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Home My WebLink About113874 FOOD BANK FOR LARIMER COUNTY - INSURANCE CERTIFICATE (9)i 1 ® ACORO CERTIFICATE OF LIABILITY INSURANCE - DATE (MMIDDIYYYY) 06/21 /2018 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 have ADDITIONAL INSURED provisions 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). PRODUCER CONTACT Jordan Hartman, CISR NAME: Flood and Peterson PHONE (970) 356-0123 FAX (970) 330-1867 A/C No Ext : AIC, No E-MAIL JHartman@floodpeterson.com ADDRESS: PO Box 578 INSURERS) AFFORDING COVERAGE NAIC # INSURERA: Citizens Insurance of America 31534 Greeley CO 80632 INSURED INSURER B : Allmerica Financial Benefits Ins, Co. 41840 INSURER c : Hanover Insurance Group 58505 Food Bank For Larimer County INSURER D : Philadelphia Indemnity Insurance 18058 5706 Wright Drive INSURER E : INSURER F : Loveland CO 80538 rM1U0A!_cc r`FRTIFIrCTF NIIMRFR, CL1862123936 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 CONTRACTOR 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. IL7R TYPE OF INSURANCE INSD WVD POLICY NUMBER MM DD/YYW MMIDDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR A M A PREMISES Ea occurrence 100,000 $ MED EXP (Any one person) $ 5,000 A ZB4-D616142-00 07/01/2018 07/01/2019 PERSONAL& ADV INJURY $ 1,000,000 GEN'LAGGREGATELIMIT APPLIES PER : GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY ❑ PRO ❑ LOC J ECT $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANYAUTO BODILY INJURY (Per accident) $ B OWNED X SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED X AUTOS ONLY X AUTOS ONLY AW4-D616243-00 07/01/2018 07/01/2019 PROPERTY DAMAGE Per accident $ X UMBRELLA LABX OCCUR EACH OCCURRENCE $ 4,000,000 C EXCESS LIAB CLAIMS -MADE UH4-D616146-00 07/01/2018 07/01/2019 AGGREGATE $ 4,000,000 DED I X1 RETENTION $ 10,000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y I N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N IA SPERTOTH- TAUTE ER —'— E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below Directors & Officers Lab. Employment Employment Practices Liab. PHSD1240444 07/01/2018 07/01/2019 Aggregate 2,000,000 Retention 25,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) TE HULUEM City of Fort Collins P.O. Box 580 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 Fort Collins CO 80522 I //a. A4+ V 19S1J-ZU79 AUUKU t,.UKIPUKAI !Uri. All ngmis re5erveu. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD