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HomeMy WebLinkAbout113874 FOOD BANK FOR LARIMER COUNTY - INSURANCE CERTIFICATE (5)Client#- 47247
FOOBAI
ACORD. CERTIFICATE OF LIABILITY INSURANCE
D)
7/0712/D014
/07/2
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
NAMNT
EAD Brianne Danielson
Flood and Peterson
PHONE 970 266-7118 FAX 970 506-6846
AIC No Ent : AIC, No
Corporate Mailing Address:
E-MAIL Aooness: BDanielson@FloodPeterson.com
P.O. Box 578
INSURERS) AFFORDING COVERAGE
NAIL 0
Greeley, CO 80632
INSURER", Philadelphia Insurance Companie
INSURED
INSURER B :
Food Bank for Lar(mer County
1301 Blue Spruce Drive
INSURER C
Fort Collins, CO 80524
INSURER D:
INSURER E
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
rypE OF INSURANCE
ADDLSUB
INSR
MD
POLICY NUMBER
POLICY EFF
MM/DDIYYYY
POLICY EXP
MM/DDIYYYY
LIMITS
A
GENERALLIABILDY
PHPK1199762
7/01/2014
07101/2015
EACH OCCURRENCE
$1000000
X COMMERCIAL GENERAL LIABILITY
PREMISES Ea acw ence
$1 OO OOO
CLAIMS -MADE 51OCCUR
MED EXP (Any one person)
$ 5 000
PERSONAL B ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
E2,000,000
POLICY PREO LOC
CT
$
AUTOMOBILE
LIABILnY
COMBINED SINGLE LIMIT
Ea accident
BODILY INJURY (Per person)
$
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY (Per accident)
$
PROPERTYDAMAGE
Peracdtlent
$
NON -OWNED
HIRED AUTOS AUTOS
E
A
X
UMBRELLALU\B
X
OCCUR
PHUB466307
7/01/2014
07/01/2011
EACH OCCURRENCE
s4 000 000
AGGREGATE
s4,000,000
EXCESS LIAB
CLAIMS -MADE
DED I X RETENTION $1 O 000
$
WORKERS COMPENSATION
WC STATU- OTH-
IE
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
NIA
E.L. EACH ACCIDENT
$
E.L. DISEASE- EA EMPLOYEE
$
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE- POLICY LIMIT
E
A
D&O Liability and
PHSD945905
7/01/2014
07/01/201
$2,000,000 Aggregate
EPLI
$10,000 Retention
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Romarka Schedule, If more apace Is required)
Attn: Deputy City Clerk - Amy Jensen
City of Ft Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
P O BOX 580 ACCORDANCE WITH THE POLICY PROVISIONS.
Fort Collins, CO 80522
AUTHORIZED REPRESENTATIVE
©1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD
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