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HomeMy WebLinkAbout351548 US BANCORP - INSURANCE CERTIFICATE (5)ACoRV CERTIFICATE OF LIABILITY INSURANCE 06/30/2020 ' 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 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 polidy(ies) must hiVe ADDITIONAL, INSURED provisiolis 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)., - - - - - ritooucEh 7-612-333-3323 Nays Companies 'CONTACT NAME: Dawn Heinemann and Melody Xronbach PHONE FAX N xt: 612-333-3323 A/C No: 612-373-7276 E-MAIL dheinemann®ha scorn anies-.com ADDRESS: Y P - 80 South 8th Street INSURERS AFFORDING COVERAGE NAlC# Suite 700 INSURERA: OLD REPUBLIC INS CO 24147 Minneapolis, MN 55402 INSURED INSURERS.: V.S. Bancorp and its Subsidiaries INSURER C INSURERD: 200 South 6th Street INSURERE: EP-MN-L20I INSURER F: Minneapolis, MN 55402 COVERAGES CERTIFICATE NUMBER: 59664207 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 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. INSR LTR OF INSURANCE ADDLITYPE INSD SUER POLICY NUMBER EFF MMIDDIYYYY POLICY EXP MMIPOLICY LIMITS A X COMMERCIAL GENERAL LIABILITY X XWZY,31397920 08/01/20 08/01/21 EACH OCCURRENCE $ 5,000,000 CLAIMS -MADE lxl OCCUR DAMAGETO PREMISES Eaoccurrence $ 1,000.,000 MED EXP (Any one person) $ EXCLUDED PERSONAL B ADV INJURY _ $ 5,000,,000 GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $. 6,000.,000 PRO- X POLICY 7 JECT LOC PRODUCTS:-.COMP/OP AGG $ 6,000,000 - $ OTHER: B AUTOMOBILELIABILI7Y -((Ea X MWTB31397720 08/01/20 08/01/21 COMBINED SINGLE LIMIT— accident $ 250,000 BODILY INJURY (Per person) $ R ANY AUTO - OWNED SCHEDULED AUTOS ONLY AUTOS. BODILY INJURY (Per accident)$ -PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA UAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DIED I I RETENTION$ S A WORKERS COMPENSATION AND EMPLOYERS LIABILITY y L N ANVPROPRIETOR/PARTNER/EXECUTIVE � OFFICERIMEMBER EXCLUDED? (Mandatory in NH) N/A MWC31397620 08/Ol/20 08/01/21 X STATUTE ERH E.L. EACHACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE S 2,000,000 If as, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT ' $ 2, 000, 000 A Excess Automobile Liab. MWZX31398120 0.8/01/20 08/01/21 LIMIT 4,:750,000 - DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is additional insured as respects general and automobile liability policies where required by writte contract. CON City of Fort Collins Gerry S. Paul 215 N. Mason Street, 2nd Floor Fort Collins, CO 80524 .n y"a"L\ I P/ C SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ddebuhr COCCA107 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD