HomeMy WebLinkAbout174626 FORT COLLINS HABITAT FOR HUMANITY - INSURANCE CERTIFICATE (4)CERTIFICATE OF LIABILITY INSURANCE
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
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
Lockton Affinity, LLC
P.O. Box 873401
Kansas City, MO 64187-3401
HONE
aC No.E# : 888.553-9002
-Mo�cc.
INSURED f 6
Fort Collins Habitat for Humanity
4001 S Taft Hill Rd,
Fort Collins, CO 80526-2948
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.
IN
eR
LT
R
TYPE OF INSURANCE
INMI
sue
t
POLICY NUMBER
POLICY EFF
MMIDDNYYY)
POLICY EXP
MM/DDNM)
LIMITS
GENERAL LIABILITY
OMMERCIAL GENERAL LIABILITY
iLAIMS MADE rX1 OCCUR
X
GL1064502-14
04/01/2014
D4/01/2015
EACH OCCURRENCE
$ 1,000 000
DAMAGE TO RENTED
PREMISES Ea occurrence
$ 1,000,000
MED EXP (Any one rson)
$ 0
PERSONAL S ADV INJURY
$1 000 000
GENERAL AGGREGATE
E 2 000 000
EN'L AGGREGATE LIMIT APPLIES PER
X OUCY
PRODUCTS-COMP/OP AGG
$2.000000
$
AUTOMOBILE LIABILITY
Y
L OWNED SCHEDULED
UTOS AUTOS
NON -OWNED
IREDAUTOS AUTOS
COMBINED SINGLE LIMIT
Eaeccident
$
BODILY INJURY Per Person
$
4AUTO
BODILY INJURY Per eccltlr�rt
$
PROPERTY DAMAGE
Per amdent
$
MBRELU LIAR
XCESS LIAR
OCCUR
CLAIMS MADE
EACH OCCURRENCE
$
AGGREGATE
E
ED RETENTION $
RKERS COMPENSATION
NO EMPLOYERS' LIABILRY
NYPROPRIETOR/PARTNER/EXECUTNE YM
X
WC STATU-
ORY LIMITS
DTH-
ER
FFICERIMEMBER EXCLUDED?
E.L. EACH ACCIDENT
$
MANDATORY IN NH)
es describe under
E.L. DISEASE - EA EMPLOYEE
$
ESCRIPTION OF OPERATIONS babes
E.L. DISEASE -POLICY LIMIT
$
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS
City of Fort Collins
P.O. Box 580,
Fort Collins, CO 80522
ACORD 25 (2010105) The ACORD name and loqo are
1064502