HomeMy WebLinkAbout2328924 NORTHERN COLORADO ECONOMIC DEVELPMENT CORP - INSURANCE CERTIFICATENCECO-1 OP ID: P5
CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
10/29/2015
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).
CONTPRODUCER NAME: House Account _
Brown &Brown Inc PHONE g7O-482-7747 FAX No, 970-484-4165
4532 Boardwalk Dr, Suite 200 A/C No E.,
Fort Collins, CO 80525 E-MAIL
House Account ADDRESS:
_ INSURER A: Travelers Indemnity Co of 25666
INSURED Northern Colorado Economic
INSURER B
Development Corporation
6125 Sky Pond Drive Suite 200 INSURER C
Loveland, CO 80538 INSURERD:
INSURER E :
INSURER F :
ono. RC\/ICIfIAI WIIM RPR•
vTHIS 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
L
I
POLICY NUMBER
POLICY EFF
MM/DDIYYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,00
CLAIMS-MADE FIOCCUR
X
680-1 F038593-15-42
11125/2015
11/2512016
DAMAGE TO RENTE
PREMISES Ea occurrence
$ 1,000,000
Business Owners
X
MED EXP (Any one person)
$ 5,00
PERSONAL & ADV INJURY
$ 1,000,00
GEN'L AGGREGATE LIMIT APPLIES PER
GENERAL AGGREGATE
$ 2,000,00
PRODUCTS - COMP/OP AGG
$ 2,000,00
POLICY ❑ JECTPRO ❑ LOC
OTHER:
AUTOMOBILE LIABILITY
(Ea acccidentINED SINGLE LIMIT
$
BODILY INJURY (Per person)
ANY AUTO
$
BODILY INJURY (Per accident)
$
ALL OWNED SCHEDULED
HIITOS AUTOS REDAUTOS NON -OWNED
XAUTOS
DAMAGE
Per accident
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$ _
AGGREGATE
EXCESS LIAB
CLAIMS -MADE
$ _
DIED RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE
PER
IR
STATUTE ER
_
E.L. EACH ACCIDENT
$
E.L. DISEASE- EA EMPLOYE
$
OFFICER/MEMBER EXCLUDED? ❑
(Mandatory in NH)
NIA
E.L. DISEASE - POLICY LIMIT
If yes, describe under
DESCRIPION OF OPERATIONS below
$
PROPERTY 20,800
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Certificate holder included as additional insured if required by written
contract in policy form CGD247 8/05
CERTIFICATE HOLDER I-AN1,CI-I-A I IUIV
CITYF11
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Fort Collins
P O Box 580
Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE
House Account
V 19St$-ZU14 AUUKU GVKVUKA I IUIV. All rigm5 reserveu.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD