HomeMy WebLinkAbout321666 THE NATURE CONSERVANCY - INSURANCE CERTIFICATE (6)___"N NATUCON-10 LVIDAL
ACORO CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDlYYYY)
6/(MM/DD 5
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 License # OC36861 NAME: Kelly Mit chum
Chantilly-Alliant Ins Svc Inc. PHONE 703 397-0977 F' 703 397-0995
4530 Walney Rd Ste 200 E�a� • Eodl: ( ) Iafc, No): ( )
Chantilly, VA 20151-2285 ADDRESS:
-- INSURER(S) AFFORDING COVERAGE NAIL #
INSURED
The Nature Conservancy
Attn: John Dwelley
4245 North Fairfax Dr - #100
Arlington, VA 22203-1606
INSURER A: Great Northern Insurance
INSURER B,Federal Insurance Compa
INSURERC:
INSURER D
INSURER E :
INSURER F :
rnVF1I rFRTIFICATF NIIMRFIR 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 TYPE OF INSURANCE DL SUBR' POLICY EFF POLICY EXP LIMITS
LTR S WVD POLICY NUMBER MM/DDNY MMIDD
A I X ! COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE X ! occuR
X
35353977
07/01/2015 07/01/2016
R
PREMISES (Ea occurrence
$ 1,000 000
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
-
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY 7 jEa C LOC
PRODUCTS-COMP/OPAGG
$ Include
$
OTHER:
I
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident)
$ 1,000,000
BODILY INJURY (Per person)
$
B X 1 ANY AUTO
X
73246135
07/01/2015
07/01/2016
_
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
X HIRED AUTOS X AUTOS
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
$
X UMBRELLA LIAR
X
OCCUR
EACH OCCURRENCE
$ 5,000,000
A EXCESS LIAB
CLAIMS -MADE
79729278
07/01/2015
' 07/01/2016
AGGREGATE
$ 5,000,000
___ -
DELI RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y I N
ANY PROPRIETOR/PARTNER/EXECUTIVE
PER OTH-
'STATUTE ER
E.L. EACH ACCIDENT
$
OFFICER/MEMBER EXCLUDED? NIA
(Mandatory in NH)
E.L. DISEASE - EA EMPLOYEE
_ _
$
E.L. DISEASE - POLICY LIMIT
$
If yes, describe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Fort Collins Natural Areas Agreement Task Order #03. City of Fort Collins is included as additional insured under the general liability and automobile liability
as their interests may appear.
rFRT11 ICATF Hnl ii rANCFI I ATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Fort Collins
tY
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 580
Fort Collins, CO 80522
AUTHORIZED REPRESENTATIVE
U 1953-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD