HomeMy WebLinkAboutARROWHEAD TRAILS INC - INSURANCE CERTIFICATE (3)PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
Pinnacol Assurance
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
7501 E Lowry Blvd
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
DENVER CO 80230-7006
AFFORDED BY THE POLICIES BELOW.
INSURED
ARROW HEAD TRAILS INC.
11121 COUNTY ROAD 240
SALIDA CO 81201
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,
NOTWITHSTANDING ANY REQUIREMENT, TERM AND 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO I TYFE OF WSURANCE I POLICY NUMBER 1 POLICY EFFECPNE I POLICY EXPIRATION I LIMITS
GENERAL LIABILITY
CtlMMERCW.OBNBRAL LWBll.CTY
CLAIMS MADE 0 OCCUR
OWNER'S & CONTRACTOR'S PROT
GENERAL AGGREGATE
PRODUCTS- COMP/OP AOG
PERSONAL & ADV INIURY
EACH OCCURRENCE
FIRE DAMAGE , Ere)
MED EXP as
AUTOMOBILE LIABILITY
ANY AUTO
ALLOWNEDAUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
COMBINED SINGLE LIMIT
BODILY WFURY
¢
BODILY INJURY
C. amlmt
PROPERTY DAMAGE
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCDENT
OTHER THAN AUTO ONLY:
EACH ACMENT
:LESS LIABILITY
UMBRELLA FORM
WCSTATU I I OTHER
EMPLOYERS' LIABILITY TORY LIMITS
A 4000420 05/01/2005 05/01/2006 EL EACH ACCIDENT 100 000
THE PROPREETOR/PARTNERS' mm EL DISEASE - POLICY LD.I'f $500,000
EXECUTIVE OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE $100,000
OTHER
DESCRIPTION OF OPERATIONS)LOCATIONENERICLES/SPECIAL ITEMS
SEE BACK OF CERTIFICATE FOR CLASS COVERAGE AND OWNERSHIP COVERAGE DETAIL
836801
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
CITY OF FORT COLLINS
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
215 N MASON STREET PO BOX580
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
FORT COLLINS CO 80522
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY RIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Janice Hurd
RALLENSM CSR.%Wpmt 05RN05 N0:30 6ODM2O Up&a - 12113il9 12:W W M135
CERTIFICATE HOLDER COPY
CITY OF FORT COLLINS
215 N MASON STREET PO BOX580
FORT COLLINS CO 80522
POLICY NUMBER: 4000420
BUSINESS LOCATION: ARROW HEAD TRAILS INC
CLASSIFICATION OF OPERATION
CLASS DESCRIPTION
COVERAGE COVERAGE RATING
EFFECTIVE EXPIRES TYPE
910205 PARKS N.O.C.-ALL EMPLOYEES & DRIVERS 05/01/2005 05/01/2006 EM