HomeMy WebLinkAbout321666 THE NATURE CONSERVANCY - INSURANCE CERTIFICATE (2)AcoR"' CERTIFICATE OF LIABILITY INSURANCE
111 5/20/2020
DATE(MM/DDfYYYY)
1 5/30/2019
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 endorsement(s).
PRODUCER Lockton Companies
8110 E Union Avenue
Suite 700
Denver CO 80237
(303) 414-6000
CONTACT
NAMN:
FAX
A/ No Ext : A/C No):
E-MAIL
ADDRESS:
INSURER AFFORDING COVERAGE
NAIL #
INSURER A: 'I he Travelers Indemnity Company
25658
INSURED The Exchange Plaza Association
1430351 200-207 N College Avenue
Fort Collins, CO 80524
INSURER B : Ironshore Indemnity Inc.
23647
INSURER C : ACE PropertyPropeny & Casualty Insurance Co
20699
INSURER D : PInn3COI Assurance Company
.41190
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: 16033121 REVISION NUMBER: XXXXXXX
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
LTR
TYPE OF INSURANCE
ADDL
INSD
SUBR
WVD
POLICY NUMBER
POLICY EFF
MM/DDfYYYY
POLICY EXP
(MM1DDiYYYY1
LIMITS
A
X.
COMMERCIAL GENERAL LIABILITY
Y
N
Y-630-9K213399-IND-19
5/20/2019
5/20/2020
EACH OCCURRENCE
1,000,000
DAMAGE TO RENTED
PREMISES Ea occurrence
100,000
CLAIMS -MADE OCCUR
X
Terrorism Included
MED EXP (Any oneperson)
5,000
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER.
GENERAL AGGREGATE
$ 2,000,000
POLICY❑ PE�Fxl LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
OTHER
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ XXXXXXX
ANY AUTO
NUT APPLICAHLE
BODILY INJURY (Per person)
$ ){){X)(XXX
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident
$ XXXXXXX
PROPERTY DAMAGE
Per accident
$ XXXXXXX
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
B
X
UMBRELLA LIAR
X
OCCUR
Y
N
HLI18-A-G71364409
5/20/2019
5/20/2020
EACH OCCURRENCE
$ 50,000,000
C
EXCESS LIAB
CLAIMS -MADE
HLI18-A-G71364409
5/20/2019
5/20/2020
X
AGGREGATE
$ 50,000,000
LED I X I RETENTION $ 10.000
$ XXXXXXX
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
N/A
N
4093547
6/1/2019
6/1/2020
X STATUTE OER
EL EACH ACCIDENT
_
$ 11000,000
EL DISEASE - EA EMPLOYEE
1,000,000
yes, describe under
DESCRIPTION OF OPERATIONS belm
E.L. DISEASE - POLICY LIMIT
1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
If the General Liability policy is cancelled by the issuing company during the policy term, for other than non-payment of premium, 30 days notice will be pro%ided to the
Certificate Holder named below, 10 days' for non-payment o premium xcess Liability is following form to the General Liability and includes Ierronsm. RE: The lixchange -
200-207 N College Ave, Fort Collins, CO 80524. Liquor Liability: Aggregate Limit; $2,000,000. Each Common Cause Limit; $1,000,000 City of Fort Collins is included as
Additional Insured as respects to General Liability if required by written contract.
CFRTIFICATE 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.
16033121 AUTHORIZED REPRESENTATIVE
City of Fort Collins
PO Box 280
Fort Collins CO 80522"
ArnRn 2s rgniamsl (c)1988-2odS ACORb CORP RATION. All riahts reserved
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