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HomeMy WebLinkAboutJUNIOR LEAGUE OF FORT COLLINS - INSURANCE CERTIFICATEJUNILEA-01 _L UNDER ../M0aaN ,4coRo` CERTIFICATE OF LIABILITY INSURANCE DATE DIYYYY) 4/812 as►zo2o 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 POLIGIES 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 eertifleate does riot confer rights to the certificate hoider.ln_lieu of.such ondorsement s . PRODUCER PFS Insurance Group 4848 Thompson Parkway Suite 200 Johnstown, CO $0534 eaN�AcT Shelly Lunder N M :.. . PHONE Ezt : (AIC No (970)_635 9401 E -D%%sS, sheklyl@mypftinsurance.com INSURERS) AFFORDING COVERAGE NAIC q INSURER A: Philadelphia Indemnity Ins.CO INSURED INSURER a_: Pinnacol Assurance Co - _ _ 41190_ Junior League of Fort Collins INSURER C : __ ._.. _ ____ —_--- -- -- 2900 S College Ave Suite LB Fort Collins, CO 80525 INSURER D : INSURER E INSURER F r,-,rm,r.•rr unatecn. DMM-QlnN NI IMRFR' THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVEFOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT, 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. I, v TYPE OF INSURANCE AFL ��thign vivo POLICY NUMBER POLICY EFF POLICY-EXP. LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE E 1,000,000 CLAIMS -MADE OCCUR PHPK2063111 7/1/2019 711/2020 DAMAGE TO RENTED PREMISES(Esoccunence)-__.E MED EXP (Any one Person). 1,000,000 �_. E_ __ ._.-51000 PERSONAL_& ADV INJURY E 1,0001000 - GENL AGGREGATE LIMIT APPLIES PER: POLICY j"7 LOC GENERAL AGGREGATE E 2,000,000 PRODUCTS -COMPIOPAGG E 2,000,000 A OTHER: AUTOMOBILE LIABILITY � ___.._-_.._ __. COMBINED SINGLE LIMIT .,(Ea aceltlent)__._...—.:_ 1,QQQ QQQ -_' _.... ANY AUTO 0NP1<2003111 7/1/2019 7H/2020 BODILY INJURY:(eerpe_rson) _,E_,_..____._____ AUTOSONLY AUTOSULED � INE CN�WNEp X AUTOS ONLY X AUTOS ONLY BODILY INJURY Per ebUdeM E PPerr aaI a n AMAGE E E.- UMBRELLA LIAB OCCUR EACH OCCURRENCE _ E EXCESS uAs CLAIMS -MADE _AGGREGATE _ $ DED RETENTION$ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTNE YIN OFFICE AAEM)EXCLUDED? loran ory In NIA 181768 4/1/2020 4/1/2021 P OTERH- E.L. EACH ACCIDENT 100,000 E E.L. DISEASE - EA EMPLOYEE E 100,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 500,000 E DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD fill. Additional Remarks Schedule, may be attached If more sow Is required) If required by written contract, the Certificate Holder is included as Additional Insured for ongoing operations under General Liability. 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. PO Box 580 Fort Collins, CO 80522 AUTHOWED REPRESENTATIVE 25 (2016/03) ©1988-2615;ACORD CORPORATION. All rights The ACORD name and logo are registered marks of ACORD