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HomeMy WebLinkAboutMOUNTAIN DOG COZZOLAS PIZZA - INSURANCE CERTIFICATEMOW.CERTIFICATE OF LIABILITY INSURANCE UATE0/200NYYYI 11110/2006 PRODUCER FLOOD & PETERSON INSURANCE INC FLOOD WHEATER ON INS FORT WHEACOLLINS, CO IRIVE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 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. INSURER A:THE TRAVELERS INDEMNITY COMPANY DBA COZZOLA'S PIZZA INSURER B: THE PHOENIX INSURANCE COMPANY INSURER C: 1112 OAKRIDGE INSURER D: FORT COLLINS, CO 80525 INSURER E: COVERAGES 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 QR 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 ADD'I TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMM/DD/YYI POLICY EXPIRATION DATE (MM/DD/YY) LIMITS B X GENERAL LIABIITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [X]OCCUR X HIRED AUTO 680-386N5377-07 01 /06/2007 01 /06/2008 EACH OCCURRENCE $ 1 000 000 DAMAGE TOPREMISES RENTED mel 0 $ ,000 MED EXP An one rson $55, 000 PERSONAL & ADV INJURY $ 1,000,000 X NON OWNED AUTO GENERAL $ 2 000 000 GENT AGGREGATE LIMIT APPLIES PER: PRO- X POLICY Ll J CTFI LOC PRODUCTS - COMP OP AGG $ 2,000,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per Person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESSIUMBRELLA LIABILITY X OCCUR CLAIMS MADE DEDUCTIBLE X RETENTION $ 10,000 CUP-386N5377-07 01/06/2007 01/06/2008 EACH OCCURRENCE $1,000,000 AGGREGATE $ 1,000,000 6 $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below TWOCRYSTLIAMTITUi ER' E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT b OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I 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 ACORD 2S 1200T/ORl AUTHORIZED REPRESENTATIVE CORPORATION 19R1