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HomeMy WebLinkAboutLodgepole Capital Ventures, LLC - INSURANCE CERTIFICATE Client#: 180844 LODGCAP ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/16/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOE*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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Denise Leeper CBIZ P&C Adventure Sports AIC,Ne Ell:208 298-3806 FAX NO, 208 748-9433 1504 8th St E-MAIL DLeeper@cbiz.com ADDRESS: p @Cbiz.com Lewiston,ID 83501 INSURER(S)AFFORDING COVERAGE NAIC# 208 743-9426 INSURER A:Markel Insurance Company 38970 INSURED Lodgepote Capital Ventures, LLC; INSURER B;Artisan and Trumi 3 Gamy company 10194 dba Rocky Mountain Adventures INSURER C PO Box 1989 INSURER D: Fort Collins, CO 80522 INSURERE: INSURER F COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 AD SUER LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER fdMIDDY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY X MKP0000501450200 7/25/2024 11/01/2024 EACH OCCURRENCE $1 00U 000 CLAIMS-MADE FXI OCCUR OPREMIS S Eaoccurrence $300 000 MED EXP(Any one person) $ PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY—1 JJECOT I LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ B AUTOMOBILE LIABILITY 00623997 4/17/2024 10117/2024 Ee BINEDtSINGLE LIMIT $1,000,000 ANY AUTO BODILY INJURY(Per person) $ AWNED UTOS ONLY X SCHEDULED AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ A UMBRELLA LIAB OCCUR MKX0000501450300 7/25/2024 11/01/202 EACH OCCURRENCE $1 00U 000 EXCESS LIAB CLAIMS-MADE AGGREGATE $1 00O 000 DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICERIMEMBER EXCLUDED? ❑ N/A E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) It is understood and agreed that the Certificate Holder is named as additional insured,but only with respect to its liability arising out of the activities of the Named Insured. CERTIFICATE HOLDER CANCELLATION City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Purchasing Division ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Fort Collins,CO 80522 AUTHORIZED REPRESENTATIVE CBIZ Insurance Services,Inc. ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S4157887/M4157881 WDL Client#: 180844 LODGCAP DATE(MM1DD/YYYY) ACORD- CERTIFICATE OF LIABILITY INSURANCE 1 7/31/2023 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Denise Leeper CBIZ P&C Adventure Sports PHONEo 208 298-3806 Fa,No): 208 748-9433 N Ext AI C 1504 8th St E-MAIL ADDRESS: dleep er cbiz.com Lewiston, ID 83501 INSURER(S)AFFORDING COVERAGE NAIC# 208 743-9426 Markel Insurance Company 38970 INSURER A: P Y INSURED INSURER B:Progressive Casualty Insurance Co. 24260 Lodgepole Capital Ventures,LLC; INSURERC: dba Rocky Mountain Adventures INSURER D PO Box 1989 Fort Collins,CO 80522 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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. LT R TYpE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR IN SR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY X MKP0000500983700 7/25/2023 07/25/2024 EACH OCCURRENCE $1 000 000 CLAIMS-MADE �OCCUR PREMISES(E.occurr nce 000,000 MED EXP(Any one person) $ PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY JECT LOC PRODUCTS-COMP/OPAGG 52,000,000 OTHER: S B AUTOMOBILE LIABILITY 00623997 4/17/2023 10/17/2023 COMBINED SINGLE LIMIT Ea accident S1,000,000 ANY AUTO BODILY INJURY(Per person) S OWNED X SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident 5 A UMBRELLA LIAB OCCUR MKX0000500984100 7/25/2023 07/25/2024 EACH OCCURRENCE $1 00O 000 EXCESS LIAB HCLAIMS-MADE AGGREGATE $1 000 000 DED I X RETENTION$10000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) It is understood and agreed that the Certificate Holder is named as additional insured, but only with respect to its liability arising out of the activities of the Named Insured. CERTIFICATE HOLDER CANCELLATION City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Purchasing Division ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Fort Collins,CO 80522 AUTHORIZED REPRESENTATIVE CBIZ Insumce Seryices,Inc. ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S3642890/M3642886 WDL