HomeMy WebLinkAboutRICE TAMMY COLORADO CARRIAGE AND WAGON - INSURANCE CERTIFICATEA ORD,M CERTIFICATE OF LIABILITY INSURANCE
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DA11/30/07nY)
PRODUCER Welsh Insurance Agency, Inc
4033 Boardwalk Drive, Suite #200
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
Fort Collins, CO 80525 I
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Phone (970)206-1810 Fax (970)206-1808
INSURERS AFFORDING COVERAGE
NAIC #
INSURED Rice, Tammy, DBA Colorado Carriage & Wagon
INSURERA Nautilus Insurance Company
INSURERS
410 Franklin St
Fort Collins, CO 80521
INSURER C
INSURER D
_
INSURER E
_
COVERAGES
INSURER
THE POLICIES OF INSURANCE LISTED 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
LTR
ADD L
INSRD rypE OF INSURANCE POLICY NUMBER
POLICY EFFECTIVE
DATE(MWDD/YY)
IR
POLICY EXPATION
DATE (MMIDD/YY)__
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
1,000,000
COMMERCIAL GENERAL LIABILITY
Pending
s
11 /30/07
1 1 /30/08
DAMAGE TO RENTED
PREMISES (Ea occurenceL_
100,000
_
MED EXP (Any one person)L—Ailp-06:2-1,2060-000
5000A
^
❑❑ CLAIMS MADE OCCUR
❑J
U
PERSONAL&ADVINJURYGENERAL
AGGREGATE
GBN'L AGGREGATE LIMIT APPLIES PER
IPRODUCTS -COMP/OP AGO
�Included
POLICY ❑ PROJECT ❑li LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
ANY AUTO
(Ea accident)
BODILY INJURY
(Per person)
❑
I❑
❑ ALL OWNED AUTOS
❑ SCHEDULED AUTOS
BODILY INJURY
HIRED AUTOS
�❑II
LJ NON OWNED AUTOS
(Per accident)
PROPERTY DAMAGE
❑
I
_
(Per accident)
LIABILITY
AUTO ONLY - EA ACCIDENT
❑
ii--GA�RAGE
LJ ANY AUTO
OTHER THAN EA ACC
AUTO ONLY AGG
EXCESS LIABILITY
EACH OCCURRENCE
I F�I
_ OCCUR ❑ CLAIMS MADE
AGGREGATE
❑
❑ DEDUCTIBLE
❑ RETENTION
(
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
❑ WC STATU- ❑ OTH-
TORY LIMITS ER
E L EACH ACCIDENT
ANY PROPRIETOR / PARTNER / EXECUTIVE
OFFICER/ MEMBER EXCLUDED?
If yes describe under
EL DISEASE - EA EMPLOYEE
EL DISEASE -POLICY LIMIT
------
_
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
HORSE & CARRIAGE SERVICE
CITY OF FORT COLLINS IS AN ADDITIONAL INSURED WITH RESPECT TO GL
I
CERTIFICATE HOLDER CANCELLATION
CITY OF FORT COLLINS
215 N MASON ST I
FORT COLLINS, CO 80524
ATTN LINDA SAMUELSON
I
(2001/08)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NO110E 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