HomeMy WebLinkAboutDOWNTOWN BUSINESS ASSOCIATION - INSURANCE CERTIFICATE (4)ACORDM CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDDnYYY)
05/1012005
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Brayton Insurance, Inc.
315 West Oak, Suite 710
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
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 Company
19 Old Town Square
INSURER B: Farmers Alliance Insurance Company
Suite 230
INSURER C:
Fort Collins CO 80524
INSURER D:
INSURER E:
K97 0
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
ADO'L
K=
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATIONLTR
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
X COMMERCIAL GENERAL LIABILITY
SCP 0550214
05/0112005
0510115006
DAMAGE TO RENTED
$ 100,000
MED EXP (Anyoneperson)
CLAIMS MADE 11:1 OCCUR
$ 5,000
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
S 2,000,000
GENT AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
_
$ Included
POLICY PRO LOC
B
AUTOMOBILE
LIABILITY
ANY AUTO
CCP 020056
1212312004
1212312005
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$
GARAGELIABILITY
AUTO ONLY -EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
OCCUR CLAIMS MADE
]DEDUCTIBLE
Is
RETENTION $
WORKERS COMPENSATION AND
WC STATUDRY I- I OTH-
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$
ANY PROPRIETORIPARTNERIEXECUTIVE
E.L. DISEASE - EA EMPLOYE
$
OFFICERIMEMBER EXCLUDED?
If yes,
SPECdescROVISIONS below ribe under PR
OVISIONS
E.L. DISEASE - POLICY LIMIT
$
OTHER
A
Liquor Liability
SCP 0550214
0510112005
0510112006
1,000,0W
DESCRIPTION OF OPERATIONS 1 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
Kids Kristmas-12-03-2005
City of Fort Collins
PO Box 580
Fort Collins, CO 80522
SHOULDANYOFTHEABOVEDESCRIBEOPOLICI ESSECANCELLEDBEFORETHEEXPIRATION
DATE THEREOF, THE ISSUING INSURERWILL ENDEAVOR TO MAIL 10 DAYSWRITTEN
NOTICE TO THECERTIFICATE HOLDER NAMED TOTHE LEFT, BUT FAILURETO DOSO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
AUTHORIZED