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Home My WebLink AboutZAHAKIS INC DBA PIZZA CASBAH - INSURANCE CERTIFICATEACORD.. CERTIFICATE OF LIABILITY INSURANCE °ATE(MM 09/O512007VY, /200] PRODUCERPIN wry Blvd OL ASSURANCE 7501 E Lowry Denver, CO 80230-7008 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. INSURERS AFFORDING COVERAGE NAIC# INSURED wsuRERA. PINNACOL ASSURANCE 41190 ZAHAKIS INC DBA PIZZA CASBAH 128 WEST LAUREL ST FORT COLLINS, CO 80521 wsuaERe: MURERC. INsuRER D. I 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 OR OTHER DOCUMMENT 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 AOOL POLICYEFFECTIVE POLICYDPIRATION LTR INSRO TYPE OF INSURANCE POLICYNUMBER DATE(MMIODM9'V) DATE(MM/DOM!%) LIMITS GE NERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY CLAIMS MADE ODOUR PREMISEE MED EXP(Myonepeman) PERSONAL A ADV INJURY GEN L AGGRE�G'4TI E LIMIT APFLIERS PER'. GENERAL AGGREGATE PRODUCTS COMP/OP AGO POLICY 1 PROJECT7 LOD AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ee A. ell BODILY INJURY' ALL OWNED ALI SCHEDULED AUTOS (Per personl BODILY INJURY HIRED AUTOS NDN-OWNED AUTOS (Per ettitlent) PROPERTYDAMAGE Fs' -.J. 1) hGARAGE LIABILITY MY AUTO AUTO ONLY- EA ACCIDENT OTHERTHAN EA ACC AUTO ONLY: AGOG EXCESSNMBRELLALIABNTY EACHOCCURRENOE AGGREGATE OCCUR CLAIMS MADE DEDUCTIBLE RETENTION S WORNER9 COMPENSATION AND XWL STATU- OTHER A EMPLOYER UABHUTY MY PROPRIETORIPARTNER/EXECUTIVE 4091371 04/01/2007 04/01/2008 TORY LIMBS EL EACH ACCIDENT §100,000 E.L DISEASE -EA EMPLOYEE $100,000 OFFICER/MEMBER EXCLUDED' It yes, please tleernEeunEerSPECIAL PROVISIONS bell L DISEASE - POLICY LIMIT $$OD 000 OTNER DESCRIPTION OF OPERATIONSILOCATIONSIV EHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION 1012753 ATTN: PURCHASING DEPARTMENT CITY OF FORT COLLINS 215 NORTH MASON FORT COLLINS CO 80521 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Alr Dowd ACORD 25(2001/08) Underwriter ACORD CORPORATION 1988 CERTIFICATE HOLDER COPY ATTN: PURCHASING DEPARTMENT CITY OF FORT COLLINS 215 NORTH MASON FORT COLLINS CO 80521 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certian policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), 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.