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Home My WebLink AboutFOOTHILLS GATEWAY INC - INSURANCE CERTIFICATE (11)FT14/2017 (MWDD/YYYY) �® CERTIFICATE OF LIABILITY INSURANCE 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). Flood R CONTACT Kell Beauvais, CIC, CISR NAME: Y and Peterson A/C N o. XI: (970) 356-0123 No): (970)330-1867 578 E-MAIL s. kbeauvais@floodpeterson.com Greeley CO 80632 INSURED Foothills Gateway, Inc. 301 West Skyway Drive INSURERS AFFORDING COVERAGE NAIC 8 A:Philadel hia Indemnity Insurance 18058 B:Pinnacol Assurance 41190 c:Underwriters at Llovd's. London 15792 INSURER E : Fort Collins CO 80525 INSURERF: rnvGeer_Gc rFRTIFIrATF NIIMRFR•Master 7/l/17-18 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. LTR NSR ILTR TYPE OF INSURANCE ADDL SUB& POLICY NUMBER CY EFF MM DPOLID/YYYY POLICY EXP MM/DD/YY Y LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE I X OCCUR DAMAGE To RENTED -PREMISES E.occurence $ 100,000 X MED EXP (Anyone person) $ 10,000 PHPK1667315 7/1/2017 7/1/2018 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 PRODUCTS - COMP/OPAGG $ 3,000,000 X POLICY PRO a LOC X JECT u Abuse and Molestation $ 1,0001000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ A X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS PHPx1667315 7/1/2017 7/1/2018 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ Uninsured motorist combined $ 1,000,000 X ' UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 A EXCESS LIAR CLAIMS -MADE DED I X ( RETENTION $ 10,000 1 $ PHUB587664 7/1/2017 7/1/2018 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLCYrE $ 500,000 B OFFICER/MEMBER EXCLUDED? (Mandatory in NH) It es, describe under DESCRIPTION OF OPERATIONS below NSA 703552 ! 7/1/2017 � 7/1/2018 E.L. DISEASE - POLICY LIMIT $ 500,000 C �Cyb..- Liability MPL1951173.17 7/1/2017 7/1/2018 Limit $2,000,000 H=pAA Deductible $5, 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Flying Pig 5K - April 09, 2017 - Spring Canyon Park The City of Fort Collins, its officers, agents, employees and volunteers are additionally insured as it relates to the Annual Flying Pig 5K, which will be held on April 09, 2017. CERTIFICATE HULUER l AIV I.tLLAIIVIV lmurrayQfcgov.com SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins - Risk Management THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522-0000 AUTHORIZED REPRESENTATIVE Beauvais, CIC, CISR 23'"`—i, O 19t$k$-2U14 AUL)KU t;UKI'UKA I IUIV. AN ngnis reservea. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401) ADDITIONAL COVERAGES f Description Professional Liability Coverage Code PROF Form No. Edition Date Limit 1 1,000,000 Limit 2 3,000,000 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium [Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium --TRef # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium In! escription Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium rOFADTLCV Copyright 2001, AMS Services, Inc.