HomeMy WebLinkAboutDOWNTOWN BUSINESS ASSOCIATION - INSURANCE CERTIFICATE (2)ACORDM CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDDIYYYY)
0511012005
PRODUCER
Brayton Insurance, Inc.
315 West Oak, Suite 710
P. 0. Box 1488
Fort Collins CO 80522
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 N
INSURED Downtown Business Association
19 Old Town Square
Suite 230
Fort Collins CO 80524
INSURER A: Western Heritage Insurance company
INSURER B: Farmers Alliance Insurance Company
INSURER C:
NSURER D:
INSURER 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
ADVIL
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATIONLTR
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
X COMMERCIAL GENERAL LIABILITY
SCP 0550214
0510112005
0510115006
DAMAGE TO RENTED
PREMISES_ . ir@
$ 100,000
CLAIMS MADE R OCCUR
MED EXP (Any oneperson)
$ 5,000
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMPIOP AGG
s Included
POLICY PRO- LOC
AUTOMOBILE
LIABILITY
COMBINEDaaccidSINGLE LIMIT
$ 1 OKOW
B
ANY AUTO
CCP 020056
12123/2004
1212312005
n
Ea accident)
BODILY INJURY
$
ALL OWNED AUTOS
X
SCHEDULED AUTOS
(Per person)
BODILY INJURY
$
HIRED AUTOS
NON -OWNED AUTOS
(Per accident)
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
AUTO ONLY -EA ACCIDENT
$
OTHER THAN EAACC
$
ANY AUTO
S
AUTO ONLY: AGG
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$
OCCUR CLAIMS MADE
AGGREGATE
$
$
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
TH-
WC STATU- OFR
E.L. EACH ACCIDENT
$
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. DISEASE - EA EMPLOYE
$
OFFICERIMEMBER EXCLUDED?
If yes, describe under
SPE IAL PROVISIONS below
E.L. DISEASE -POLICY LIMIT
1 $
OTHER
A
Liquor Liability
SCP 0550214
05/0112005
0510112006
1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Certificate Holder is named as an additional insured as their interest may appear with reference to the named insured's operations
First Night fort Collins-1231-2005
CERTIFICATE HOLDER CANCELLATION
City of Fort Collins
SHOULDANYOFTHEABOVEDESCRIBEOPOLICIESSECANCELLEDBEFORETHEEXPIRATION
PO BOX 580
DATE THEREOF, THE ISSUING INSURERWILL ENDEAVOR TO MAIL 10 DAYSWRITTEN
NOTICETO THECERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURETO DOSO SHALL
Fort Collins, CO 80522
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATI
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