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Home My WebLink AboutFIRST NATIONAL OF NEBRASKA INC - INSURANCE CERTIFICATE (4)ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE IMM/ODnYYYI 1/17/2014 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 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 endorsements . PRODUCER CONTACT NAME: The Harry A. Koch Co. P.O. Box 45279 Omaha NE 68145-0279 PHONE No MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIL 3 INSURER A:Federal Insurance Company 20281 INSURED INSURER 8 13reat INSURERC: First National of Nebraska, Inc. Attention: Patrick Mahoney 1601 Dodge St Stop Code 3272 Omaha NE 68197-3272 INSURERD: INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 711661618 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 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS TYPE OF INSURANCE ADDL U POLICY NUMBER MOLICv EFF POLICY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS-AAADE � OCCUR 35757477 1/18/2014 111812015 - - - EACH OCCURRENCE $1000000 "AGE To RENTED PREMISES Ea accurremx S1D00000 MED EXP (Any one person) 310000 PERSONAL &ADV INJURY $1000000 GENERAL AGGREGATE - $2000000 GEN'L AGGREGATE LIMIT APPLIES PER nX. POLICY PRO, JFCTLOC -_ PRODUCTS-COMP/OP AGG $1000000 $ B AUTOMOBILE X LWBILITY ANY AUTO - ALL ED ACHEDULED NON -OWNED HIRED AUTOS X AUTOS ]3560487 1/18/2014 !1/18/2015 (Ea accident) 1,000000 BODILY INJURY (Per person) S X BODILY INJURY (Par accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTIONS 1 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y f N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) tlyea, describe under DESCRIPTION OF OPERATIONS below N/A 71701763 1/18/2014 /18/2015 X I WC STATU- OTH• ER E.L. EACH ACCIDENT $500.000 E.L. DISEASE- EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT S500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, I more space Is required) The City of Ft. Collins, its officers, agents & employees are named as additional insured for general liability as required by written contract but only insofar as loss or damage was the result of negligence of First National Bank, a division of First National Bank of Omaha. First National Bank, a division of First National Bank of Omaha is a named insured under the policies. �crt I Iri .m i c: nw�umrc City of Ft. Collins; Director of Purchasing & Risk Management PO Box 580 Fort Collins CO 80522 ACORD 25 (2010/05) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH'IHE POLICY PROVISIONS. AUTHOKIZED REPRESENTATIVE �� e'T% ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD