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.