HomeMy WebLinkAboutDOWNTOWN BUSINESS ASSOCIATION - INSURANCE CERTIFICATE (11)ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDnYYY)
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PRODUCER
Brayton Insurance, Inc.
315 West Oak, Suite 710
P. 0. Box 1488
Fort Collins CO 80522
INSURED Downtown Business Association
19 Old Town Square
Suite 230
Fort Collins CO 80524
V V V CRRV CJ
ONLY AND CONFERS NO RIGHTS UPON THE
HOLDER. THIS CERTIFICATE DOES NOT AMENI
ALTER THE COVERAGE AFFORDED BY THE POI
INSURERS AFFORDING COVERAGE
INSURER A: Western Heritage Insurance C
INSURERS: Farmers Alliance Insurance C
INSURER
U71
NAIC #
OR
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
NSRn
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATIONLTR
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
X COMMERCIAL GENERAL LIABILITY
SCP 0550214
05101/2005
0510115006
DAMAGE TO RENTED
$ 100 (IDO
MED EXP An one rson
$ 5,000
CLAIMS MADE %I OCCUR
PERSONAL S ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS -COMPIOP AGG
$Included
POLICY PRO LOC
B
AUTOMOBILE
LIABILITY
ANY AUTO
CiCiP 020056
12123/2004
1212312005
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,U00
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$
GARAGE
GARAGE
LIABILITY
AUTO ONLY - EA ACCIDENT
$
THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESSIUMBRELLA
LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
OCCUR CLAIMS MADE
S
$
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
WC STATU-
EMPLOYERS'LIABILITY
E.L. EACH ACCIDENT
$
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. DISEASE - EA EMPLOYE
$
OFFICER/MEMBER EXCLUDED?
If Srdescribe under
PECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
$
OTHER
A
Liquor Liability
SCP 0550214
r0510112005
05/0112006
1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS I 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
Santa House- 11-19-2005 through 12-24-2005
City of Fort Collins
PO Box 580
Fort Collins, CO 80522
SHOULDANYOFTHEABOVEDESCRISEDPOLICIESBECANCELLEDBEFORETHEEX PI RATION
DATE THEREOF, THE ISSUING INSURERWILL ENDEAVORTO MAIL 10 DAYSWRITTEN
NOTICE TO THECERTIFICATE HOLDER NAMED TOTHE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
AUTHORIZED