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CITY OF FORT COLLINS - INSURANCE CERTIFICATE (16)
.4COREf CERTIFICATE OF PROPERTY INSURANCE 10/1M0/20013 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. If this certificate is being prepared for a party who has an insurable interest in the property, do not use this form. Use ACORD 27 or ACORD 28. PRODUCER 1-303-773-9999 Arthur J. Gallagher Risk Management Services, Inc. 6399 S. Fiddlers Green Cir Suite 200 Greenwood Village, CO 80111 CORTKEr— NAME: Anita BIUIIei PNONE 303-889-2574 INa: 303-889-2575 E-NAIL ADDRIE =its brUnariajg.cOm PRODUCER CUSTOMER 10. Karen Graham INSURERS AFFORDING COVERAGE NAILS INSURED City of Fort Collins INSURERA: LEXINGTON INS CO 19437 INSURER B: INSURER C: P O Box 580 INSURER D INSURER E: Fort Collins, CO 80522 _ INSURER F : LOCATION OF PREMISES I DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remeks Schedule, it more space is required) 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 POLICY NUMBER POLICY EFFECTNE GATE (MMIDDIYYYI7 POLICY EXPIRATION DATE (MMQDNYYY) COVERED PROPERTY LIMITS A X I PROPERTY OF LOSS DEDUCTIBLES 19946731 05/01/13 05/01/14 BUILDING PERSONAL PROPERTY BUSINESS INCOME EXTRA EXPENSE RENTAL VALUE BLANKET BUILDING BLANKET PERS PROP BLANKET BLDG a W Policy Ded. E CAUSES s BASIC BUILDING $ BROAD CONTENTS E X SPECIAL $ X EARTHQUAKE S WIND $ X FLOOD $ - X S 50,000 $ INLANDMARINE OF LOSS NAMED PERILS TYPE OF POLICY $ $ E CAUSES POLICY NUMBER E CR ME TYPE OF POLICY $ S S BOILERS TBREAKDO EDUIPMENT BREAKDOWN E s E S SPECIAL CONDITIONS I OTHER COVERAGES (Attach ACORD 101, Additional Remarta Schedule. it more space is recanted) RE: Evidence of coverage. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Pinnacle Public Finance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Connie George ACCORDANCE WITH THE POLICY PROVISIONS. 8377 K. Hartford Drive, Suite 115 AUTHORIZED REPRESENTATIVE (� Scottsdale, AS 85255 �- �--� /-\ \1 USA J anibru © 1995.2009 ACORD CORPORATION. All rights reserved. ACORD 24 (2009/09) The ACORD name and logo are registered marks of ACORD 36337148