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Home My WebLink AboutMOUNTAIN DOG COZZOLAS PIZZA - INSURANCE CERTIFICATE (2)ACOR ,. CERTIFICATE OF LIABILITY INSURANCE ;;;1320DOD7 YYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION FLOOD & PETERSON INSURANCE INC 4821 WHEATON DRIVE FORT COLLINS, CO 80525 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW (888) 661-3938 XY290 882 INSURERS AFFORDING COVERAGE NAIC # INSURED MOUNTAIN DOG, INC INSURER A THE TRAVELERS INDEMNITY COMPANY INSURER B THE PHOENIX INSURANCE COMPANY DBA COZZOLA'S PIZZA INSURER C 1112 OAKRIDGE INSURER D FORT COLLINS, CO 80525 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 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 AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED RY PAID CLAIMS INSR LTR ADD I INSFIC TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMM/DDNY) POLICY EXPIRATION DATE IMM/DDNYI LIMITS B X GENERAL LIABIT Y X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑X OCCUR X HIRED AUTO 680-386N5377-08 01 /06/2008 01 /06/2009 EACH OCCURRENCE $ 1 000 000 DAMAGE TO RENTED R 1 S E oc PREMISES $300,000 ne ersan MED EXP (An o d $ 5,000 PERSONAL & ADV INJURY $ 1 000 000 X NON Dwry ED AUTO GENERAL AGGREGATE $ 2 000,000 GEN L AGGREGATE LIMIT APPLIES PER POLICY PRO X PJECT LOC PRODUCTS COMP/OP AGG $ 2,000,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS COMBINED SINGLE LIMIT IEs acndenq $ BODILY INJURY (Per Person) $ BODILY INJURY fear ecadenl) $ PROPERTY DAMAGE (Per accldentl $ GARAGE LIABILITY ANY AUTO AUTO ONLY EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY AGG $ $ A EXCESS/UMBRELLA LIABILITY YOCCUR CLAIMS MADE DEDUCTIBLE X RETENTION $ 10 000 CUP-386N5377-08 01/06/2008 01/06/2009 EACH OCCURRENCE $1,000,000 AGGREGATE $ 1 ,000,000 $ $ $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED' f yes describe under SPECIAL PROVISIONS below OTH TOFV LIMITS ER EL EACH ACCIDENT $ E L DISEASE EA EMPLOYEE $ E L DISEASE POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS �CnI lrn-. IC nWLUCn L.Mlific, NI IVIV CITY OF FORT COLLINS PO BOX 580 FORT COLLINS, CO 85022 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR ACORD 25 (2001/081 CORPORATION 1981 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 certain 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 ACORD 25 (2001/08)