HomeMy WebLinkAboutDOWNTOWN BUSINESS ASSOCIATION - INSURANCE CERTIFICATE (3)ACORDN CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)
05/1012005
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Brayton Insurance, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
315 West Oak, Suite 710 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P. 0. Box 1488
Fort Collins CO 80522 INSURERS AFFORDING COVERAGE NAIC #
INSURED Downtown Business Association INSURER A: Western Heritage Insurance Com an
19 Old Town Square INSURER B: Farmers Alliance Insurance Company
Suite 230 INSURER C:
Fort Collins CO 80524 1 KIM DrD
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
ADD'L
GENERAL LIABILITY
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
EACH OCCURRENCE
$ 1,000,000
A
X COMMERCIAL GENERAL LIABILITY
SCP 0550214
05/01/2005
05101/5006
DAMAGE TO RENTED PREMISES (Ea occilrencel
$ 100
MED EXP (Any oneperson)
$ 5,000
CLAIMS MADE X� OCCUR
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE
POLICY
LIMIT APPLIES PER:
PRO LOC
PRODUCTS-COMP/OP AGG
$ Included
AUTOMOBILE
LIABILITY
B
ANY AUTO
CCP 020056
1212312004
1212312005
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
X
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE
LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
OCCUR CLAIMS MADE
$
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
WC STATU- OTH-
EMPLOYERS' LIABILITYFIR
E.L. EACH ACCIDENT
$
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. DISEASE - EA EMPLOYE
$
OFFICERMIEMBER EXCLUDED?
If yesdescri under
be
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
$
OTHER
A
Liquor Liability
SCP 0550214
0510112005
0510112006
1,000,000
DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES / 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
A Family Holiday-12-10-2005
City of Fort Collins
PO Box 580
Fort Collins, CO 80522
SHOULDANYOFTHEABOVEDESCRIBEDPOLICIESSECANCELLEDBEFORETHEEXPIRATION
DATE THEREOF, THE ISSUING INSURERWILL ENDEAVOR TO MAIL 10 DAYSWRITTEN
NOTICETO THECERTIFICATE HOLDERNAMED TOTHE LEFT, BUT FAILURETO DOSO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
AUTHORIZED