HomeMy WebLinkAboutELEVATIONS CREDIT UNION - INSURANCE CERTIFICATE (2)Contract Number: 10501861
COI Number: 110478-004
CUMIS INSURANCE SOCIETY, INC.
CERTIFICATE OF INSURANCE
This is to certify that such insurance policies as indicated below by policy number have been issued on forms in current use by the
Society. Hazards covered are indicated by (X). This CERTIFICATE OF INSURANCE neither affirmatively nor negatively amends, extends,
or alters the coverage afforded by these policies. The insurance afforded by the policies described herein is subject to all the terms,
exclusions and conditions of such policies. Aggregate limits shown may have been reduced by paid claims. This certificate is. issued as
a matter of information only and confers no rights upon the. certificate holder.
Name and Address of Certificate Holder
x ��s The City of Fort Collins
x Purchasing
Attn: Gerry Paul, Purchasing Director
215 N. Mason Street
Fort Collins CO 80524
Type of Insurance
Policy Number
Expirafion Date
Limits of Uabilfty
WORKERS' COMPENSATION
Statutory
EMPLOYERS' LIABILITY
COMPREHENSIVE
Each Occurrence
GENERAL LIABILITY
N/A Policy Aggregate
) OCCURRENCE
( ) Policy Aggregate Limit
AUTOMOBILE LIABILITY
Combined Single Limit
(X) Owned Automobiles
053170
04/01/2021
$300,000 Each Occurrence
(X) Hired Automobiles
(X) Non -Owned Automobiles
( ) Repossessed Automobiles
EXCESS LIABILITY
$10,000,000 Each Occurrence
(X) OCCURRENCE
045541
04/01/2021
$30,000,000 Policy Aggregate
(X) Policy Aggregate Limit
Lender Liabilit
314416
04/01/2021
Employee or Director Dishonesty
314419
1 04/01/2021
$10,000,000
Professional Services Liability
314416
1 04/01/2021
Should any of the described policies be cancelled before the expiration date noted, the Society will mail 45 days prior
written notice of such cancellation to the above named Certificate Holder. The mailing of the notice shall be sufficient proof
of notice.
Description and location of operations and/or automobiles and/or property covered:
Elevations Credit Union's proof of insurance, pursuant to the agreement between Elevations Credit Union and the
City of Fort Collins.
Refer to CUPOP 6122 Additional Insured endorsement for details.
Waiver of Subrogation Rights: The Rights to Recover From Other Condition in Form CUPOP 02 00
provides that the named insured may waive its rights against another party in writing prior to a loss. Such
waiver by the named insured applies to CUMIS also.
Name and Address of insured:
ELEVATIONS CREDIT UNION
PO Box 9004
Boulder CO 80301 9004
Date: 04/07/2020
AUTHORIZED REPRESENTATIVE
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CGA 200 A27 08 10 CUMIS Insurance Society, Inc. Page 1 of 2
134 1 03136399 41 P 0UP001