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HomeMy WebLinkAboutDOWNTOWN BUSINESS ASSOCIATION - INSURANCE CERTIFICATE (14)ACORDM CERTIFICATE OF LIABILITY INSURANCE 1 n5DATE 1nrinnsDD/YYYY) Brayton Insurance, Inc. 315 West Oak, Suite 710 P. 0. Box 1488 INSURED Downtown Business Association 19 Old Town Square Suite 230 Fort Collins CO 80524 COVERAGES INSURERS AFFORDING COVERAGE INSURER A: Western Heritage Insurance C INSURER R Farmers Alliance Insurance C EXTEND OR NAIC # 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 POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY SCP 0550214 05/0112005 0510115006 PREMISES (Ea mqurancel--- DAMA E O RENTED $ 100 ()00 CLAIMS MADE O OCCUR MED EXP (Any one rson $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2r0GD = GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ Included POLICY jECT PRO- LOC B AUTOMOBILE LIABILITY ANY AUTO CCP 020056 1212312004 1212312005 COMBINED SINGLE LIMIT (Ea accident) $1 r000,000 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 $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND - WC CRYSTALIMTU- I OTHFIR EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTNE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ OFFICERIMEMBER EXCLUDED? 11 "S, describe under SP CIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT I $ 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 Colorado Brewers Festival- 06-25-2005 and 06-26-2005. CERTIFICATE HOLDER CANCELLATION City of Fort Collins SHOULDANYOPTHEABOVEDESCRIBEDPOLICIESBECANCELLEDBEFORETHEEXPIRATION PO BOX 580 DATE THEREOF,THE ISSUING INSURERWILL ENDEAVOR TO MAIL 10 DAYSWRITTEN NOTICETO THECERTIFICATE HOLDER NAMED TO THELEFT, BUT FAILURETO DOSO SHALL Fort Collins, CO 80522 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTAT <DS> ACORD 26 (2001108) 1 '%` /©PffORD CDW-0RATF0U1988