HomeMy WebLinkAboutDOWNTOWN BUSINESS ASSOCIATION - INSURANCE CERTIFICATE (5)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 #
INSURED Downtown Business Association
19 Old Town Square
Suite 230
Fort Collins CO 80524
INSURER A: Western Heritage Insurance Com an
INSURER B: Farmers Alliance Insurance Company
INSURER C:
INSURER D:
INSURER E:
COVE
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
- TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION-L11L
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
X COMMERCIAL GENERAL LIABILITY
SCP 0550214
0510112005
0510115W6
DAMAGE TO RENTED
$ 100 000
MED EXP (Anyoneperson)
CLAIMS MADE FX � OCCUR
$ 5,000
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS-COMP/OP AGG
$ Included
POLICY PRO LOC
B
AUTOMOBILE
LIABILITY
ANY AUTO
CCP020056
1212312004
1212312005
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BOr accident)
(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 F-ICLAIMS MADE
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
I WC ORYSTATULIM- I OTH-
ER
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. DISEASE - EA EMPLOYEE
$
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE - PO'LICY LIMIT
$
OTHER
A
Liquor Liability
SCP 0550214
0510112005
0510112006
1,000,000
DESCRIPTION OF OPERATIONS / 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
Carolfest-12-02-2005
City of Fort Collins
PO Box 580
Fort Collins, CO 80522
SHOULDANYOFTH EABOVEDESCRI BEDPOLICIESSECANCELLEDBEFORETHEEXPIRATION
DATE THEREOF, THE ISSUING INSURERWILL ENDEAVOR TO MAIL 10 DAYSWRITTEN
NOTICETO THE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUT FAILURETO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
AUTHORIZED