HomeMy WebLinkAboutFRONT RANGE INSTITUTE OF SAFETY - INSURANCE CERTIFICATE (5)TM
PRODUCER
Heritage General Agency, Inc.
9260 E. Costilla Avenue, Suite 650
Englewood CO 80112
INSURED
MARK ROSOFF
FRONT RANGE INSTITUTE OF SAFETY
1437 Summitview Drive
20VERAULb
CERTIFICATE OF LIABILITY INSURANCE
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 BELOW.
A:
B:
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THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUtU I u I nt UVaUnIZU NIVIw �� W I�• • • • •- • -- - ---- -
STANDING 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.
Ns Y I LI A I
I TIY TYPE OF INSURANCE POLICY NUMBER DATE MMlDD/YY DATE MM/DD(YY LIMITS $1,000,000
CH OCCURENCE
EENERAL LIABILITY
A, X OMMERCIAL GENERAL LIABILITY CLS1076383 2/03/2006 02/03/2006 IRE DAMAGE IAny one fuel $50,000
LAIMS MADE Fiwl ED EXP IAny one person) EXCLUDED
ERSONAL & ADV INJURY $ 1 ,000,000
ENERAL AGGREGATE $ 1 ,000,000
EN'L AGGREGATE LIMIT APPLIES PER
RODUCTS-COMPIOPS AGG INCL IN ABOVE
OLICV (PROJECT OC
AUTOMOBILE
LIABILITY
TOS
OMBINED SINGLE LIMB
Ea
accident)
ODILY INJURY
erson)
TOS
VIREDAUTOS
Y INJURY
ccident)
FROPERTY
TOS
DAMAGE
ccident
LIABILITY
UTO ONLY - EA ACCIDENT
7ARAGE
NY AUTO
TREK THAN EA ACC
UTO ONLY: AGG
��EX��"" CESS LIABILITY
I
ACH OCCURENCE
CCUR LAIMS MADE
GGREGATE
E DUCTIBLE_—
ETENTION
ORKERS COMPENSATION
C STAT LIMBS OTHER
ND EMPLOYERS' LIABILITY
L. EACH ACCIDENT
L. DISEASE - EA EMPLOYEE
1. DISEASE - POLICY LIMIT
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Instruction in First Aid and CPR located at: 1437 Summitview Dr., Ft. Collins, CO 80524
Certificate Holder is Additional Insured
79
City of Ft. Collins
Parks & Recreation
413 S. Bryan Ave.
Ft. Collins, CO 80521
INSURED: INSURER LETTER A
11 LOW41
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
ACORD 25-S 17l97)
AUTHORIZED REPRESENTATIVE -)
7