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517670 HOMELESS GEAR - INSURANCE CERTIFICATE
HOMEL-1 OP ID: ACORO DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 10/23/2018 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 have ADDITIONAL INSURED provisions or 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 . 970-356-8030 CONTACT Michael J Schmitt CIC PRODUCER _NAME;__._ _ _ Rich & Cartmill Ins of CO PHONE 970-356-8030 FAX 970-356-8032 of Colorado LLC (A/C, No, Ext)_ _ _ (AfC, No): 8213 W. 20th Street E-MAIL _- Greeley, CO 80634 Michael J Schmitt CIC INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Philadelphia Insurance Co 123850 INSURED Homeless Gear, Inc. 1305 Duff Drive, Unit 5 Fort Collins, CO 80524 INSURER F : I1Cr3T1CIr ATC A11111/I0CD• RI= 1r1C1r)" NII IMRFR' v 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 L.TYPE OF INSURANCE AD SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 11000,000 CLAIMS -MADE OCCUR •� Y PHPK1781369 03/08/2018 03/08/2019 DAMAGE TO RENTED 100,000 MED EXP An one person)$ 5'0_00 PERSONAL & ADV INJURY 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 3,000,000 PRODUCTS - COMP/OP AGG 3,000,000 $ X POLICY [] PRO LOC JECT _ OTHER: COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY BODILY INJURY Perperson) ANY AUTO BODILY INJURY Per accident $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY AMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ r_ EXCESS LIAB CLAIMS -MADE DED RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNER/EXECUTIVE E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE MPandatory in NH) EXCLUDED? ❑ N 1 A E.L. DISEASE - POLICY LIMIT If yes, describe under DESCRIPTION OF OPERATiONS below I I I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Fort Collins, its officers, agents, employees and volunteers are additionally insured as it relates to the Mission of Hope Walk which will be held on December 8, 2018. CIT-FOR City of Fort Collins Risk Management 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 Michael J Schmitt CIC ACORD 25 (2016/03) © 1988-2015 ACORD CORPORA I ION. All rights reserves. The ACORD name and logo are registered marks of ACORD