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Home My WebLink AboutFORT COLLINS COLORADOAN - INSURANCE CERTIFICATE (2)LIP CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDNYYY) 09I24l2014 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 endomement(s). PRODUCER AOn Risk services Northeast, Inc. Stamford CT Office CONTACT PHONE (g66) 263-0122 FAX (BOO) 363-0105 IAH:. No. Er : =. No.): 1600 Summer Street Stamford CT 06907-4907 USA E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC a INSURED INSURER A: National union Fire Ins Co of Pittsburgh 19445 Fort Collins Coloradoan 1300 Riverside Ave. INSURER 8: INSURER C: Fort Collins CO 80522 USA INSURER D: INSURER E: INSURER F: 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. Limits shown are as requested LTR TYPE OF INSURANCE INSD MD POLICY NUMBER fMMIDDIY'yYY MMIDD LIMITS A X COMMERCUAGENERALLUMULITY GL EACH OCCURRENCE $l, DOD, OOO CLAIMS-MADF ❑X OCCUR PREMISES (Es ocomence $1,000,000 MED EXP (Any one person) PERSONAL 6 ADV INJURY $1,000,000 GENL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $1,060,000 PRO- POLICY X❑JECT % LOC PRODUCTSCOMPIOP AGO El, OOO, 000 OTHER. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT E... dent) BODILY INJURY ( Per person) ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) PROPERTY DAMAGE Per acr)dem HIREDAUTOS NON -OWNED AUTOS UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LIAR H CLAIMS -MADE AGGREGATE DED RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR I PARTNER) EXECUTIVE OFFICERIMEMBER EXCLUDED? NIA PER STATUTE DTH- E.L. EACH ACCIDENT DISEASE -EA EMPLOYEE (Mandatary in NME.L. It yes, describe a c! r E.L. DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS beloe DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, McIdIonal Remarks Schedule, may be adacbed a more space a requirad) Certificate Holder is included as Additional Insured in accordance with the policy provisions of the General Liability policy. i i CERTIFICATE HOLDER 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. The City of Fort Collins AUTHORIZED REPRESENTATIVE 215 N Mason St. Fort Collins CO 80524 USA 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD