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Home My WebLink About113967 PROJECT SELF SUFFICIENCY - INSURANCE CERTIFICATE (2)ACC)R bP CERTIFICATE OF LIABILITY INSURANCE DATE 4/22/2 15Y' 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 Flood and Peterson PO Box 578 Greeley CO 80632 CONTACT NAME: SuZannah Preisendorf, CISR PHONE (y J0)356-0123 FAX N . (970)330-1867 EMAIL .SPreisendorf@floodpeterson.com ARESS INSURERS AFFORDING COVERAGE NAIC N INSURERA:Cincinnati Indemnity Co 23280 INSURED Project Self -Sufficiency Of Lvld-Ft Col 2001 S Shields #d-203 Fort Collins CO 80525 INSURERB:United States Liability 5895 INSURER C: INSURER D: INSURER E : INSURER F: COVERAGES CERTIFICATE NUMEIER:CL1542202312 RFVICInN NIIMRFR- 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, 1�7q TYPE OF INSURANCE B POLICY NUMBER MM/DD/YYYY MM/DONYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 PREMISE Eoccurrence)$ 500, 000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR NP0145101 /25/2015 /25/2016 MED EXP (Any oneperson) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S 2,000,000 rGEN'L X7X POLICY F PRO LOC S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) S A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS ENP0145101 /25/2015 /25/2016 X BODILY INJURY (Per accident) S HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per a ident $ X Auto Only/Gar DsLiab $ 1 000 000 GARAGE UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION WC STATU- 'ER EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) N Yes. describe under DESCRIPTION OF OPERATIONS below E.L DISEASE - POLICY LIMIT $ B ND01070832A /27/2013 /27/2016 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space Is required) The certificate holder is named as an additional insured as their interest may appear in reference to the named insured's operations in regards to the use of the Repair Shop. 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. AUTHORIZED REPRESENTATIVE At.UISu ZO tZU IU/UO) INS025 (201005).01 Preisendorf, CISR/S z.,.Q-.-y�.�...^_ 7i1 - e U 1988-2U1 U ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD