HomeMy WebLinkAboutLARIMER HUMANE SOCIETY - INSURANCE CERTIFICATE 2023-2024�H 06-27-2423 2:11 PM Fax
iAn": RECEIVED JUN 2 7����p P9 1 of 1
AC R� DAiE �MMIDDIYYYYI
��. CERTIFICATE �F LIABILITY INSURANCE g/Z712D23
THIS CERTIFICATE IS ISSUED AS A MA�TEft OF INFORMA710N ONLY AND CONFERS NO RIGHTS UPON THE CER7IFICATE HOLDER. 7HI3
CERIIFICATE COE3 NOT AFFIRMATIVELY OR NEGAIIVELY AMEND, EXTEND OR ALTER THE COVEI2AC3E AFFORDE� BY THE POilCI�5
BELOW. TH13 CERIIFICATE OF INSURANCE DOES NOT CONSl1TUTE A CONTRACT BEiWEEN THE ISSUING INSURER{S], AU11iORIZED
REPRESENTATIVE OR PRODUCER, AN� THE CERTIFICATE HOLDER,
IMPORTANT: If the cerUflcate f�older Is an AbD1110HAL INSURED, the pollcy�les) mast have ADDITIONAL INSURED provlsions or be endorsed.
If SUBROC3A7ION 13 WAIV�D, subJact to the terms and conditions of the policy, certaln pollcles may requlre an sndorsement. A statement on
this cartlflcate doss not confer H hts to the certlficate holder In lieu of such andarsemen s.
PRoouceR ��E. Luke Tdlers
Crest Insurance Group of Colorado, LLC P�O� fi12-670-1335 �uc No : 3D3r77�5495
2D00 5. Colorado Blvd. 5uite 11100
Colorado Center Tower i AOORE99� I�eII�I'S crestins.com
Denver CO 80222 INSl1RER 9 AFFORDING COVERAGE NAIC1
INBUAEp
Larimer Humane Society
3501 E 71st Street
Laveland CO 80538
iHsurtER A: Great American Assurance Gam an 26344
INbURER B: Cil'C8t fIME1�Cah �lallce �?15Llrahce Ca. 26832
COVERAGES CERTIFICATE NUMBER: 14�0819243 REVISION NUMBER:
THIS IS TO CERTIFY THAT 7HE POLICIE5 OF INSURANCE .15TE0 BELOW FiAVE BEEN ISSUED TO THE IMSIfRED NAMEO ABOVE FOR THE POLICY PERIOD
INOICATED. NOTWITHSTAN�ING ANY REQUIREMENT, TERM OR CONDITION Of ANY CdNTRACT OR OTHER pOCUMENT WITH RESPEGT TO WHICH THIS
CERTIFICATE MAY BE ISSUEQ OR hN1Y PERTAIN, 7HE IN5URANCE A�FORpEp BY THE PQLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS,
EXCLU510N5 AND CONOITIONS OF SUCH POLICIES. LlMITS 5HOWN MAY HAVE BEEN REQUCED BY PAID CLAINfS.
INSR POLICY EFF POLICY E%P
�� TYPE OF IN3URANCE POLICY I'iilNBER MMId�lYYYY MMlaWYYYY LIMIT9
A X CBMMERCIALGEiHERA�1,lABIUTY Y � pqC537377fl 7�i11023 7+11202� Eq�HOGGURRENGE Sf,490,{100
CUUMS�MAOE � OCCUR PREMt5E5 Ea a[turrence S iOQ.GOd
MED E� I�Y ane person� S 10,40a
PERSON.4L6A�VINJURY Si,000,00G
GEN'LAGGREGATEIJMITAPpLI�SPER GEMERALAGGREGATE S2,D4D,000
%� POL CY � PRO- �
JEGT LOC PRODVCTS•COMPIOPAGG S2,DOD,OOD
OTHER- S
A AUi9MOBILELIABILIiY Y � CAP5373771 ���lZflZ3 7'��Zfl24 Eaacadent S1,4U9,��0
X ANYqUTO BO�iLY iNJURY [Per persrn) f
�WNED SCHEDULED BODILY INJURY (Per acatlent; S
AUTOS ONLY AVTOS
X HIRED X NOM-OWNEO PROPERTY OAMAGE s
AU7050NLY AFITOSONLY Peraccnenf
f
b X UMBRELLALIAB X pCGUR UMB5�73772 7�112023 T�iI2U24 EqCH'LCt1RRENCE 52,640,000
EXCESS LIAB CW MS�MADE AGGRE(;+STE S 2,040,000
X REfENTION S
C WORKERBCOMPEN9A710N �p15S70 7.�U2923 7.'1I2U24 X
AND EAAPLOYER9' LIABILITY Y f N STATUTE ER
fFl EF21MEM893EXC U D�ECUTIVE ^. N�A E.LEACHACCIOENT SSUO,fl06
(hiand�taylnNH� ' E.LDISEASE-EAEMPLOYEE 5500,U06
If Yes desrribe under
OESGRIP710MOFOPERA710NSbelow E.L�ISEASE-POLiCYl1Ml� f590,900
A LeesedlP.en[ed Aut�s Ph;s Dem CAP5373771 7�1@023 7�1I2024 '/alueuan Attual Ceeh Vslue
C�mprCdlUedu�tlss 51,UOU
OESCRIPTON OF OPERA710k81lOCATI0N8! 1lEHICLES �ACOR� 101, Addltlond Remadn 8th�duls, mry be atfethad M mwe ap�ae ia nqulnd�
G1ty oi Fort Cdlins is induded as Additlonal Insured with regards to General Liahility snd Autvmobile Lishiliry, per written contract or agreement.
SHOULD ANY OF iHE ABOVE DESCRIB80 PGLJCIEB BE CANCELLED BBFORE
iM8 EXPIRA710N DATE 7HEREOF, N0710E WILL BE DELlVERED IN
City oF Fort Collins Purchasing Department ACCORDANCEWI7H 7HE POUCY PROVIS�GNS.
P a Bax 580
Fort Coilins GO 80522 AU7HOWZE�REPRESENiAT51E
USA �
� s���Q
O 1888-2815 ACOItD CORPORATION. All rights reserved.
ACOaD 25 {2Q78I03) The ACORO name and logv are registered merlcs of ACORD