HomeMy WebLinkAboutNORTHERN COLORADO PRO CHALLENGE LOCAL ORGANIZING C - INSURANCE CERTIFICATE,�co CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DDIYYYY)
8/18/2015
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 NAME
Arthur J. Gallagher Risk Management Services, Inc. IPHON
6399 S. Fiddler's Green Cir., #200 (A/c,
Greenwood Village CO 80111-4949 E•M R
INSURED NORTCOL-06
INSURER B :
INSURERC:
NORTHERN COLORADO PRO CHALLENGE LOCAL
ORGANIZING COMMITTEE
5280 Arena Circle
INSURER D
INSURER E :
Loveland CO 80538
303-773-9999
Greenwich Insurance
COVERAGES CERTIFICATE NUMBER: 694707072 REVISION NUMBER:
303-773-9776
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
AUULTYPE
INSD
WVD
POLICY NUMBER
POLICY EFF
M
POLICY EXP
MM/DD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
ASG0903647
/22/2015
/22/2016
EACH OCCURRENCE
$1,000,000
CLAIMS -MADE X� OCCUR
PREMISES (Ea occcu ence)
$100,000
MED EXP (Anyone person)
$ Excluded
PERSONAL & ADV INJURY
$1,000,000
GENT AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$5,000,000
X POLICY jE LOC
PRODUCTS - COMP/OP AGG
$5,000,000
E
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMI 1 Ea cident
ac
$
BODILY INJURY (Per person)
$
ANY AUTO
AUTOWNED SCHEDULED
AUTOS
BODILY INJURY (Per accident)
$
NON -OWNED
HIRED AUTOS AUTOS
Per accident E
$
$
A
UMBRELLA LIAB
X
OCCUR
ASX0903649
/22/2015
8/22/2016
EACH OCCURRENCE
$3,000,000
X
AGGREGATE
$3,000,000
EXCESS LIAB
CLAIMS -MADE
_
DED I X RETENTION $0
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
OTH-
STERER
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT
$
D? OFFICER/MEMBER EXCLUDE❑
N/A
E.L. DISEASE - EA EMPLOYE
$
(Mandatory in NH)
If es, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
I $
A
Liquor Liability
ASL0903648
!22/2015
22/2016
General Aggregate $ 2,000,000
EACH COMMON CAUSE $ 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
CERTIFICATE HOLDER CANCELLATION
City of Fort Collins
300 LaPorte Avenue
Fort Collins CO 80531 USA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUT410RIZED �r �REPRESENTATIVE
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