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HomeMy WebLinkAboutLOPIONOS DELI AND CATERING - INSURANCE CERTIFICATEr +(� 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