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HomeMy WebLinkAboutTHE COLORADOAN - INSURANCE CERTIFICATEA� �® CERTIFICATE OF LIABILITY INSURANCE DATE(MM1D0/VYYY) 09/30Y2019 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 Aon Risk Services Northeast, Inc. New York NY office CONTACT NAME: PHONE (866) 283-7122 FAX (800) 363-0105 (A/C. No. Ezt): (A/C. No.): One Liberty Plaza 165 Broadway, suite 3201 E-MAIL ADDRESS: NeW York NY 10006 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURERA: National Union Fire Ins CO Of Pittsburgh 19445 The COl Oradoan Riverside A80522 INSURER B: New Hampshire Insurance Company 23841 INSURERC: American Home Assurance Co. 19380 Fort Fort Collins CO 80USA INSURERD: Illinois National Insurance Co 23817 INSURERS: Travelers Property cas CO of America 25674 INSURER F: CUVtKAL9tb CERTIFICATE NUMBER: b/OU78586186 RFVI.ginN 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DOfYYYYI (MMIDD/YYYY1 LIMITS A X COMMERCIAL GENERAL LIABILITY GL EACH OCCURRENCE $1,000,000 CLAIMS -MADE X❑ OCCUR DAMAGE$1,000,000 PREMISES Ea occurrence MED EXP (Any one person) PERSONAL B ADV INJURY $1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $1,000,000 PRO" POLICY JECT LOC PRODUCTS - COMP/OP AGG $1,000,000 OTHER: A AUTOMOBILE LIABILITY CA 499-32-76 ADS 10/01/2019 10/01/2020 COMBINED SINGLE LIMIT Ea accident)$1,000,000 BODILY INJURY I Per person) A X ANYAUTO CA 499-32-78 10/01/2019 10/01/2020 A OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED ONLY AUTOS ONLY MA CA 499-32-79 VA 10/01/2019 10/ 01/ 2020 BODILY INJURY (Per accident) PROPERTYDAMAGE Per accident E X UMBRELLA LIAR X OCCUR ZuP61M3559919NF 10/01/2019 10/01/2020 EACH OCCURRENCE $1,000,000 EXCESS LIAR CLAIMS -MADE AGGREGATE $1,000,000 DED I X RETENTION 410, 000 B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR I PARTNER I EXECUTIVE OFFICERIMEMBER EXCLUDED? F9 N/A WC017515860 AOS WC017515861 10/01/2019 10/01/2019 10/01/2020 10/01/2020 X PER TE STATUTE orH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes. describe under DESCRIPTION OF OPERATIONS below AZ IL NC NH PA UT VA VT EJ-. DISEASE -POLICY LIMIT $1, OOO , 000 DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Evidence of insurance. CERTIFICATE 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. The City Of Fort Collins AUTHORIZED REPRESENTATIVE 215 N Mason St. Fort Collins CO 60524 USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD