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Home My WebLink AboutMOUNTAIN VIEW COMMUNITY CHURCH - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE tl'l3/220014 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 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 endorsements . PRODUCER Whittaker and Associates Insurance Agency 11178 Huron St # 6 Northglenn, CO 80234 Phone: (303) 452-5617 Fax: U _-_ CONTACT NAME:Todd Whittaker 303 52-5617 FAX Arc No), RBI DRESS: INSURER 5 AFFORDING COVERAGE NAIC # INSURER A: Guide One 15032 INSURED Mountaihn View Community Church 328 Remington St Fort Collins CO 80524- INSURER B: Mutual Insurance Company INSURERC: 1111 Ashworth Road INSURERD: West Des Moines, IA 50265 INSURER E: 'SURER F: COVERAGES CERTi-1CATF NIIMRFR- _ cagtVR RVmOCR] 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. INTRR TYPE OF INSURANCE A D UBR POLICY NUMBER MODCDY EFF PMMO EXP LIMITS A GENERAL LUUMUrr COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FTIOCCUR X 01415034 01/15/201401/15/2015 EACH OCCURRENCE E 1,000,000 X PREMISES Ea oaurten MED EXP(Any Pere Person) $ 1,000 000 $ 15,000 PERSONAL SADV INJURY $ 1,000,000 GENERAL AGGREGATE E 5,000.000 GENL AGGREGATE X POLICY LIMIT APPLIES PER: PRO- [X-J LOC PRODUCTS-COMP/OP AGO § 5,000,000 E AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS AUTOSNON-OWN COMBINED SINGLE LIMIT [Ea accident) BODILY INJURY (Perpaaon) $ BODILY INJURY (Perao]tleN) E PROPERTYDAMAGE E f UMBRELLA LAO EXCESS LU,B OCCUR CLAIMS -MADE NIA EACH OCCURRENCE S AGGREGATE § DELI RETENTION WORKERS COMPENSATION AND EMPLOYERS' UASILITY YIN ANY PROPRIEfOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NN) I(yea daeaibe under DESCRIPTION OF OPERATIONS hrJow WCSTATLL OTH- S E.L. EACH ACCIDENT E E.L. DISEASE - EA EMPLOY S E.L. DISEASE -POLICY LIMB E DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, A [Bnsl Remade SaheduN, N more apaos M rp ,,Q Even Mountain View Community Church Vacation Bible School Date: 6118/14 - 620/14 CFRTIFIrATF Lint nco _ --.__. insured City of Fort Collins - Risk Management P.O. 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 RGPRCSEMATNE C 1988-2010 ACI ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD All rights reserved.