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HomeMy WebLinkAboutFORT COLLINS COLORADOAN - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE oAr 1WO�M013 ) 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 endorsement(s). PRODUCER AOn R15k Services NOrthed5t, Inc. Stamford CT Office CONTACT NAME: juC. No. EXq: (866) 283-7122 FAAICt No): (800) 363-0305 EMAIL ADDRESS: 1600 Summer Street staiford CT 06907-4907 USA INSURERIS) AFFORDING COVERAGE NAIC a INSURED INSURER A: National Union Fire Ins Co of Pittsburgh 19445 Fort Collins Col Oradoan 1300 Riverside Ave. INSURER B: INSURER C: Fort Collins CO 80522 USA INSURER D'. INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 570051590531 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. Limits shown are as requested TR TYPE OF INSURANCE POLICY NUMBER LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLNMSWADE X❑OCCUR GL EACH OCCURRENCE $1,000,000 PREMISES EB cav, $1,000,000 MED EXP(A, one Peron) PERSONAL S ADV INJURY $1,000,000 GENERAL AGGREGATE $1,000,000 GEN'LAGGREGATELIATT X POLICY APPLIES PRO- PER: LOG PRODUCTS -COMPIOP AGE $1,000,000 AUTOMOBILE LWBILT• ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS HIREDAUTOS AUTOS NON-0 NED COMBINED SINGLE LIMIT entl BODILY INJURY ( Par PB..) BODILY IWURY(Per emtlent) PROPERtt D AMAGE ParaaMant UMSRELLALIAB EXCESS LIAR OCCUR CLAINIBMADE EACH OCCURRENCE AGGREGATE DED I RETENTION WORKERS COMPENSATION AND EMPLOYERS'LIASILITY YIN ANY PROPRIETOR/ PARTNER /EXECUTIVE OFFICERJMEMBER EXCLUDED? ❑ (MandId., In NM If yyee d.s01,a und.r DESCRIPTON OF OPERATIONS( w NIA TWOSTATU- OTH- TORY LIMITS I HER E.L. EACH ACCIDENT E.L. DISEASE -EA EMPLOYEE E.L. DISEASE-POLICYLIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ~h ACORD 101. Adm k,.a[ Remark. Sch.dule, N more aP.0 N r.,.I-d) Certificate Holder is included as Additional Insured in accordance with the policy provisions of the General Liability policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The City Of Fort Collins AUTHORIZED REPRESENTATIVE 215 N Mason St. Fort Collins CO 80524 USA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD