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Home My WebLink AboutCFG CONCESSION - INSURANCE CERTIFICATEACORD„ CERTIFICATE OF LIABILITY INSURANCE OP ID R3 DATE(MM/DD1YY) GCO-1 10/14/04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown 6 Brown Inc - Ft Collins ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 125 S Howes, 5th Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O Box 2226 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins CO 80522-2226 Phone: 970-482-7747 Fax: 970-484-4165 INSURERS AFFORDING COVERAGE INSURED INSURER?/Pinnacol Assurance INSURER B: CFG Concessions Weston Router INSURER C: 401 Skysail Lane Fort Collins CO 80525 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. ILTR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ CLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO LOC JECT AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS LIABILITY OCCUR 17 CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TBD 10/15/04 10/15/05 X WC-S IMIT — RY L--S —— ER - E.L. EACH ACCIDENT $100000 E.L. DISEASE - EA EMPLOYEE $ 100000 E.L. DISEASE -POLICY LIMIT 1 $500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS FAX 221-6707 CITYDIV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Purchasing Division NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Attn : David Carrey PO Box 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fort Collins CO 80522-0580 REPRESENTATIVE ACORD 25S (7/97) QACORVWRPORATION 1999 -acvRn,. CERTIRCATE Of L#ABILITYINSUR/'14NC-1;r OPID DATE (MM,DD YV) GCO 1 . -10/14/04 - PRODUCER THIS CERTIFICATE IS ISSUER AS A MATTER OF INFORMATION Brown 6„ Brown Inc - F-t Collins ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 125 S Howes, 5th Floor. HOLDER. THIS CERTIFICATE DOES NOT AMEN%,EXTEND OR P O Box 2226 ALTER THECOVERAGE AFFORDED BY"THE POLCIES BELOW. Fort..Collins CO 80522-2226 INSURERS AFFORDING COVERAGE Phone:970-482-7747 Fax:970-484-4165 INSURED INSURER Ai Pinnacol Assurance - INSURER B: CFG Concessions wsuRERc: Weston Router 401 Skysail Lane INSURER D: Fort Collins CO 80525 INSURER E: G ES THE POLICIES OFINSURANCE LISTED 5ELOW1dAMEBEENJSSUEDTO THE INSURER POMIM-A V_E FOR THE POLICY PERIOD, INDICATED. NOTWITHSTANDING• --------- ANY REQUIREMENT, TERM OR CONDITION OF ANY; CONTRACT_ OR OTHER DOCUMENT WITH RESPECT TO WHICH -THIS CERTIFICATE MAYBE ISSUED OR - - - MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN-ISSUBJE6T TO -ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH v_ POLLCIE.S,AGGBEGATE LIMITS SHOWN MiIY H ,W BEEN REDUCED BY PAID CLAIMS. _ __..- SR LTR - -TYPE OF INSURANCE .__:_..-____.POLICY NUMBER_: EFFECT[W POLICY::.:.DATE MMID➢IYY .-.-DATE MI ➢1YY - LIMITS - GENERAL LIABILITY - COMMERCIAL GENERAL. LIABILITY CLAIMS MADE OCCUR _ - - - - - EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ -- MED EXP (Any one person) $ PERSONAL B ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT El PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY�I (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TBD 10/15/04 10/15/05 X I TORY LIMITS I I ER E.L. EACH ACCIDENT $ 100000 E.L. DISEASE - EA EMPLOYEE $ 100000 E.L. DISEASE -POLICY LIMIT 1 $ 500000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS FAX 221-6707 ,+Gr�IIrIYI"1 I C" W"W"R 1Y NV VI IIVIYML INUKCV; 1N*UKCK LC I I CR: L,/11YVGL.L.NIIVIY CITYDIV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City Of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _I�L_ DAYS WRITTEN Purchasing Division NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Attn : David Carrey IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR PO Box 580 Fort Collins CO 80522-0580 REPRESENTATIV ACORD 25-S (7197) 1988