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HomeMy WebLinkAboutFOOTHILLS GATEWAY INC - INSURANCE CERTIFICATE (7)A o CERTIFICATE & LIABILITY INSURANCE 06/25/2020
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 CONITITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HCILDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(iss) 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 endorsemKet(( Beauvais, CIC, CISR
. NAME. -
PHONE (970)356-0123 �; (970) 330-186
PRODUCER
Flood and Peterson INS Yo
AoDRESS:. ktieauvais9floodpeterson.com
PO Box 578 M e
..._.._-_.-.. _.�n4eeer-e NA
1 A
Foothills Gateway, Inc.
301 West Skyway Drive
Fort Collins
NOTWITHSTANDING ANY F
E MAYBE ISSUED OR MAY
S AND CONDITIONS OF SUI
TYPE OF INSURANCE
MERCIAL GENERAL LIABILITY
CLAIMS -MADE © OCCUR
-AGGREGATE LIMIT APPLIES PER:
P ❑ R4 ❑ LOC
POLICY RO-
CO
CO 80525 INSURER F : _
CATE.NUMBER: I Master Full+Cyberx 711121 REVISION.NUMBER
IRANCE LISTED BELOW HAVE ME N'ISSUED TO THE INSURED NAMED ABOVE FOR'TH.t POLICY PERIOD
IENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
THE INSURANCE AFFORDED BY THE POLICIES. DESCRIBED, HEREIN IS SUBJECT TO ALL THE TERMS,
IES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS P
._-- ---- LIMITS
PHPK21411515 107/01/2620 107/01/2021
ANY AUTO
SCHEDULED
PHPK2141515ONLY
AUTOS .
X
NON-0WNEDONLY
AUTOSONLYLLA
LUIB
006
OCCURS
PHUB725i95
#/2212021
1/2021
LU\B
CLAIMS -MADE
10,000RKERS
RETENTION $
COMPENSATION
EMPLOYERS LIABILITY Y I NICERIRIETORIPARTND INIA
1I2021
EXECUTIVE
703552
(Any oneperson)
NAL&ADV INJURY
$. 10,000
1 000,000
S_-_AL
AGGREGATE
$-3,000,000
CTS-COMP/OPAGG
3,000,000
$ -
NE(AnyP
yee Benefits
INED SINGLE LIMIT
dent
$ 1,000,000
y 1.000.000
-
INJURY(Perpeni0n)
$Y
INJURY (Per aWdent)
$ERTY
DAMAG
5ccident -m
vod motorist
$ 1,000,000
,a.,,_.,_..---1-- -
DESCRIPTION OF OPERATIONS below Cytx:f Liability ggrBga e
Cyber Liability MPL1951I17320 07/0112020 07/01/2021
C
DESCRIPTON OF OPERATIONS I LDCATK)NS 1 VEHICLES (ACORO 101, Addmo Remarks Sctledule, maY be
attached H Mere apace Is requlied)
RE: Flying Pig 5K -April 05, 2020 - Spring Canyon Park
The City of Fort Collins, its Officers, agents, employees and VolUntee 1 are additionally insured as it relates to the Annual Flying Pig 5K, which will be held on
April 05. 2020.
City of Fort Collins - Risk Management
PO Box 580
Fort Collins
I
ACORD 25 (2016/03)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE.CANCELLED BEFORE
THE EXPIRATION DATE THEREOF; NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE-- POLICY PROVISIONS.
pUTNORIZED REPRESENTATIVE ^�
80522-0000
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