HomeMy WebLinkAboutDOWNTOWN BUSINESS ASSOCIATION - INSURANCE CERTIFICATE (8)ACORDM CERTIFICATE OF LIABILITY INSURANCE 105DATE(051DDnrrY)
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
COVERAGES
ONLY AND CONFERS NO RIGHTS UPON THE
HOLDER. THIS CERTIFICATE DOES NOT AMENI
ALTER THE COVERAGE AFFORDED BY THE POL
INSURERS AFFORDING COVERAGE
INSURER A: Western Heritage Insurance C
INSURER B: Farmers Alliance Insurance C
NAIC #
7
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
F OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
X COMMERCIAL GENERAL LIABILITY
SCP 0550214
0510112005
0510115006
DPREMISES (Ea occurence) AMAGE TO RENTED
$ 100,000
CLAIMS MADE x❑ OCCUR
MED EXP (Any oneperson)
$ 5,000
PERSONAL S ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS -COMPIOPAGG
$Included
POLICY PRO LOC
B
AUTOMOBILE
LIABILITY
ANY AUTO
CCP 020056
12123/2004
1212312005
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
BODILY INJURY
(Per person)
$
ALLOWNEDAUTOS
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
$
OCCUR F—ICLAIMS MADE
AGGREGATE
$
$
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
WC STATL OTH-
DRY
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
$
OFFICERIMEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
j $
OTHER
A
Liquor Liability
SCP 0550214
0510112005
05/0112006
1,000,000
DESCRIPTION OF OPERATIONS I 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
New WestFest- 08121,22
City of Fort Collins
PO Box 580
Fort Collins, CO 80522
LAIVL.CLLA I IVr4
SHOULDANYOFTHEABOVEDESCRISEDPOLICIESBECANCELLEDBEFORETHEEXPIRATION
DATE THEREOF, THE ISSUING INSURERWILL ENDEAVORTO MAIL 10 DAYSWRITTEN
NOTICETOTHECERTIFICATE HOLDER NAMED TOTHE LEFT, BUT FAILURETO DOSO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
AUTHORIZED