, Na 970 506.6845 Kelle Beauvais ADDRESS: Y• @Noodandpeterson.com CUSTOMER ID e: INSURER(S) AFFORDING COVEMGE mcs INSURED --J Foothills Gateway, Inc. 301 West Skyway Drive Fort Collins, CO 80525 INSURER A: Philadelphia Insurance Companie INsuRERa: Pinnacol Assurance INSURER C: Travelers Insurance Company INSURER D : INSURERS, INSURER F: CERTIFICATE 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. TYPEOFINSURANCE POLICY NUMBER MWDDEFF MDMLIIDDCY EXP LIMITS A UENERALLIABILITY PHPK885996 0710112012 07/01/2012 EACHOCCURRENCE f1 000000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F_X] OCCUR PREMISES Ea p=ffenm $100000 MED EXP(Any . person) $10,000 PERSONAL B ADV INJURY f1 000 000 GENERAL AGGREGATE f3,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP)OP AGG s3,000,000 POLICY 7 PRa LOC f A AUTOMOBILE LIABILITY ANY AUTO PHPK885996 0710112012 07101/2013 COMBINED SINGLE LIMIT (Ee ecc .M) 1,000,000 BODILY INJURY(P., person) f ALL OWNED AUTOS BODILY INJURY(P., ectldenl) f 1XX SCHEOULEDAUTOS HIRED AUTOS PROPERGE(Per ecod.nt) nt)NON-0 f NEDAUTOS s f A X UMBRELLALUB OCCUR PHUB387364 7101/2012 07/0112013 FACHOCCURRENCE s2000000 EXCESS LIAB CLAIMS -MADE AGGREGATE s2,000,000 DEDUCTIBLE $ X RETEMION 10000 f B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY OFFICERIMEIMSERMEXCLUEW ECUTIVEN (Maedelo,y In NH) if y Oeeoiee under DESCRIPTION OF OPERATIONS Wx WA 703552 7/01/2012 0710112013 -'ra X WCSTATU- OTH- E.L. EACH ACCIDENT fSOOOOO E.L. DISEASE -EA EMPILOYEEJ $500,000 E.L.OISEASE-POLICYLIMIT 15500,000 C Professional 105635660 1 0110112011210710112011 3,000,000 Aggregate Liabliltv 1.000.000 Occurrence DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACOR01U1, AddlUonal W.rt .SC .d.l., If more epaa Ia Mulndl RE: Flying Pig Charity RunlWalk Fundraiser, April 14, 2013 Certificate holder, Its officers, employees and agents are named as additional Insured. City of Fort Collins PO 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 01988-2nn9 ACORn CORPORATION All dnhf. —.—A ACORD 25 (2009109) 1 of 1 The ACORD name and logo are registered marks of ACORD #S7615001M712744 CAZ