HomeMy WebLinkAboutDOWNTOWN DEVELOPMENT AUTHORITY - INSURANCE CERTIFICATE (2)ACORN® CERTIFICATE OF LIABILITY INSURANCE 7DATE(MM/DD/YYYY)
0/13/2017
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 CONTACT Rosemary Kisling, CIC
Flood and Peterson PA/CNNo E : (970)266-7158 No: (970)506-6845
PO Box 578 E-MAIL ADDRESS: p
RRislia flood eterson.com
INSURER(S) AFFORDING COVERAGE NAIC A
Greeley CO 80632 INSURERA:Colorado Special Districts
INSURED INSURER B :
Downtown Development Authority INSURERC:
19 Old Town Square #230 INSURERD:
INSURER E :
Fort Collins CO 80524 INSURERF:
COVFRAGFS CFRTIFICATF NIIMRFR•CL17101319988 RFVICInIJ Ill IIARFR-
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 ADDL SUBR POLICY EFF POLICY EXP LIMITS
LTR POLICY NUMBER MM/DDNYYY M YY
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ included
A
CLAIMS -MADE ❑X OCCUR
$
DAMAGE TO RENTED
PREMISES Ea occurrence
MED EXP (Anyone person)
$ 10,000
300700101893
1/1/2017
1/1/2018
PERSONAL & ADV INJURY
$
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$
X POLICY DJET D LOC
PRODUCTS - COMP/OP AGG
$
ZZ9Z
$
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ included
BODILY INJURY (Per person)
$
A
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
300700101893
1/1/2017
1/1/2018
BODILY INJURY Per accident)
$
X
PROPERTY DAMAGE
Per accident
$
HIRED AUTOS X NON -OWNED
AUTOS
X
UMBRELLA LIAB
X
OCCUR
EACH OCCURRENCE
$ 11000,000
RDED
AGGREGATE
$
A
EXCESS LIAB
CLAIMS -MADE
RETENTION$
$
300700101893
1/1/2017
1/1/2018
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE �
OFFICER/MEMBER EXCLUDED? " I
(Mandatory in NH)
If es, describe under
N / A
17W700101941
1/1/2017
1/1/2018
X PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$ 2,000,000
E.L. DISEASE- EA EMPLOYE
$ 2,000,000
E.L. DISEASE - POLICY LIMIT 1
$ 2,000,000
DESCRIPTION OF OPERATIONS below
A
Public Entity Liability
300700101893
1/1/2017 1 1/1/2018
Each Occurrence $2, 000, 000
A
Public Officials Liability
300700101893
l/1/2017 1/1/2018
Each Occurrence included
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
l.tl'1 I Ir*IILA I t r1ULL)rK GANGtLLA I IUN
City of Fort Collins
PO Box 280
Fort Collins, CO 80522
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
Kisling, CIC/RKISLI �
O 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
INS025 (201401)