HomeMy WebLinkAbout485509 COLORADO SPECIAL DISTRICTS PROPERTY - INSURANCE CERTIFICATE (3)CERTIFICATE OF COVERAGE Certificate #: 3134
Administrator THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN
Colorado Special Districts Property and Liability Pool THOSE PROVIDED IN THE COVERAGE DOCUMENT. THIS CERTIFICATE
PO Box 1539 DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY
THE COVERAGE DOCUMENTS LISTED HEREIN.
Portland, OR 97207-1539
COMPANIES AFFORDING COVERAGE
NAMED MEMBER
COMPANY A Colorado Special Districts Property and Liability Pool
Poudre River Public Library District
COMPANY B General Reinsurance Corporation
301 E Olive Street
Fort Collins, CO 80524
COMPANY C Colorado Special Districts Property and Liability Pool
COMPANY D
COVERAGES
This is to certify that coverage documents listed herein have been issued to the Named Member herein for the Coverage period indicated. Nothwithstanding any
requirement, term or condition of any contract or other document with respect to which the certificate may be issued or may pertain, the coverage afforded by the coverage
documents listed herein is subject to all the terms, conditions and exclusions of such coverage documents.
CO
Type of Coverage
Coverage #
Effective Date
Expiration Date
Limits
LTR
A,
B
General Liability
X Commercial General Liability
30C26014-180
1 1/1/2017
1 1/1/2018
General Aggregate
Unlimited
' Except that for claims, occurrences or suits to which the
monetary limits of the Colorado Governmental Immunity Act,
Each Occurrence
$2,000,000
X Public Officials Liability
C.R.S. § 24-10-101, et. seq., as amended, apply, there shall be
a further sublimit of (a) $350,000 for an injury to any one person
X Employment Practices
in any single occurrence; and (b) $990,000 for an injury to two or
more persons in any single occurrence, but in the event of an
X Occurrence
injury to two or more persons in any single occurrence, the
sublimit shall not exceed $350,000 for each injured person.
Automobile Liability
Each Occurrence'
Scheduled Autos
Hired Autos
Non -Owned Autos
Auto Physical Damage
Scheduled Autos
Hired Autos
B
Excess Liability
X Other Than Umbrella Form
30C26014-180
1/1/2017
1/1/2018
General Aggregate
Unlimited
Each Occurrence'
$4,000,000
Property
DESCRIPTION:
Certificate Holder is named as an additional covered Member for those coverages noted hereunder but only with respect to those liabilities that are
covered by the Pool's coverage document for the Member District. Subject to the provisions and limitations contained in C.R.S. 24-10-101. The Pool
will limit any amounts to the monetary limits and sublimits of the Colorado Governmental Immunity Act, C.R.S. 24-10-101 et. Seq., as amended,
would apply to the Covered Member. Subrogation is waived in accordance with the agreement between the Member District and the Certificate
Holder.
CERTIFICATE HOLDER
CANCELLATIOWSHOULD 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.
PO Box 580
By: Joseph E. DePaepe Date: 12/14/2016
Ft. Collins, CO 80522
/ —7 W. --W