HomeMy WebLinkAboutDOWNTOWN BUSINESS ASSOCIATION - INSURANCE CERTIFICATE (7)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
INSURED Downtown Business Association
19 Old Town Square
Suite 230
Fort Collins CO 80524
l UVCnUYUCA
ONLY ,
HOLDE
ALTER
10 RIGHTS UPON THE
:ATE DOES NOT AMEN[
AFFORDED BY THE POL
INSURERS AFFORDING COVERAGE
INSURER A: Western Heritage Insurance
INSURER R Farmers Alliance Insurance C
INSURER
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
INSRn
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION-LIEL
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
X COMMERCIAL GENERAL LIABILITY
SCP 0550214
0510112005
0510115006
DAMAGE TO RENTEDPREMISES (Fa occurance)
$ 100 000
MED EXP (AnyonePerson)
$ 5,000
CLAIMS MADE li] OCCUR
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
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)
$
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
I WC STATU- OTH-
EMPLOYERS' LIABILITYQRYANY
E.L. EACH ACCIDENT
$
PROPRIETOR/PIEXECUTIVE
E.L. DISEASE - EA EMPLOYE
$
OFFICER/MEMBER EXCLUDEXCLUDED?
If yes describe under
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
$
OTHER
A
Liquor Liability
SCP 0550214
0510112005
0510112006
T110001000
DESCRIPTION OF OPERATIONS I LOCATIONS / 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
Oktoberfest- 09-24-2005
City of Fort Collins
PO Box 580
Fort Collins, CO 80522
SHOULDANYOFTH EABOVEDESCRIBEOPOLICIESSECANCELLEDBEFORETHEEX PIRATION
DATE THEREOF, THE ISSUING INSURERWILL ENDEAVORTO MAIL 10 DAYSWRITTEN
NOTICE TO THEC ERTI FICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
AUTHORIZED