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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