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HomeMy WebLinkAbout105737 FORT COLLINS SYMPHONY ASSOCIATION - INSURANCE CERTIFICATE (2)FORTCOL-02 TASCHENBRENNER '4CORO~ CERTIFICATE OF LIABILITY INSURANCE r ATDNYYY) 5/15/215/2015 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 policy(ies) must 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). PRODUCER CONTANAME: CT TrueNorth TrueNorth PHONE FAX PO Box 847(A/C. A/c No Ex, : (303 ) 776-5122 A/C, No): (303 ) 776-5495 Longmont, CO 80502 Al DRESS: certs@truenorthcompanies.com INSURED Fort Collins Symphony Association P O Box 1963 Fort Collins, CO 80522 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Great American Insurance Company 16691 INSURER B : Great American Alliance Insurance Company 26832 INSURER C: Pinnacol Assurance Company 41190 INSURER E : INSURER F : COVERAGES CERTIFICATE NLIMRER- RFVISION NIIMRFR- 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 TYPE OF INSURANCE AD IN POLICY NUMBER POLICY EFF MM/DDIYYW POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Al OCCUR PAC1670541-03 06/01/2015 06/01/2016 EACH OCCURRENCE $ 1,000,00 DAMAGE TO REMTEU-- PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRO JECT ❑ LOC POLICY 7 OTHER GENERAL AGGREGATE $ 2,000,00 PRODUCTS - COMP/OP AGG $ 2,000,00 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X NON -OWNED HIRED AUTOS AUTOS PAC1670541-03 06/01/2015 06/01/2016 COMBINED SINGLE LIMIT Ea accident)$ 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ $ B X UMBRELLA LIAB EXCESSLIAB OCCUR CLAIMS -MADE UMB1670542 06/01/2015 06/01/2016 EACH OCCURRENCE $ 1,000,00 AGGREGATE $ DIED I X I RETENTION $ 10,000 $ 1,000,00 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 4044291 06/01/2015 06/01/2016 PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Fort Collins, its officers, agents, employees, and volunteers are Additionally Insured l+tK 1 U-11-A I t IiVLUtK t;ANUt:LL.A I IL)N City of Fort Collins Risk Management PO Box 580 Fort Collins, CO 80522 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 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD