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Home My WebLink AboutTAIPAN RESTAURANCE - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE mn OF ID DA ,E;MM pOD YYYY) Brown S Brown Inc 125 S Howes, 5th Floox P O Box 2226 Fort Collins CO 80522-2226 Phone.970-482-7747 Fax 970-484-4165 INSURED Taipan Restaurant, Inc FortNCollins CO 60524t 8 COVERAGES THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE I NAIC # II INSURER Phoenix Insurance COI 25623 INSURER Plnnacol Assurance _ INSURER C rINSURER D I INSURER E ` 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 BY PAID CLAIMS INSR'ADD'C POLICY EFFECTIVE I POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE MMMD/YY I DATE MMIDDIYY) LIMITS GENERAL LIABILITY I I EACH OCCURRENCE I $ 1000000 X I — II COMMERCIAL GENERAL LIABILITY I680409D2458PHX08 f DAMAGE TO RENTED— PREMISES(Ea occurence) I $ 300000 I CLAIMS MADE [�] OCCUR MED EXP(Any one person) $ S 00 A Owners_ 01/05/08 1 01/05/09 1 PERSONALAADVINJURY 1 $ 1000000 _ -�X—((Business GENERAL AGGREGATE $ 2000000 _ —' GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG�$ 2000000 n POLICY i I JEC I I LOC I _ i A 1 AUTOMOBILE Ll LIABILITY ANY AUTO 1680409D2458PHX08 01/05/08 COMBINED SINGLE LIMIT 01/05/09 (Eaaccment) $ 1000000 ALL OWNED AUTOS J III SCHEDULED AUTOS BODILY INJURY (Per person) $ 17{ I_ X HIRED AUTOS NONOWNED AUTOS II— 8001LY INJURY (Peraccldent) D_ E _— PROPERTY DAMAGE (Per accident) i $ --__ I— GARAGE LIABILITY (AUTO ONLY - EA ACCIDENT I$ ANY AUTO OTHER THAN EA ACC I _ AUTO ONLY qGG i E EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 7� OCCUR CLAIMS MADE AGGREGATE I $ ---f— $ DEDUCTIBLE ( ( RETENTION E 1 S WORKERS COMPENSATION AND OTH I XITWC STAITSI I ERI EMPLOYERS LIABILITY B 4105442 06/01/07 L --- --- 06/01/08 EL EACH ACCIDENT I $ 100000 ANY PROPRIETOR/PARTNER/E%ECUTIVE OFFICERIMEMBEREXCLUDED7 -- EL DISEASE EA EMPLOYEEq$ 100000 ((yea deecnbe under SPECIALPROVISIONS delow --`---- ---"__---'-- EL DISEASE - POLICY LIMIT' E 500000 OTHER PROPERTY DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS FaDtily Style Restaurant - Certificate Holder is included as Additional Insured with repects to General Liability for an Outside Patio. FAX 221-6378 City of Fort Collins Purchasing 281 N College Avenue Fort Collins CO 80522 CITYFT5 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WALL 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 REPRESENTATIVES