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HomeMy WebLinkAboutDOWNTOWN BUSINESS ASSOCIATION - INSURANCE CERTIFICATE (13)ACORD CERTIFICATE OF LIABILITY INSURANCE rM DATE(MMIDDfYYYY) 0511012D05 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'LLTR [Nsgn IF 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 000,000 CLAIMS MADE X❑ OCCUR MED EXP (AnyonePerson) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENI'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO $ Included 17 POLICY PRO- LOC B AUTOMOBILE LIABILITY ANY AUTO CCP 020056 1212312W4 1212312005 COMBINED SINGLE LIMIT Ea accident) $ 1 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 $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION S WORKERS COMPENSATION AND WC STATU-I JOTH- IEMPLOYERS' LIABILITY PROPRIETORfPARTNERfEICECUTIVE E.L. EACH ACCIDENT $ANY E.L. DISEASE - EA EMPLOYE -- $ OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT 1 $ 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 Fourth of July- 07-04-2005 CERTIFICATE HOLDER CANCELLATION City of Fort Collins SHOULDANYOFTHEABOVEDESCRIBEDPOLICIESBECANCELLEDBEFORETHEEXPIRATION PO Box 580 DATE THEREOF, THE ISSUING INSURERWILL ENDEAVORTO MAIL 10 DAYSWRITTEN NOTICE TO THECERTIFICATE HOLDER NAMED TOTHE LEFT, BUT FAILURETO DO SO SHALL Fort Collins, CO 80522 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATI <DS> ACORD 26 (2001108) 1 1�-- — /© PZORD COWORA_I1OX1988