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HomeMy WebLinkAboutMOUNTAIN DOG INC COZZOLAS PIZZA - INSURANCE CERTIFICATEA ORD„, CERTIFICATE OF LIABILITY INSURANCE 0/200 DATE IYVYY) 1 v1 onoos PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE FLOOD & PETERSON INSURANCE INC 4821 WHEATON DRRIVE FORT COLLINS, CO 80525 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (888) 661-3938 XY290 882 INSURERS AFFORDING COVERAGE NAIC # INSURED MOUNTAIN DOG, INC. DBA COZZOLA'S PIZZA INSURER A:THE TRAVELERS INDEMNITY COMPANY INSURER B: THE PHOENIX INSURANCE COMPANY INSURER C: 1112 OAKRIDGE INSURER D: FORT COLLINS, CO 80525 INSURER E: rnvcoer_CQ 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADDl INSRC TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMM/DD/YY) POLICY EXPIRATION DATE (MM/DDIVY) LIMITS B X GENERAL LIABIITY 680-386N5377-07 01 /06/2007 01 /06/2008 EACH OCCURRENCE $1 000 000 DAMAGE TO RENTED PREMISES IF, occurrence) $ 300,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑X OCCUR MED EXP (Any one ersonl $ 5 000 PERSONAL & ADV INJURY $1,000,000 X HIRED AUTO X NON OWNED AUTO GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,000 PRO- X POLICY JECTLI LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT IEa accident) $ ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (Per accident) $ NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS/UMBRELLA LIABILITY CUP-386N5377-07 01 /06/2007 01 /06/2008 EACH OCCURRENCE $1,000,000 AGGREGATE $ 1,000,000 X1 OCCUR 7 CLAIMS MADE $ $ DEDUCTIBLE $ X RETENTION $ 10,000 WORKERS COMPENSATION AND WC TORY LIMITS ER E.L. EACH ACCIDENT $ EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? If yes. describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION CITY OF FORT COLLINS PO BOX 580 FORT COLLINS, CO 85022 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACORn 95 120111110111 AUTHORIZED REPRESENTATIVE CORPORATION 1981