HomeMy WebLinkAboutOUTDOOR PROMOTIONS - INSURANCE CERTIFICATE (3)CERTIFICATE OF LIABILITY INSURANCE
American Family Insurance Company ❑
American Family Mutual Insurance Company if selection box is not checked.
60M American Pky Madison, Wisconsin 53783-0001
Insured's Name and Address Agent's Name, Address and Phone Number (Agt./Dist.)
Outdoor Promotions Inc Gene Frank (970) 482-5062
5724 S College Ave 2332 S College Ave
Fort Collins, CO 80525-3853 Fort Collins, CO 80525-1722 (021/309)
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 listed below.
COVERAGES'ei
This Is to certify that 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 contractor 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.
TYPE OF INSURANCE
POLICY NUMBER
LIMITS OF LIABILITY
EFFECTIVE Ex tylON
Mo Da Yr Mo Da Yr
Homeowners/
Bodily Injury and Property Damage
MobilehomeownersLiability
Each Occurrence $ 000
Boatowners Liability
Bodily Injury and Property Damage
Each Occurrence $ ,()00
Personal Umbrella Liability
Bodily Injury and Property Damage
Each Occurrence $ ,000
Farm/RanchLiability
Farm Liability& Personal Liability $ 000Each Occurrence
Farts Employer's Liability
Each Occumrence $ 000
Workers Compensation and
Statutory ************
Each accident $ ,000
Employers Liability
Disease - Each Employee $ 1000
Disease -Policy Limit $ ,000
General Liability
General Aggregate $ 2,000 000
Products -c leted OperationsAggregate $ 2,000,000
® Commercial General
Liability(occurrence)
El05-X62252-31-00
❑
12/10/2004
12/10/2005
Personal and Advertising In6ury $ 1,000,000
Each Occurrence $ 1,000,000
Damaoe to Premises Rented to You $ 100 000
Medical Expense (Any One Person) $ 5 000
Businessowners Liability
Each Occurrencet t $ 000
Aggregatett $ ,000
Liquor Liability
Common Cause Limit $ ,000
Aggregate Limit $ ,000
Automobile Liability
❑ A
® AllllOwned Autos
Bodily Injury- Each Person $ 1,000 ,000
BodilyInjury - EachAccident $ 1,000.000
❑ Scheduled Autos
❑ Hired Auto
05-X62252-26-00
1/1/2005
1/1/2006
Property Damage $ 1,000,000
❑ Nonowned Autos
❑
Bodily Injury and Property Damage Combined $ ,000
Excess Liability
❑ Commercial Blanket Excess
Each Occurrence/Aggregate $ '000
Other (Miscellaneous Coverages)
DESCRIPTION OF OPERATIONS! LOCATIONS! VEHICLES! RESTRICTIONS! SPECIAL ITEMS t The individual or partners shown as insured ❑ Have ❑ Have not
elected to be covered as employees under this policy.
t t Products -Completed Operations aggregate is equal to each
occurrence limit and is included In policy aggregate.
CEf?tiFlCATEt1O'SNAME"ANDAfDFtES "
cA"NCELLATION
• ADDITIONAL INSURED
City Of Fort Collins
Attn: Purchasingnotice
PO Box 580
Should any of the above described policies be cancelled before the
expiration date thereof, the company will endeavor to mail'( 10 days)
Itnotice to the Certificate Holder named, but failure to mail such
shall impose no obligation or liability of any kind upon the
company, its aghents or representatives. *TO days unless different
number of days s own.
Fort Collins, CO 80522-0580
❑ This certifies coverage on the date of issue only. The above
described policies are subject to cancellation in conformity with their
terms and by the laws of the state f issue.
DATE ISSUED—
4/7/2005
AUTHORI D REPRE ENTATIVE
"j �
U-201 Ed. 5100 Certificate Holder Stock No. 06668 Rev. 7102