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HomeMy WebLinkAboutCFG CONCESSIONS - INSURANCE CERTIFICATE (3)OCT 14 2004 17:26 FR TO 2216707 P.01i01 ACDRD CERTIFICATE OF LIABILITY INSURANCI OPID DATE(MMIDDIYY) GCO-1 10/14/04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown Lno - Ft Collins ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 125 S Howes, 5th Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O Box 2226 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins CO 80522-2226 Phone:970-482-7747 Fax:970-484-4165 INSURERS AFFORDING COVERAGE CFG Concessions "- Wanton Router INSURER C F01 ortSC3y11isal ns COe80525 INSURER O: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTYWFHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W17H RESPECT TO WHICH THIS CERTIFICATE MAY RE 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, M117— LTR TYPE OF INSURANCE POLICY NUMBER DATE MMRTWYY OATS MMID J LIMITS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY CLAIMS MADE f7 OCCUR FIRE DAMAGE (Arty one Fvo) S i MED EXP (Any c po o ) PERSONAL SADV INJURY S -- _,..._,. .-._ _.,.-_.-_ GENERAL AGGREGATE S GEN L AGGREGATE LIMIT APPLIES PER POLICY .._^ JEC LOC PRODUCTS • COMPIOP AGG S _.'.-._. AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ee eeeleen) S ALL OWNED AUTO$ SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOSNON-OWNED AUTOS BODILY INJURY 4Per eccldenD S PROPERTY DAMAGE (Per wzwero) . _—. i GARAGE LIABILITY ANY AUTO AUTO ONLY -EA ACCIDENT S OTHER THAN EA ACC AUTO ONLY: AGO $-,- $ EXCESS LIABILITY _ OCCUR (� CLAIMS MADE EACH OCCURRENCE_ S AGGREGATE S b DEDUCTIBLE s RETENTION b i A i WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THD 10/15/04 10/15/05 X TORY VAT ER .,,. EL.EACHACCIDENT i100000 9 L. DISEASE - EA EMPLOYEES 100000 E.L.DISEASE - POLICY LIMIT 5 500000 � TH OER DESCPBPTION OF OPERATIONS/LOGATONSNEHICLESIEXCLUSIONS ADM BY ENOORSEMENTISPECWL PROVISIONS FAX 221-6707 CFRTIFIAATC IJAI MITO City of Fort Collins Purchasing Division Attn: David Carrey PO Box 580 Fort Collins CO 80522-0580 CITYDI-V SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO RLAIL .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 25-S (7197) ** TRTOI POf;P R1 ** Ate. CERTIFICATE OF LIABILITY INSURANCE,,, P o TE (MM/DWYY� DA04/26/04 PRODUCER Brown 12� P Q Fo Phone:970-482-7747 & Brown Inc - Ft Collins S Howes, 5th. Floor Box 2226 t Collins CO 80522-2226 Fax:970-484-4165 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 TNSL RED CFG Concessions Weston Router 401 Skysail Lane Fort Collins CO 80525 INSURER A: UNITED FIRE & CASUALTY INSURER B: INSURER C: INSURER D: INSURER E. COVE -RAGES A 1E M P POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING Y REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR Y PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH LICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LTR A' TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑X OCCUR POLICY NUMBER DATE 60310812 lY MMIDDY 05/14/04 DIYY DATE MMPDN 05/14/05 LIMITS EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC JECT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS — COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Par accident) $ i GARAGELIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ 4EACHACCIDENT $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY _ ER E $EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DES RIPTION OF OPERATIONSILOCATIONSIVEHICLES!EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CE TIFICATE HOLDER N I ADDITIONAL INSURED; INSURER LETTER: _ CANCELLATION CITYFT7 City of Fort Collins Purchasing Division P. 0. Box 580 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 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR Li ITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATI , J a wnnen rnoonDe TlnAl 90RA ACPRD 25-S (7/97)