HomeMy WebLinkAbout479522 MOUNTAIN 262 CONDOMINIUM ASSO - INSURANCE CERTIFICATEACORO® CERTIFICATE OF LIABILITY INSURANCE
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DATE N MIDD,YYYY)
01 /08/2014
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 endomement(s).
PRODUCER
CONTACT
NAME:
Craig Campbell(0708349)
PHONE 970-484-1400 F2 No:
ADDRESS:
RADRLE
262 E Mountain Ave Ste 100
INSURE S AFFORDING COVERAGE
NAICN
INSURER A: Truck Insurance Exchange
21709
Fort Collins CO 80524-2821
INSURED
MOUNTAIN 262 CONDOMINIUM ASSO 47 95 22
INSURER B: Farmers Insurance Exchange
21652
INSURER c: Mid Cantu Insurance Company
21887
INSURER D:
262 E MOUNTAIN AVE STE 100
INSURER E:
1 INSURER F:
FORT COLLINS CO 80524
COVERAGES CERTIFICATE NUMBER: 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.
INSR
LR
TYPE OF INSURANCE
ADDLSUSR
luff
POLICY NUMBER
M LICY EFF
POLICY EXP
LIMITS
B
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE FRI OCCUR
604774440
10/29/2013
10/29/2014
EACH OCCURRENCE
f 2.000.000
PREMISE Es acdurterKe
f 100,000
MED UP (Any we )
$ 5,000
PERSONAL& ADV INJURY
a 2,000,000
GENERAL AGGREGATE
$ 4,000,000
GEML AGGREGATE LIMIT APPLIES PER:
POLICY PRO- LQC
PRODUCTS-COMPIOP AGG
f 2,000,000
$
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRED AUTOS O
COM13INED BUNDLELIMIT
Me accident
BODILY INJURY(Perperson)
S
BODILY INJURY (Per accident)
f
MA E PAUTSWNED sER n
(Per coolet
$
f
UMBRELLA LIAR
EXCESS LIAR
OCCUR
CLAIMS -MADE
I
EACH OCCURRENCE
f
AGGREGATE
f
DED I I RETENTIONS
S
WORKERS COMPENSATION
ANDEMPLOYERS'LIABILITY YIN
ANY PROPRIETORIPARTNEWEXECUTIVE ❑NIA
OFFICERIMEMBER EXC W DE09
(Mandatory In NH)
If yes, de orbe under
DESCRIPTION OF OPERATIONS helaa
I WC STATU- OTH-
E.L.EACHACCIDENT
$
E.L. DISEASE - EA EMPLOYE
f
E.L. DISEASE -POLICY LIMIT
S
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Addltlonal Remarks Schedule, It mom apace Is requlred)
262 E MOUNTAIN AVE, FORT COLLINS, CO 80524
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
CITY OF FORT COLLINS
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
PO BOX 280
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
FORTCOLLINS CO 80522
ACORD 25 (2010/05) 0 01988-2010 ACORD CORPORA110N. All rights reserved.
The ACORD name and logo are registered marks of ACORD