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HomeMy WebLinkAbout130574 LARIMER COUNTY CHILD ADVOCACY CENTER INC - INSURANCE CERTIFICATEACORD TM CERTIFICATE OF LIABILITY INSURANCE 1 01-03-2014 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 policy0es) 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 tM certificate holder in lieu of such endorsementls). PRODUCER 51601 / Ramsgate Insurance Inc 250 East Park Avenue Lake Wales, FL 33853 INSURED Larimer County Child Advocacy Center, Inc. 130� 5529 S Timberline Road Fort Collins, CO 80528 COVERAGES CERTIFICATE NUMBER: 'ACT FAX A/C f INSURERIS) AFFORDING COVERAGE INSURER A: MARKEL INSURANCE COMPANY INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: REVISION NUMBER: NAIC # 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. INSR LTR TYPE OF INSURANCE "i WM SUER WVD POLICY NUMBER POLICY EFF MMIDD POLICY En (Mel/DD/YYYY) LIMITS A GENERAL LIABILITY ® COMMERCIAL GENERAL LIABILITY ❑ CLAIMS -MADE ® OCCUR ❑ ® ❑ 8502SS390021-1 03-09-2014 03-09-2015 EACH OCCURRENCE t 1,ODO,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000 MED EXP (Any one person) g 5,000 PERSONAL 8 ADV INJURY 8 11000,000 ❑ GENERAL AGGREGATE E 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: ❑ POLICY ❑ JJECT ❑ LOC PRODUCTS - COMPIOP AGG S 1,000,000 8 AUTOMOBILE UABIL.ITY ❑ ANY AUTO ❑ ALL OWNED ❑ SCHEDULED AUTOS AUTOS NON OWNED ❑ HIRED AUTOS ❑ AUTOS ❑ ❑ ❑ ❑ COMBINED SINGLE LIMIT (Ea accident) 9 BODILY INJURY (Par person) 6 BODILY INJURY (Per accident) 6 PROPERTY DAMAGE (Pw accident) 0 a UMMIELLA LIAR EXCESS LIAR OCCUR 8 CLAIMS -MADE ❑ ❑ EACH OCCURRENCE AGGREGATE 0 ❑ DED ❑ RETENTION 0 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) It yes, describe under DESCRIPTION OF OPERATIONS below NIA ❑ ❑ WC STATU- OTH- TORY LIMITS ER E.L. EACH EN ACCIDT t E.L. DISEASE - EA EMPLOYEE E.L. DISEASE -POLICY LIMIT ❑ ❑ DESCMFnON OF OPERATIONSILOCATIONSIVEffCLES (Attach ACORD 101, Additional Remarks ScheduN. R more ePaoe b rsQllhed) Certificate holder is included as additional insured for operations conducted by the named insured. CERTIFICATE HOLDER Fort Collins Police Department 2221 South Timberline Road Fort Collins, CO 80528 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Bruce A. Kay (c) 1988-2010 ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD RAL 10 reserved.