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HomeMy WebLinkAbout111723 DISABLED RESOURCE SERVICES - INSURANCE CERTIFICATEDISAB-1 OP ID: P6
CERTIFICATE OF LIABILITY INSURANCE
DAT07/21114YY)
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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 Phone: 970482-7747
CONTACT
NAME:
Brown E, Brown Inc
4532 Boardwalk Dr, Suite 200 Fax: 970-084-4165
ONE FXX
qlG No EJ: (A/C, No):
Fort Collins, CO 80525
House Account
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAIL#
INSURER A: IISLI
`\ \
INSURED Disabled Resource Services
DBA Colorado Person -First
INSURER B:
Festival
INSURER C
INSURER D:
1017 Robertson St Unit B
INSURER E:
Ft Collins, CO 80524
INSURER F :
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
LTR
TYPE OF INSURANCE
MISR
WVQ
POLICY NUMBER
POLICY EFF
iMMIDDrYYYY1
POLICY E%P
IMMIDDIYYYYEAGGREGATE
LIMITS
GENERAL LIABILITY
ENCE
$ 1,000,000
A
X COMMERCIAL GENERAL LIABILITY
X
CL1661920
09113114
09115114
occurrence
$ 100,000
CWMS-MADE �OCCUR
one pen[on)
$ 1,000
DV INJURY
$ 1,000,000
REGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
OMP/OP AGG
$ include
POLICY F PRCT O- r LOC
$
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident
BODILY INJURY (Per person)
$
ANYAUTO
ALL OWNED SCHEDULED
AUTOS
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Pera.d.rd
$
NON -OWNED
HIRED AUTOS AUTOS
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESSLIAB
CLAIMS -MADE
DED I I RETENTION$
$
WORKERS COMPENSATION
ANDEMPLOYERS'LIABILITY YIN
WC STATUTH-
T RY LIMITSR
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT
$
OFFICERMIEMBER EXCLUDED? ❑
N IA
E.L. DISEASE - EA EMPLOYE
$
(Mandatory In NH)
It vet. describe order
DESCRIPTION OF OPERATIONS below
E.L. DISEASE POLICY LIMIT
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
City of Fort Collins - Risk Management has been added as additional insured
regarding this event - Colorado Disability Pride Feet 2014 to be held
September 13, 2014
CITYFC2
City of Fort Collins
Risk Management
PO Box 580
Fort Collins, CO 80522-0580
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
S.G p ,Q_
©1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD