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HomeMy WebLinkAbout455512 BICYCLE COOPERATIVE OF FORT COLLINS - INSURANCE CERTIFICATE (2)ACOR 16 CERTIFICATE OF 1 LIABILITY INSURANCE DATE (MMIDDrnvY) to/28/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CERTIFICATEDOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE REPRESENTATrwOR PRODUCER, AND THE CERTIFICATE HOLDER. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, If SUBROGATION IS WAIVED, subject to the terms and conditions this certificate does not confer rights to the certificate holder in the pol icy(ies) must have ADDITIONAL INSURED provisions or be -endorsed. of the policy, certain policies may require an endorsement. A statement on lieu of such endorsement(s). PRODUCER 1 stAmerican Fort Collins LLC 3534JFKPkwy. Suite C Fort Collins CO 80425 NAME: "- Lisa Johnson Arc No Ext : 9704842805 - - FAX (AIC, No): ADDRESS: LisaFC@laia.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : EVANSTON INS CO 35378 INSURED Bicycle Cooperative of Fort Collins 1501 N. College Ave. Fort Collins CO 80524 - INSURER e : UNITED. STATES LIABILITY INSURANCE COMPAN INSURER C : INSURER D : INSURER E : INSURER F : rnVFRAr:FIR rFRT1FICATF NLIMRFR- I REVISION NUMBER: 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 CONOITION_OF ANY CONTRACT OR OTHERDOCUMENTNTH 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. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD. MWOD LIMITS A y A COMMERCIAL GENERALUASILITY CLAIMS -MADE ®OCCUR Y 2AA322173 10/20/2019 10/20/2020 EACH OCCURRENCE $ 1,060,600 PREMISES (Ea occurtonce) $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL a ADV INJURY $ 1,000,000 GyEML AGGREGATE LIMIT APPLIES PER: A POLICY 7 PRO- JECT LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OP AGG $ 2,000.000 DEDUCTIBLE. _ - $ _ $500 AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS. HIRED - NON-0 WNED AUTOS ONLY AUTOS ONLY No Coverage g -_ - - - UU UINtnq (Eaccide $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ (Per accident)" g UMBRELLA LIAB EXCESS UAB OCCUR CLAIMS -MADE No Coverage EACH OCCURRENCE $ AGGREGATE $ DED RETENTIONS _ $ INORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE EFICERIMEMBER EXCLUDED? El Mandatory In NH) yes, describe under ESCRIPTION OF OPERATIONS below N / A No Coverage _ STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE: EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ B DIRECTORS & OFFICERS LIABILITY ND001070031I 06/11/2019 06/11/2020 EACH CLAIM AGGREGATE $500,000 $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101,AAdidona( CERTIFICATE HOLDER IS ADDITIONAL INSURED `[TH CONTRACT FOR ONGOING OPERATIONS OF THE Remarlu Sohedute, may be attached it more space is required) RESPECTS TO THE GENERAL LIABILITY PER WRITTEN SURED. rC071Crr AT UAI f1CO I rAMrFI I ATInM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE.; DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. - - P.O. Box 580 AUTHORIZED . . j,�d..l^/ Fort Collins CO 80522 ©1983-2015 ACORD CORPORATION. All ngnts reserved. ACORD 25 (20161`03) The ACORD name and logo are registered marks of ACORD