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HomeMy WebLinkAbout151325 TERRY PALMER STAGE SERVICES - INSURANCE CERTIFICATEACORD,M CERTIFICATE OF LIABILITY INSURANCE 1211 12 oil PRODUCER (970)223-0924 1 FAX (970)267-2231 Colorado BW Insurance Agency, Inc 1075 W Horsetooth Rd, Stel 106 Fort Collins, CO 80526 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 NAIC # INSURED Terry Palmer Stage Services 7429 West County Road 12 Loveland, CO 80537 INSURER United Fire & Casualty 13021 INSURER INSURER INSURER D NSURER 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 BY PAID CLAIMS INSR DO L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION AIDDY I_ LIMITS GENERAL LIABILITY 60327450 09/02/2007 09/02/200t; EACH OCCURRENCE $ 1,000,000 X COMMERCIALGENERAL LIABILITY DAMAGE TO RENTED $ 100,000 CLAIMS MADE O OCCUR MED EXP (Any one person) $ 5,000 A PERSONAL B ADV INJURY IS 1,000,000 GENERAL AGGREGATE IS 2,000,000 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS COMPIOP AGG $ 2,000,000 POLICYF—j PHI- LOC JECT AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per awdenp $ HIREDAUTOS NON OWNED AUTOS PROP ERTY DAMAGE (Per accident) $ AGE LIABILITY AUTOONLY EAACCIDENT $ OTHER THAN EA ACC $ ANY AUTO I $ AUTO ONLY AGO EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ S $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC STATU- OTH ER EMPLOYERS LIABILITY ANY PROPRIETOWPARTNERIEXECUTIVE EL EACH ACCIDENT $ EL DISEASE - EA EMPLOYE $ OFFICERIMEMBER EXCLUDED'+ If yes describe under SPECIAL PROVISIONS below E L DISEASE POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS The certificate holder is named as an Additional Insured with respect to the ongoing operations of the amed Insured on the General Liability only. City of Fort Collins Attn: James O'Neal PO Box 850 Fort Collins, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY HIND UPON THE AUTHORIZED REPRESENTA' ACORD 25 (2001/OB) FAX. (970)224-6134 1 1 ©ACORD CORPORATION 198E IMPORTANT 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)