HomeMy WebLinkAbout130692 LARIMER COUNTY - INSURANCE CERTIFICATEDATE (MM/DDNYYY)
CERTIFICATE OF LIABILITY INSURANCE R111y,n1d
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(les) must be endorsed. If 5UBROUATION 15 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
PRODUCER
irthur J. Gallagher Risk Management Services, Inc.
i399 S. Fiddlers Green Cir
Dreenwood Village CO 80111
INSURED l1 �� V— t
Larimer County, Colorado
200 W. Oak Street
CO 80522
COVERAGES CERTIFICATE NUMBER: 1937507967 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
ADDLSUBR
WVD
POLICY NUMBER
POLICY EFF
MMIDD
POLICY EXP
MM/DD
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE F-1 OCCUR
X SIR:$500,000
300298504
15/2014
/15/2015
EACH OCCURRENCE
$1,000,000
PREMISES Fa ocanence
$
MED EXP(Any we parson)
$
PERSONAL B ADV INJURY
$
X
Per OCC.
GENERAL AGGREGATE
$1,000,000
GEN'L AGGREGATE
X POLICY
LIMIT APPLIES PER:
PR0. LOC
JFCT
PRODUCTS-COMP/OP AGG
$
$
0 ILELIABIIJ'N
AUTOBODILY
LL OWNED SCHEDULED
TOSAUTOS
NON -OWNED
RED AUTOS AUTOS
Ee acdtlenlY
INJURY(Per Person)
$
TA
BODILY INJURY(Per accident)
$
PROPERTY DAMAGE
IP. accident
$
S
UMBRELLA LUIa
IXCESS LUB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DEO RETENTIONS
S
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETORIPARTNERIEXECUTIVE❑
OFFICER/MEMBER EXCLUDED'/
(Mandatory In NH)
If yes Eesoibe under
DESCRIPTION OF OPERATIONS bekv
N/A
WC STATU- OTH-
IMITS
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
$
E.L. DISEASE-PoLICYLIMIT
I $
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Aeach ACORD 101, Additional Remaft Schedule, If rnore apace Is required)
Certificate Holder is an Additional Insured as respects general liability policy, pursuant to and subject to the policy's terms, definitions,
conditions and exclusions.
RE: National Get Outdoors Day, June 14, 2014.
ILa.•l9 CI
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Fort Collins
ACCORDANCE WITH THE POLICY PROVISIONS.
215 N. Mason Street
Fort Collins CO 80522
AREPRESENTATIVE
ACORD 25 (2010"
®198S-2010 ACORD CORPORATION. All rights reservet
The ACORD name and logo are registered marks of ACORD
000503