HomeMy WebLinkAboutVANTAGE PROPERTIES - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE
American Family Insurance Company ❑
American Family Mutual Insurance Company if selection box is not checked.
6000 American Pky Madison, Wisconsin 53783.0001
Insured's Name and Address Agent's Name, Address and Phone Number (Agt./Dist.)
Vantage Properties Llc Larry D. Peterson (970) 229-9393
1113 W Plum 149 W Harvard Street Ste 102
Ft Collins, CO 80521 Ft. Collins, CO 80525-2186 (119/309)
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 listed below.
COVERAGES
This is to certify that 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.
TYPE OF INSURANCE
POLICY NUMBER
POLICY DATE
LIMITS OF LIABILITY
EFFECTIVE EXPIRATION
(Mo. Day, Yr(Mo. Day, Yr
Homeowners/
Bodily Injury and Property Damage
Mobilehomeowners Liability
Each Occurrence $ 000
Boatowners Liability
Bodily Injury and Property Damage
Each Occurrence $ ,000
Personal Umbrella Liability
Bodily Injury and Property Damage
Each Occurrence $ ,000
Farm/Ranch Liability
bility &Personal liability
$
urrence 000
ployer's Liability
urrence $ 000
Workers Compensation and
NE
Accident $ 500 ,000
Employers Liability t
05-X34117-90-00
07/07/2004
07/07/2005
- Each Employee $ 500 ,000
- Policy Limit $ 500 ,000
General Liability
General Aggregate $ 000
❑ Commercial General
Products -Com leted Operations Aggregate $ 000
Liability (occurrence)
Personal and AdvertisingIn u $ .000
❑
Each Occurrence $ 1000
El
Damage to Premises Rented to You $ 000
Medical Expense (Any One Person) $ 000
Businessowners Liability
05-X34384-60-00
11/01/2003
11/01/2004
EachOccurrencett $ 1,000,000
Aggregatett $ 2,000 ,000
Liquor Liability
Common Cause Limit $ 000
Aggregate Limit $ ,000
Automobile Liability
BodilyInjury -Each Person $ 000
El Any Auto
❑ All Owned Autos
Bodily Injury - Each Accident $ '000
❑ Scheduled Autos
❑ Hired Auto
Property Damage $ 000
❑ Nonowned Autos
❑
Bodily Injury and Property Damage Combined $ 000
Excess Liability
❑ Commercial Blanket Excess
Each Occurrence/Aggregate $ 000
El
Other (Miscellaneous Coveraoes)
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / RESTRICTIONS / SPECIAL ITEMS t The individual or partners shown as insured ❑ Have ❑ Have not
elected to be covered as employees under this policy.
t t Products -Completed Operations aggregate is equal to each
occurrence limit and Is Included in policy aggregate.
CE11F1GATE HOLDER`S NAIi!� A►VQ ADORES8
CANCEL4ATION
• Cit of Fort Collins
y
Should any of the above described policies be cancelled before the
date `(
expiration thereof, the company will endeavor to mail days)
PO Box 580
written notice to the Certificate Holder named, but failure to mail such
Fort Collins, CO. 80522
notice shall impose no obligation or liability of any kind upon the
its *TO
company, agents or representatives. days unless different
number of days shown.
IM This certifies coverage on the date of issue only. The above
described policies are subject to cancellation in conformity with their
terms and by the laws of the state of issue.
DATE ISSUED
AUTHORIZED REPRESENTATIVE
08/09/2004
Larry D. Peterson
U-201 Ed. 5/00 Certificate Holder Stock No. 06668 Rev. 7/02