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HomeMy WebLinkAboutLARRY LEWIS TENNIS - INSURANCE CERTIFICATE(
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10 d 10101 /
ACORD�,�°}/7�,G,.A`BALI
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1 t - j1 CISR':rBFDd° I ft} DATE Mmrooml
j 1, E��11, 4T tI 05/25/99
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Collier Insurance Services Tnc
2335 TamI.i,wLL Tr. No., Ste 401
HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
COMPANIES AFFORDING COVERAGE
Naples FL 34103
COMPANY
A Cincinnati Insurance Company
Michael P. Ryba
PRt«NNp 941-261-6116 F 41-261_2003 _
INTUITED
COMPANY
R
COMPANY
Lewis TenniR Incorporated
C
COMPANY
1177 Wisconsin Drive
Naples FL 34108
D
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 RFAWREMENT 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 POLICES DESCRIBED HEREIN IS SUBIECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCII POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
GO TYPE OF INSURANCE POLICY NUMBER—` NEXPIRATION
POLICY EFFECTE POLICY RATION UNITS
LTR DATE(MM/DD/YYI DATE(MMRTOIYYI
GENERAL
LIABILITY
GENERAL AGGREGATE
ONO LIMIT
PRODUCTS - COMP/OP AGG
$600,000
A
X
COMMERCIALGENERALLIABRITY
BINDER
05/20/99
05/20/00
'
CLAIMS MADE OCCUR
PERSONAL AAOV INJURY
E300,000
EACH OCCURRENCE
4300.000
OWNER S&CONTRACTOR 6FROM
FIRE DAMAGE IAm pne fire)
E 50,000
MED EXP (Any one person)
P S , 000
AUTOMOBILE
LIABILITY
ANY AUTO
BINDER
05/20/99
05/20/00
COMBINED SINGLE LIMIT
11300,000
BODILY "JURY
IF. parsaN
E
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
IP>acadmtl
T
A
HIROO AUTOS
NON OWNED AUTOS
X
PROPERTY DAMAGE
F
GMAtiE UABIRY
AUTCONLY EAACCIOENT
F
OTHER THAN AUTO ONLY
I'tI; °__;, :.'• i'S<»E
ANY AUTO
EACH ACCIDENT
F
AGGREGATE
T
EXCESS UA111'"
EACH OCCURRENCE
111000,000
AGGREGATE
F1,000,000
A
x UMBI IA FORM
CCC44�5047
05/20/99
09/03/99
a
OTHER THAN UMBRELLA FORM
WORANIS COMPF"SATION AND
WC S LIT T' ER
I
I �s` • �� �' r>`I
a. EACH ACCIDENT
E
EMPLOYERSI
EMPLOYERS LIABILITY
EL DISEASE I'DUCY LIMIT
E
THE PROPRIETOW INCL
PARTNERSET(ECUTNE
OFFICERS ARE EXCL
EL DISEASE • EA EM(40YEE
M
OTHER
A
Property
BINDT!M
05/20/99
05/20/00
CONTENTS 10,000.
SPECIAL
OFSCMPTION OF OPERATIONSAOCATIONSIVEHICLEI ITPECWL ITEMS
TENNIS PRO SHOP
CERTIFICATE HOLDER SHOWN IS ADDITIONAL INSURED ON LIABILITY POLICY.
0ER'I�l4ATR jiOLOE�I , , � .. , .:: ��` ` - _ _ , . ., . .,
:OANCEL(IR,TiOTd., _,. ;, .. �!i .... .. _ -°. T'' • 'I/�: � � ' :,Sx::
CXTYF_SF
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF THE ISSUINB COMPANY WILL ENDEAVOR TO MAIL
City Of Fort Collins
10 DAYS WRITTEN NOTICETO THE CFAfIHCATE HOLDER NAMED TO THE IfFT
ATTN: Jim Hume
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR UABAT'
413 S . Bryan
Fort Collins CO 80521
OF ANY KIND UPON THE COMPANY, TB AGENTS OR REPRESENTATIVES
AUTHO=1ED REPRESE11TATWE
Michael F. Ryba pE.
.•,�», .';`;OAGORD,C RATION'190q
TO d LOL9TEEOL(ST 01 331nd3S 3DwansN1 C131110D 110dd S£ £T 666T-SF-Irbil