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HomeMy WebLinkAboutCITY OF FORT COLLINS - INSURANCE CERTIFICATE (18)_1 ACORD CERTIFICATE OF PROPERTY INSURANCE 1* ✓ DATE (MM/DD/YYYY) 5/21/2014 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 Arthur J. Gallagher Risk Management Services, Inc. 6399 S. Fiddlers Green Cir Greenwood Village CO 80111 NAI Anita Bruner PHONE ac No Ea:303-889-2574 A/c No :303 -889-2575 EMAIL anita bruner®a corn ADDRESS: JB DU ER CUSTOMER ID: INSURERS) AFFORDING COVERAGE NAIC If INSURED City Of ort Collins P O Box 580 Fort Collins, CO 80521 INSURER A:LEXINGTON INS CO 19437 INSURER B: INSURER C: INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 16i An29A91 REVISION NUMBER: LOCATION OF PREMISES / DESCRIPTION OF PROPERTY (A1Moh ACORD 101, AdOmonel Remarks SrJleAule, If mom space Is r ulratl) IN5R LTA TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MM/DDNYYY) POLICY EXPIRATION DATE(MM/DD/YYYY) COVERED PROPERTY LIMITS A X I PROPERTY CAUSES OF LOSS DEDUCTIBLES 19946731 5/1/2014 5/l/2015 BUILDING PERSONAL PROPERTY BUSINESS INCOME EXTRA EXPENSE RENTALVALUE BLANKET BUILDING BLANKET PEAS PROP BLANKET BLDG S PP Policy Ded. $ $ BASIC BUILDING $ BROAD $ X SPECIAL CONTENTS $ X EARTHQUAKE 100,000 $ WIND $ X FLOOD 100,000 X $555,177,534 X $50,000 $ INLAND MARINE OF LOSS NAMED PERILS TYPE OF POLICY $ CAUSES $ POLICY NUMBER $ CRIME TYPE OF POLICY $ $ $ BOILER A MACHINERY I EQUIPMENT BREAKDOWN $ $ $ SPECIAL CONDITIONS / OTHER COVERAGES (Albch ACORD 101. Atldlf I Remaks ScheCule, if more epe Is repuir ) Re: Fort Collins Capital Leasing Corporation is named Additional Insured as respects General Liability coverage regarding the Lease Agreement dated July 27, 2004 for Deicing Facility which terminates on June 1, 2023 See Attached... CFRTIFICATF i4ni nFR 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. Fort Collins Capital Leasing Corporation 215N. Mason Street AUTHORIZED REPRESENTATIVE P G BOX 580 Fort Collins CO 80522 USA alvl ©1995-2009 ACORD-CORPORATION. All rights reserved. ACORD 24 (2009109) The ACORD name and logo are registered marks of ACORD 001027 AGENCY CUSTOMER ID: LOC #: ADDITIONAL REMARKS SCHEDULE Page ] of I AGENCY Arthur J. Gallagher Risk Management Services, Inc. NAMEDINSURED City of Fort Collins P O Box 580 Fort Collins, CO 80521 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 24 FORM TITLE: CERTIFICATE OF PROPERTY INSURANCE ial Conditions for Police ding which terminates on June 1, 2026. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 001027