HomeMy WebLinkAboutARROWHEAD TRAILS - INSURANCE CERTIFICATE (2)FROM
(TUE)JUL 3 2007 13,19/3T,13;18/No.6801647194 P 2
A22RO,M CERTIFICATE OF LIABILITY INSURANCE
DATEIMM/DD/YYVYI
PRODUCER 1
GES INSURANCE AGENCY, XNC
8040 w mxaF AY 50
SALSDA CO 81201
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOY AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC#
INSURED ARROWHEAD TRAILS, ANC
21221 COON'" ROAD 240
9ALIDA, CO 81201
ARRO01
INSURER A: ALLIED PROP. F CAS. INS.
INSURER B: PTNNACOL ASSCRANCE
INSURER C:
INSURER D:
INSURER Ei NO COVERAGE APPLICABLE
ES
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.
IN411
00
POLICY NUMBS
POLICY EFFECTIVE
POLICY EXPIRATON
LIMITS
A
GENERAL
UABILITY
ACP7362406357
10/15/2006
10/25/2007
EACH OCCURRENCE
0 1,000,000
X
COMMERCIAL GENERAL LIABILITY
CLAIMSMA09 ®OCCUR
CCU
DAMAGE TO RENTED PREMISES IEe 0dowenCel __
MEOEXPIAn one rsonl
0 100,000
0 5,000
PERSONAL d AOV INJURY
8 1,000,060
GENERAL AGGREGATE
0 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PHODOVIS • COMP/OP AGG
0 2,000,000
PRO• LOC
POLICY I
A
A_UTOMOBILELIABLITY
ANYAUTD
ACP75074063S7
1011512006
10/25/2007
COMBINED SINGLE LIMIT
(Eaa6dent)
S 1„000,000
S
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
IPeI pereonl
X
X
X
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
lParan,•ldanrl
0
PROPERTY DAMAGE
IPw w6deHll
0
N
OAR AGE LIABILITY
A/l
AUTO ONLY -EAACCIDENT
0 NO COVERAGE
0 NO COVERAGE
ANYAUTD
DTHEfl THAN EA ACC
AUTO ONLY: AGG
0 NO COVERAQN
S
EXCESSNMBREULA LIABILITY
OCCUR O CLAIMSMADE
N/A
EACH OCCURRENCE
0 NO CCVERAIGN
AGGREGATE
0 NO COVERAGE
0
0
_ DEDUCTIBLE
1 +
RETENTION 1
B
WORKERS COMPENSATION AND
ANY PR PRI LIABILITY
ANY PROPPIETORA'ARYNER/EXECUTIVE
OFF cuum[Mun EXCWDFO?
If yes, dwrlln,mdw
SPECIALPROVISIONSbelow
4000420
05/01/2007
05 0112008
/
X WCSTEMPATU- DTH•
_T.ORY.
E.L. EACH ACCIDENT
S 100,000
F.L. DISEASE - EA EMPLOYIEEI
s 100,000
E.L. DISEASE- POLICY LIMIT
9 $00 000
A
OTHER
N/A
N/A
N/A
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Re. Rabaat Ride* Trail
The City of Fort Collins is named as Additional insured as Ito lntereaC may appear ,n the General
Liabllity coverage.
City of Port Colline
215 North Kaso,a street
Fort Collins, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOAE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SMALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY RIND UPON THE INSURER. ug AGENTS OR
25 (2D01106)
98a
FROM
(TUE)A L 3 2007 13:19/3T,13:18/No.6801647194 P 3
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policylies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsementlsl.
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 endorsementlsl.
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insureds), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 251