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HomeMy WebLinkAboutDOWNTOWN BUSINESS ASSOCIATION - INSURANCE CERTIFICATE (15)ACORD CERTIFICATE OF LIABILITY INSURANCE *"+ DATE(MM/DDfYYYY) 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 Company INSURER B: Farmers Alliance Insurance Company INSURER C: INSURER D. INSURER E: COVERAGES 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 INARn TYPE OF INSURANCEGENERAL POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY SCP 0550214 0510112005 0510115006 DPREMISES (Ea occurence)-_ AMAGE TO RENTED $100 CLAIMS MADE a OCCUR MED EXP (Any oneperson) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $Included POLICY L7 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 $ AUTOONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S OCCUR F—ICLAJMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION S WORKERS COMPENSATION AND WC STATU- I OTH- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTNE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ OFFICERIMEMBER EXCLUDED? tf yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER A Liquor Liability SCP 0550214 05101/2005 05101/2006 1,000,000 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 Noon Time Notes- 0715,12,19,26 and 0812,9,16 CERTIFICATE HOLDER CANCELLATION City of Fort Collins SHOULDANYOFTHEABOVEDESCRIBEOPOLICIESBECANCELLEDBEFORETHEEXPIRATION PO Box5W DATE THEREOF, THE ISSUING INSURERWILLENDEAVOR TOMAIL 10 DAYSWRITTEN NOTtCETOTHECERTIFICATEHOLDERNAMEOTOTHELEFT,BUT FAILURETODOSO SMALL Fort Collins, CO 80522 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATI <DS> ACORD 25 (2001108) 1 — /© AEURD COFIIPORATION.1988