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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 The ACORD name and logo are registered marks of ACORD