HomeMy WebLinkAboutNOBODY IN PARTICULAR PRESENTS INC - INSURANCE CERTIFICATEAvow JUL3 03
0 03 CERTIFICATE OF LIABILITY INSURANCE DATE
JUL
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
THE WRIGHT GROUP CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
1600 BROADWAY, STE. 1515 DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
DENVER CO 80202 POLICIES BELOW.
PHONE: 303-863-7788
FAX: 303-861-7502 COMPANIES AFFORDING COVERAGE
INSURED
ICOMPANYA:
LLoyd'sofLondon
NOBODY IN PARTICULAR PRESENTS INC
COMPANY B:
Evanston Insurance
1633 YORK ST.
DENVER CO 80218
—
COMPANY C:
--
Pfnnacol Assurance
COMPANY D:
COMPANY E:
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 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.
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INS
LTR
TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
DATE (MMMDM') DATE (MWDDM')
LIMITS
A
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
RAS218937.8.9
OCT 1 02 OCT 1 03
EACH OCCURRENCE is
•600,000
FIRE DAMAGE (Any One Fire) $
MED. EXP (Any One Person)
$ 5,000
PERSONAL& ADV INJURY
Y 1,000,000
AGGREGATE LIMIT APPLIES PER:
POLICY PROJECT1-1 LOC
GENERAL AGGREGATE
$ 2,000,000
GEN'L
PRODUCTS-COMPIOP AGG.
$ 2,000,000
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
(Per accident)
$
PROPERTY DAMAGE
$
GARAGE
LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
B
EXCESS LIABILITY
X OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
CUBW862702
FEB 9 02
FEB 9 03
EACH OCCURRENCE
$ ,
AGGREGATE
$ 4,000,000
$
$
$
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
4016328
OCT 102
OCT 103
I
WC STATLL I I OTHER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE -FA EMPLOYEE
$ 1,000,000
E.L. DISEASE -POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESISPECIAL ITEMS CERTIFICATE HOLDER AS ADDITIONAL INSURED WITH
RESPECT TO THE LEGACY PARK EVENT ON SEPTEMBER 13, 2003
VGRIIf IV/'11G RVLVGR ""•""^�••w"" "'•`"`"-`•`•` VMI\liGLlN 11Vl\
CITY OF FORT COLLINS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
PO BOX 580 EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10
FORT COLLINS, CO 80522 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, IT,'S AGENTS OR REPRESENTATIVES.
Attention:
ACORD 25-S f71971
CertificateA 1D23
Paul