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HomeMy WebLinkAbout455512 BICYCLE COOPERATIVE OF FORT COLLINS - INSURANCE CERTIFICATEACORN® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 10/25/2017 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 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 NAME: Robert Rendon John C Beckett and Associates Inc aCONNo Ext : (970)484-2805 ext 203 FAX No): (970)484-2885 E-MAIL ADDRESS: 220 Smith Street INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Evanston Insurance Ft. Collins CO 80524 INSURED INSURER B : United States Liability Insurance INSURER C : Bicycle Cooperative of Fort Collins INSURER D : 1501 N College INSURER E INSURER F Fort Collins CO 80524 COVERAGES CERTIFICATE NUMBER: CL17102503450 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 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 INSD WVD POLICY NUMBER EFF MM DIDrYYYY ( ) MCY LICY EXP MIDDIYYYY ( ) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR DAMAGE PREMISES Ea occurrence 100, 000 $ MED EXP (Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 A Y 2AA125686 10/20/2017 10/20/2018 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OP AGG 1,000,000 $ X POLICY IE� LOC $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE I ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? N / A E.L. EACH ACCIDENT $ (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ E.L.. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below g NDO1070031H 06/11/2017 06/11/2018 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER IS AN ADDITIONAL INSURED WITH RESPECTS TO THE GENERAL LIABILITY POLICY PER WRITTEN CONTRACT FOR THE ONGOING OPERATIONS OF THEINSURED. CFRTIFICATF HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF FORT COLLINS ACCORDANCE WITH THE POLICY PROVISIONS. P.O. BOX 580 AUTHORIZED REPRESENTATIVE FORT COLLINS CO 80522`~fir U 1988-2015 AGUKU GUKYUKA I IUN. AU rlgnts reservea. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD