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HomeMy WebLinkAbout129491 FORT COLLINS HOUSING AUTHORITY - INSURANCE CERTIFICATEI�R M CERTIFICATE OF LIABILITY INSURANCE DATE(MM ouo5/2014YY) �zola PRODUCER Pinnacol Assurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY 7501 E Lowry Blvd AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Denver, CO 80230-7006 CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAICM INSURED Fort Collins Housing Authority ' 2/'9-q� 1715 W Mountain Ave INSURERA: Pinnacol Assurance 41190 INSURER B: NsuRERc: Fort Collins, CO 80521 77 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDNG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMMENT 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 AODL POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDIYYYY) DATE(MMIDD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED PREMISES COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR MED OnAny one non PERSONAL S ADV INJURY GEN-L AGGREGATE LIMIT APPLIERS PER: GENERAL AGGREGATE PRODUCTS -COMPIOP AGG POLICY PROJECT LOC AInOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ee Accident) BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS Per non HIRED AUTOS BODILY INJURY NON -OWNED AUTOS Per scc ent PROPERTY DAMAGE (Per eccYlaA) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC ANY AUTO AUTO ONLY: EXCESSAIYBRELLA LIMMIM OCCUR CLAIMS MADE EACH OCCURRENCE AGGREGATE DEDUCTIBLE RETENTION S WORKERS COMPENSATION AND WC STATU- OTHER Ll A EMPLOYER'S LIABILITY ANY PROPRIETOR/ OFFICERIMEMBER EXCLUDED? 13a5762 01/01/2014 01/01/2015 S LEArMAACCPARTNERIEXECUTIVE E.L EACCCIDENT $100,000 E.L DISEASE -EA EMPLOYEE $100,OOD If yes. Please Eescri4a urMer SPECIAL PROVISIONS bebw E.L DISEASE -POLICY LIMIT O OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEMCLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION 1508028 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO 300 LaPorte Avenue MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Fort Collins, CO 80521 LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Patricia Smith ACORD 25(2001I08) Underwriter ACORD CORPORATION 1988 CERTIFICATE HOLDER COPY City of Fort Collins 300 LaPorte Avenue Fort Collins, CO 80521 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.