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HomeMy WebLinkAboutCORRESPONDENCE - RFP - P695 ROLLAND MOORE TENNIS PRO SHOP CONCESSIONAIRE (3)ACORD. CERTIFICATE F LIABILITY
PRODUCER
INSURAN " DATE (MM/DDNY)
05/24/99
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Collier Insurance Services Inc
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2335 Tamiami Tr. No., Ste 401
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Naples FL 34103
COMPANIES AFFORDING COVERAGE
COMPANY
A Cincinnati Insurance Company
Michael F. Ryba
Phone Ne. 941-261-6116 Fs.No.941-261-2803
INSURED
COMPANY
B
COMPANY
Lewis Tennis Incorporated
C
1177 Wisconsin Drive
Naples FL 34108
COMPANY
D
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.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DDNY)
POLICY EXPIRATION
DATE (MMMDNY)
LIMITS
GENERAL
UMILfTY
GENERAL AGGREGATE
N NO LIMIT
X
PRODUCTS - COMP/OPAGO
$600,000
A
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE Y OCCUR
BINDER
05/20/99
05/20/00
PERSONAL NADV INJURY
N 300, 000
EACH OCCURRENCE
0300,000
OWNER'S N CONTRACTOR'S PROT
FIRE DAMAGE (Any one fire)
0 50,000
MED EXP (Any one Person)
I 5,000
AUTOMOBILE
LIABILITY
ANY AUTO
BINDER
05/20/99
05/20/00
COMBINED SINGLE LIMIT
11300,000
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Pa! person)
0
A
HIRED AUTOS
X
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
0
X
PROPERTY DAMAGE
0
GARAGE
LIABILITY
AUTO ONLY - EA ACCIDENT
/
ANY AUTO
OTHER THAN AUTO ONLY:
EACH ACCIDENT
0
AGGREGATE
0
EXCESS LIABILITY
EACH OCCURRENCE
41,000,000
A
X UMBRELLA FORM
CCC4425047
05/20/99
09/03/99
AGGREGATE
$ 1, 000, 000
OTHER THAN UMBRELLA FORM
0
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
I WC STATU- OTH
T RY LIMIT ER
EL EACH ACCIDENT
0
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
EL DISEASE -POLICY LIMIT
t
OFFICERS ARE: EXCL
EL DISEASE - EA EMPLOYEE
t
OTHER
A
Property
BINDER
05/20/99
05/20/00
CONTENTS 10,000.
SPECIAL
DESCRIPTION OF OPFRATIONS/LOCATIONSNEHICLES/SPECML ITEMS
TENNIS PRO SHOP
CERTIFICATE HOLDER SHOWN IS ADDITIONAL INSURED ON LIABILITY POLICY.
CERT1fICA7E FOOER
CANCELLATION
CITYF-5
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City OP Fort Collins
ATTN: Jim Hume
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
lODAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
413 S . Bryan
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
Fort Collins CO 80521
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
AOONO 28 5 t1J961
Michael F. Ryba
04COR0 CORPORATION 1888
04/10/2000 12:07 9415983275
CERTIFICAT'
is ar.'Insurance Services Ino
5 TaOtiami Tr'. No. r Ste 401
Lae '1h. 34103
Oe• 9C1'-261-6116 Fax:941-261-2,,4..03
Lewis Tennis Inggo-porated..,
1177 Wi onngsI Drivo
Naples 34108 '
PAGE 01
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IoEDUCIKE i
L. RETENTION I „.. ._'_.._._..____._
JrYAPLDY'bRbL; ITT-,w.. :ry UMITB RR
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j: Property CAP5431420: 05/z0/99 05/20/01}� CONTENTS 1n,Vot7 ,..
TION OE O►ERAIMINEAOCII 9NeMCLEEIE%eLUMONEbYE OR I6P.'BDIAL ! '- "'-�+•'•- __SPECIAL -
*,y18 PRO'SHOP
*TZFICAT9 HOLDER SHOWN IS ADDITTOOhL I17SURM ON LIARILTTY f7 r. ICK_
TIFICATE HO OER N AQD MNAL INEURE0:IN81{h i kETTERi t:11NCBL}JITION ..
CITYLF-5 ONO"ANY OF YRp.A�jNBDEESRNMA FOLNREb BE CANC6LtF0 WFOIN9 TNfi E1LbIRA*
City of Fort Colling UAW TNeNEQF.TIN: UmUgVe DIA1WA�MAi:I eNDEAvoR TO MAIL 10, SAYE Y{R;T
ATTN: Jim Hume - N01A:RTO THE CERTiFR�'ft NOLOEMNA rD TO THE. LEFT, BUT FNLURF."N)00 SODNAS
413 S. Bryan MMOEE NO'O9yoATIONtNI 4IAEMPY OF ANY RIND UV THE INSURER, ITS AOEN"OAT'
Fort Collins CO 80521 ItbFREBEM[ATNE6C
t6.9 �i1G7) 111L$'.•ACORD CORP'ORATN)N1
CERTIFICATE HOLDER COPY
ATTN IIM HUME
CITY OF FORT COLLINS
413 S BRYAN
FORT COLLINS CO 80521
POLICY NUMBER: 4029155
BUSINESS LOCATION: LEWIS TENNIS, INC.
CLASSIFICATION OF OPERATION
CLASS DESCRIPTION
906320 TENNIS -INDOOR CLUB
COVERAGE COVERAGE RATING
EFFECTIVE EXPIRES TYPE
05/12/2000 03/01/2001 EM
CO/CO 'd 89£Ol l9ZZZ8L£O£ 'ON XHd
aoueunssy looeuuid Wd £I;10 IE� OOOZ-ZI-AW