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HomeMy WebLinkAboutFOOTHILLS GATEWAY INC - INSURANCE CERTIFICATE (10)ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE I. MIDDIYYYY) 06/15/2018 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 Kelly Beauvais, CIC, CISR NAME: Flood and Peterson PAC,HONE (970) 266-7121 FAx (970) 330-1867 No E# : AIC No E-MAIL kbeauvais@floodpeterson.com ADDRESS: PO Box 578 INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Philadelphia Indemnity Insurance 18058 Greeley CO 80632 INSURED INSURER B : Plnnacol Assurance 41190 INSURER C : Hiscox Insurance Company Inc 10200 Foothills Gateway, Inc. INSURER D : 301 West Skyway Drive INSURER E : INSURER F : Fort Collins CO 80525 CnVERAGES CERTIFICATE NUMBER- Master 18-19 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 MAYBE 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. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDY/YYYY MMIDDEFF Y EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE N PREMISES lEa occurrence 100,000 $ MED EXP (Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 A PHPK1834666 07/01/2018 07/01/2019 LAGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 3,000,000 POLICY ❑JECT PRO ❑ LOC M'OTHER PRODUCTS-COMP/OPAGG 3,000,000 $ Employee Benefits s 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANYAUTO AOWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY IX PHPK1834666 07/01/2018 07/01/2019 BODILY INJURY(Per accident) $ PROPERTY DAMAGE Per accident $ Uninsured motorist s 1,000,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE 10,000,000 $ A EXCESS LIAB CLAIMS -MADE PHUB587664 07/01/2018 07/01/2019 AGGREGATE $ 10,000,000 DED I X1 RETENTION $ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA 703552 07/01/2018 07/01/2019 PER STATUTE EORH X1 E.L.EACH ACCIDENT 500,000 $ E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below Limit $1, 000, 000 C Cyber Liability MPL1951173.18 07/01/2018 07/01/2019 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Flying Pig 5K -April 08, 2018 - Spring Canyon Park The City of Fort Collins, its officers, agents, employees and volunteers are additionally insured as it relates to the Annual Flying Pig 5K, which will be held on April 08, 2018. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins - Risk Management ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins CO 80522-0000 !d y ad-w �, © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD