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HomeMy WebLinkAbout174626 FORT COLLINS HABITAT FOR HUMANITY INC - INSURANCE CERTIFICATE (3)FORTC-1 OP ID: GH . 41 O CERTIFICATE OF LIABILITY INSURANCE `-/ FD03/31ATE /2015 Y) 03l31I2015 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 endorsement(s). PRODUCER Neil-Garing Agency, Inc. PO Box 1576 NAME CT Gen Haywood PHONE FAX IAIC. No EXt :970-945-9111 ac No): 970-945-2350 A DR1Ess: ghaywood@neii-garing.com Glenwood Springs, CO 81602 Genevieve Haywood INSURERS AFFORDING COVERAGE NAIL N INSURER A: Plnnacol Assurance INSURED Fort Collins Habitat for Humanity, Inc. 4001 South Taft Hill Rd INSURER B : wsuaERc: Fort Collins, CO 80526 INSURER D : INSURER E : _ INSURER F : COVERAGES CERTIFICATE NUMBER: 1 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. 1Y �TR TYPE OF INSURANCE JI U POLICY NUMBER EFF MMIDD/YYYY POLICY EXP MM DDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ _ $ DAMAGE TO RENTED PREMISES Ea occurrence MED EXP (Any one person) $ _ $ PERSONAL & ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT OTHER GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG _ $ $ AUTOMOBILE LIABILITY ANY AUTO A ALL OWNED AUTOS UTOS SCHEDULED HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ $ BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ $ $ AGGREGATE DED RETENTION$ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED9 (Mandatory in NH) N ves, describe under DESCRIPTION OF OPERATIONS below N I A 04/01J2U15 04JOI12016 OTH- X STATUTE X ER STATUTE E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,00 I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) •L-A-/y.1 CITYOFF City of Fort Collins Maggie McLancy 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. AUTHORIZED REPRESENTATIVE © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD