HomeMy WebLinkAboutLOPIONOS DELI AND CATERING - INSURANCE CERTIFICATEr
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ACORD CER °a .� . bF
DATE (MMATDNA)
03/13/98
PRODUCER
THIS, CFFITIFICATE'IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Brayton Insurance, Inc.
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
COMPANIES AFFORDING COVERAGE
315 West Oak Suite 514
COMPANY
PO Box 1488
Fort Collins CO 80522
A Farmers Alliance Insurance Company
INSURED
COMPANY
Mike & Sandy Farnsworth
a
COMPANY
DBA Lopiano's Deli & Catering
749 South LEmay #130
C
COMPANY O
D 1J
D
Fort Collins, CO 80524
I
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
Lo
TYPE OF INSURANCE
POLICY NUMBER
PO
RUTE (/AEFFECTIVEMIDDNY)
POUCYEXPiRADATE (MM/DD TION
UNITS
GENERAL
LIABILITY
GENERAL AGGREGATE
$2 00O 000
X
COMMERCIAL GENERAL LIABILITY
PRODUCTS- comp/op AGG
s2,000,000
CLAIMS MADE ❑X OCCUR
PERSONAL &ADV INJURY
$1, 000, 000
EACH OCCURRENCE
$1 000 000
A
OWNERS& CONTRACTORS PST
CCP 028492
01/22/98
01/22/99
FIRE DAMAGE (Anyone flre)
S 50,000
MED E%P (Any one Parson)
S 5,000
AUTOMOBILE
LIABILITY
ANY AUTO
_
COMBINED SINGLE LIMIT
S 500,000
X
BODILY INJURY
(Per Person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Per aoddent)
$
A
HIRED AUTOS
NON-OWNEDAUTOS
CCP 028492
01/22/98
01/22/99
X
PROPERTY DAMAGE
S
GARAGE LIABILITY
AUTO ONLY -EA ACCIDENT
S
OTHER THAN AUTO ONLY
ANY AUTO
EACH ACCIDENT
$ 500,000
A
CCP 038492
01/22/98
01/22/99
X
LIQUOR LIAB
AGGREGATE
s1,000,000
EXCESS LIABILITY
EACH OCCURRENCE
S
AGGREGATE
$
UMBRELLA FORM
S
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' U ABIUTY
WCS ATU OTH-
TCRYMI R
EL EACH ACCIDENT
S
EL DISEASE - POLICY LIMIT
S
THE PROPRIETOW INCI-
PARTNERS/E)(ECUTME
EL DISEASE - EA EMPLOYEE
S
OFFICERS ARE IXCL
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESISPECIAL ITEMS
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Fort Collins
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
ATTN : James O'Neill II
J-Q— DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
PO BOX 580
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
Fort Collins, CO 80522
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
A TIIORI2ED REP ENTA E
ACORD 25-S (1/95)
f OACORO CORPORATION'1M