HomeMy WebLinkAboutOUTDOOR PROMOTIONS - INSURANCE CERTIFICATE (2)CERTIFICATE OF LIABILITY INSURANCE
American Family Insurance Company ❑
American Family Mutual Insurance Company if selection box is not checked
6000 American Pky Madison, Wisconsin 53783-0001
Insured's Name and Address Agent's Name, Address and Phone Number (Agt./Dist.)
Outdoor Promotions Inc Gene Frank (970) 482-5062
5724 S College Ave 2332 S College Ave
Fort Collins, CO 80525-3853 Fort Collins, CO 80525-1722 (021/309)
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 listed below.
COYEI3AGES
This is to certify that 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.
TYPE OF INSURANCE
POLICY NUMBER
POLICY DATE
LIMITS OF LIABILITY
EFFECTIVE EXPIRATION
(Mo. Day. Yr(Mo. Day. Yr
Homeowners/
Bodily Injury and Property Damage
Mobilehomeowners Liability
Each occurrence $ 000
Boatowners Liability
Bodily Injury and Property Damage
Each Occurrence $ ,000
Personal Umbrella Liability
Bodily Injury and Property Damage
Each Occurrence $ ,000
Farm Liability & Personal Liability
Farm/Ranch Liability
Each Occurrence $ 1000
Farm Employer's Liability
Each Occurrence $ 000
Workers Compensation and
Statutory
Each Accident $ 000
Employers Liability t
Disease - Each Employee $ ,000
Disease -Policy Limit $ '000
General Liability
General Aggregate $ 2,000 000
Products -Com leted Operations Aggregate $ 2,000 ,000
® Commercial General
Liability (occurrence)
❑
05-X62252-31 00
12/10/2004
12/10/2005
Personal and Advenising Injury$ 1,000 ,000
Each Occurrence $ 1,000,000
❑
Damage to Premises Rented to You $ 100 000
Medical Expense (Any One Person) $ 5 000
Businessowners Liability
Each Occurrencet t $ 0()0
Aggregatett $ ,000
Liquor Liability
Cause Limit $ ,000
Aggregate Limit $ ,000
Aggregate
Automobile Liability
Bodily Injury - Each Person $ 1,000 ,000
❑ Any Auto
IM All Owned Autos
Bodily Injury - Each Accident $ 1,000,000
❑ Scheduled Autos
05-X62252-26-00
1/112005
1/1/2006
Property Damage $ 1,000
❑ Hired Auto
,000
❑ Nonowned Autos
❑
Bodily Injury and Property Damage Combined $ ,000
Excess Liability
❑ Commercial Blanket Excess
Each Occurrence/Aggregate $ 000
Other (Miscellaneous Coveraces)
DESCRIPTION OF OPERATIONS / LOCATION / VEHICLES / RESTRICTIONS / SPECIAL ITEMS t The individual or partners shown as insured ❑ Have ❑ Have not
elected to be covered as employees under this potty.
tt Products -Completed Operations aggregate is equal to each
occurrence limit and is included in policy aggregate.
CEE3TIFlGATE HOLRF.R' NAME AAIQ ARRiiESS . ,
, CAW ELLATION
• ADDITIONAL INSURED
IX Should any of the above described policies be cancelled before the
expiration date thereof, the company will endeavor to mail*( 10 days)
City of Fort Collins
written notice to the Certificate Holder named, but failure to mail such
Attn: Purchasingnotice
shall impose no obligation or liability of any kind upon the
`10
PO Box 580
company, its agents or representatives. days unless different
number of days agents
Fort Collins, CO 80522-0580
❑ This certifies coverage on the date of issue only. Theabove
described policies are subject to cancellation in conformity with their
terms and by the laws of the state f issue.
DAT IS UED
AUTHORI D REPRES NTATIVE
4/7/2005�
U-201 Ed. 5/00 Certificate Holder Stock No. 06668 Rev. 7/02