HomeMy WebLinkAboutDOWNTOWN BUSINESS ASSOCIATION - INSURANCE CERTIFICATE (12)ACORDa CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDnYYY)
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
VVvGf WQJ
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 #
INSURER A: Western Heritage Insurance Company
INSURERS Farmers Alliance Insurance Comnanv
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.
NSR
ILTR
ADD'L
INSIRM
TYPE 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
DAMAGE TO RENTED
$ 100,000
CLAIMS MADE X❑ OCCUR
MED EXP (Any oneperson)
$ 5,000
PERSONAL S ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
S 2,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
POLICY PRCT O- LOC
PRODUCTS - COMP/OP AGG
$Included
AUTOMOBILE
LIABILITY
B
ANY AUTO
CCP 020056
1212312004
1212312005
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per Person)
$
X
HIRED AUTOS
NON -OWNED AUTOS
BOr accident)
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE
GARAGE
LIABILITY
AUTO ONLY -EA ACCIDENT
$
THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGO
EXCESSIUMBRELLA
LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
OCCUR F—ICLAIMS MADE
S
$
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
WC STATU- I JOTH-
EMPLOYERS' LIABILITYLIM
E.L. EACH ACCIDENT
$
ANY PROPRIETOR/PARTNER/EXECUTNE
OFFICERIMEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE - EA EMPLOYE
$
E.L. DISEASE - POLICY LIMIT
$
OTHER
A
Liquor Liability
SCP 0550214
0510112005
0510112006
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
Sidewalk Sales- 07f7,8,and 9
City of Fort Collins
PO Box 580
Fort Collins, CO 80522
SHOULDANYOFTHEABOVEDESCRISEDPOLICI ESSECANCELLEDBEFORETHEEXPIRATION
DATE THEREOF, THE ISSUING INSURERWILL ENDEAVORTO MAIL 10 DAYSWRITTEN
NOTICETO THECERTIFICATE HOLDER NAMED TOTHE LEFT, BUT FAILURETO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
AUTHORIZED