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Home My WebLink AboutLARRY LEWIS TENNIS - INSURANCE CERTIFICATE (2)ACORD,M CERTIFICAT LIABILITY INSURA �sR KM DATE IMM DD19 LEWIS-1 O5/24/9 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Collier Insurance Services Inc HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2335 Tamiami Tr. No., Ste 401 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW COMPANIES AFFORDING COVERAGE Naples FL 34103 COMPANY A Cincinnati Insurance Company Michael F. Ryba Phone No 941-261-6116 F..No 941-261-2803 INSURED COMPANY B COMPANY Lewis Tennis Incorporated C COMPANY D 1177 Wisconsin Drive Naples FL 34108 COVERAGES 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 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MM/DDNY) POLICY EXPIRATION DATE IMM/DD/VVI LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ NO LIMIT K PRODUCTS COMP/OPAGG s600,000 A COMMERCIAL GENERAL LIABILITY BINDER 05/20/99 05/20/00 CLAIMS MADE Fx7OCCUR PERSONAL &ADV INJURY s300,000 EACH OCCURRENCE s300,000 OWNER'S&CONTRACTORS PROT FIRE DAMAGE (Any one fire) S 50,000 MED EXP (Any one Person) $ 5,000 AUTOMOBILE LIABILITY ANY AUTO BINDER 05/20/99 05/20/00 COMBINED SINGLE LIMIT 8300, 000 BODILY INJURY (Per person) S ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) S A HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE S GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S OTHER THAN AUTO ONLY ANY AUTO EACH ACCIDENT 9 AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 A X UMBRELLA FORM CCC4425047 05/20/99 09/03/99 S OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS LIABILITY WC STATU- OTH- TORY LIMITS EA EL EACH ACCIDENT S EL DISEASE - POLICY LIMIT $ THE PROPRIETOR/ INCL PARTNERS/EXEGUTIVE EL DISEASE EA EMPLOYEE $ OFFICERS ARE EXCL OTHER A Property BINDER 05/20/99 05/20/00 CONTENTS 10,000. SPECIAL DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS TENNIS PRO SHOP CERTIFICATE HOLDER SHOWN IS ADDITIONAL INSURED ON LIABILITY POLICY. CERTIFICATE HOLDER CANCELLATION CITYF-5 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL City of Fort Collins 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT ATTN: Jim Hume 413 S. Bryan Fort Collins CO 80521 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE Michael F. Ryba ACORD 26-S (1195) CACORD CORPORATION 1988 "0 04/10/2000 12 07 9415983275 ACOAo CERTBFICA PAGE 01 r n yp�(1 /� Innyv!yn�,uY.Jll /� ^ev..,N.'.�.s.rRWaknWrY LIABILITY INSU 4A �R jQi �CIATF IMRTAI VNLT AND VONFV S SIC! ftl6IiT8 UPON Tilt CERTIf'id �,11eY Insurance Services lass Inc HOLDER, PHIS OR7iitXATE DOES NOT AMEND, EXTI 35 Tam:-aai Tr No x -Ste 401 p AI.7ER THE COVERAII lSAjProRDCD BY THE POLICIE* pies FJ. 34103 (_....... _n_-.»..._...__-,..._._ __- ano_ 941--261-6116 Fax,941-?61--2609 I INSE1ROMI AFFORDING COVERAGf- iREnINSURER A_ _Cint,lTTn4ltay ]ne❑r$noe-COmixanq INSUREq B' - - - Lewis Tennis Incorporated rNBUREkC --------�-- — - 1177 Wiscons>_n Dr,Lv®--- ap as FL 3410E1 CONDITION OF ANY CON fRACTq OrIERDOCUMENT TN RE FECTT 1-1--IRBTANDIN' YS A OWHICH TM$ Q%ATJtlj AYE PAY BE ISSUED OR SNOWNOEDBY THE POUCaFB DEtl HEgEIN 1A SUBJECT TO ALL THE TEAMS, EX�.MMO941 ANP G'A)ITIONB OP SUCN ENOWN MAV NAIM wneu ne..an WV.r TYVe VI INSURANCE POUcrt NUM IFq ~_� FOL'iEV1cMllCRIDE' DATE MMFM1/DDIVW I I,D_A,/_T --�-•J eGENERA6 61ARIL5TY 4 —� _ AI LIMITS �- 7- ^- COMMR0.CU1 GENERAL LIABILITY CAP5431428` 05/20/99 MCH OCCURRENCE f}-1"�{"�O lQ('j rf rIRF OAMAOEZ, dna finl f a4f0¢0 1 GLANS MADE �}[� OCCUR Il II NETT EXF IAnY orro Pe-W^^I f $J par) +_ __w_____ 1 - FRSONALAAOY INJURY 1300 UQIj ODA. APORESATE UMITAPPLIES PER I GiNERAL AGGREOAT_B -- I S No LT1y1< �POLIGY j J, EC IAC {r PRODUCTS. COMP bP AG 11 i60D, 0{li7 AUTOMONLFLIADILIW v ANY AUTO CAP5431420 05/20/99I f DMgINED SMOLE LIMIT 05/'20/OU 1G iAacami) fi00, 000 ' ALL OWUEDAMIOS I "--`— -- - - �Iv ! ' SCkEDULROAUTOS j fin, RY f 4 `y X HIRED A00S iy� M NONAt1'NED AUTOS U(NILY INJURY 11Pgr ocAlpmO f yp�gj, Yam" ZPR7PERTYOAMACE (het PCCItivn1) f OAR0.0E LIABlI IYY Y I -m •�•• j AUTO ONLY, EA ACCIDENT f {. ANY AV_ 1 a THEN EA ACC f AUTO ONLYN -AGO t SIR. EXiASSLIABSUIY '-yI' � - -- 1TPp' OCCURRENCE ; ] _ ,I OCCUR _ CLAIMSMAOB r CCC4425047 03iO3/99 Ofl/03f001'ASNigECATE f-1,000,0 RETENTION f �V EMPL OYSR>3' LIABILITY- Ij " i Ed, ""ACCIDENT 'a I I1103 DISEASE ZAEMPLOYEI F irCL DISEASE POLICY LIMIT f property CAPS431420 05/w0/99 05J79J00 �I CONTENTS 10 1)00 IPi10N DF ePERAl10N8R�OC1 A11rveNICLES1ExctUSfONSA nRY CNntmxcuiNTiR�PNmnl � NkrTJiMrW9 '� '-"'-f PESO SHOP CA''t HOLDER SHOWN 18 ADDITIOVAL INSURED ON LIAHTWT9 e 901'.ICY ' TEH0L4ER N ADDITIONALINSOPED w31MflFet eFnER CANCELLATION C1TYffi-5 SHOULD ANY OF YNF ASI'AIfx DEifCINRAO POLICIES DE CANCELLED BeR:$IA YNE Y�WNk.d DATE TIIFNEOF Ulf ISdRR(61NDDN TWILL ENDEAVOR TO MAIL )-E1_ DAYS WR'T.Myr City of FoYt Co11zno NOTICE TO THE CEKA04eATE M041WR NAMRO TO THE LEFT BUT FAILURL'fV DO Sri 4NALI ATlrN .jm Hus Q 1 r IMPOSE NO OSLIOA)ION OM LINMIUtY Of ANY KIND UPON THE INSURER ITS AOrK--, Ok, S , lar �An RRPRBBpNTATIYES t rlr'Y. Colla.no CO 90521 Ic CERTIFICATE HOLDER COPY ATTN JIM HUME CITY OF FORT COLLINS 413 S BRYAN FORT COLLINS CO 80521 POLICY NUMBER 4029155 BUSINESS LOCATION LEWIS TENNIS, INC CLASSIFICATION OF OPERATION CLASS DESCRIPTION 906320 TENNIS -INDOOR CLUB COVERAGE COVERAGE RATING EFFECTIVE EXPIRES TYPE 05/12/2000 05/01/2001 EM £0/£0 'd A9£O1 15ZZZOd£0£ 'ON XUA aoueunssd 103euuid Wd £1;I0 18d OOOd—ZI-Avw