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HomeMy WebLinkAboutCHILLS WATER ICE - INSURANCE CERTIFICATE (2)ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE,MM,DD,YYYYI 05/11/2004 PRODUCER (970) 484-2805 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION John C. Beckett & Associates, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 220 Smith Street I ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Ft. Collins CO 80524- INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA:UNITED FIRE & CASUALTY Chills Water Ice, LLC INSURERS P.O. BOX 692 INSURER C: INSURER D. Fort Collins CO 80522- INSURERS. :OVERAGES 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 PERTAVi 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. ILTR NSRD TYPE OF INSURANCE POLICY NUMBER POLICY TE (MM/DD/YY) POLICY DATE (MWDD/YY))N LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OOCCUR PENDING / / 05/21/2004 / / 05/21/2005 EACH OCCURRENCE $ 1,000, 000 DAMAGE TO RENTED PREMISES Ea occurrence' S 100 , 000 MED EXP(Any one person) _ S 5,000 PERSONAL & ADV INJURY $ 1,000, 000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: X POLICY JECT LOC PRODUCTS - COMP/OP AGG S 2,000,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS NO COVERAGE / / / / / / / / / / / / COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) S BODILY INJURY IPer ,,caaenl S PROPERTY DAMAGE (Per accident) S GARAGE LIABILITY ANY AUTO NO COVERAGE / / / / AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC AUTO ONLY. AGG S $ EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ NO COVERAGE / / / / EACH OCCURRENCE S AGGREGATE S S Is is WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below NO COVERAGE / / / / WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT S OTHER NO COVERAGE DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS UEM I Ir O.A I C nULUCK L.AN1,rLLA I IUN — SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 010 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT CITY OF FT. COLLINS FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY RIND UPON THE PO BOX 580 INSURER. ITS AGENTS OR REPRESENTATIVES. FORT C( 4CORD 25 (2001108) © ACORD CORPORATION 1988 W rn� INS025 (oio8).m ELECTRONIC LASER FORMS, INC. - (800)327-0545 Pay, ' r 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) CINS025 Ioioel.o5 Page 2 of 2