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HomeMy WebLinkAboutFOOTHILLS GATEWAY INC - INSURANCE CERTIFICATE (5)Client#: 37379 FOOGA ACOI CERTIFICATE OF LIABILITY INSURANCE D 06/061DOIYYYY) s/os/zola 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 endomement(s). PRODUCER NAME: Kelly Beauvais Flood & Peterson Ins., Inc. Co Ell; -(Al,IC No): 506-6846 P. O. Box 578 ADDRESS: KBeauvais@floodpeterson.com Greeley, CO 80632 INSURERISI AFFORDING COVERAGE NAICM 970 356-0123 INSURER A: Philadelphia Insurance Companie INSURED INSURER B: Plnnacol Assurance Foothills Gateway, Inc. 301 West Skyway Drive INSURER C Fort Collins, CO 80525 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 THEz INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO A EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTRR TYPE OF INSURANCE NSRADDLSUBR WVD POLICY NUMBER POLICY EFF MMDpYEXP LIMIT A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR PHPK1185640 7101/2014 07/01/201 EACH OCCURRENCE PREMISES�soccu ante NED EXP (Anyone person) PERSONAL & ADV INJURY $1 000 000 GENERAL AGGREGATE s3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER'. X POLICY PRO- LOC JECTA PRODUCTS - COMPIOP AGG s3,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS PHPKII85640 0710112014071011201 EOMaBINEEDISINGLELIMIT $1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident)$ X PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB EXCESS LMB X OCCUR CLAIMS -MADE PHUB461788 7101/2014 0710112016 EACH OCCURRENCE $2000000 AGGREGATE s2,000,000 OED X RETENTION $10 000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED' ❑ (Mandatory in NH) u yea, deamhe under DESCRIPTION OF OPERATIONS below NIA 703552 7/01/2014 07/01/201E X WCSTAMli OTH- EL EACH ACCIDENT $500000 E.L. DISEASE - EA EMPLOYEE $500000 E.L. DISEASE - POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) RE: Flying Pig Charity Run/Walk Fundraiser, April 6, 2014 Certificate holder, its officers, employees and agents are named as additional insured. City of Fort Collins PO Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2010105) 1 Of 1 #S897284/M897279 01988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD