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Home My WebLink AboutARROWHEAD TRAILS - INSURANCE CERTIFICATE (4)WAIIStW. roam m e� bias CERTIFICATE OF INSURANCE ALLSTATE INDEMNITY COMPANY HOME OFFICE - NORTHBROOK, IL 60062 hereby certifies that the following insurance is in force: POLICYHOLDER ARROWHEAD TRAILS INC 11121 COUNTY RD 240 SALIDA, CO 81201-9226 POLICY NUMBER 048699501 BAP The person or organization designated below is described in the policy as: CITY OF FORT COLLINS 215 N MASON ST FORT COLLINS, CO 80522 Coverages designated are afforded as stated below: AS THEIR INTEREST MAY APPEAR EFFECTIVE DATE OF CERTIFICATE 12/23/05 POLICY PERIOD 12/23/05 TO 12/23/06 AT 12:01 A.M. STANDARD TIME LIENHOLDER (Loss Payable Clause) ADDITIONAL INTERESTED PARTY ADDITIONAL INSURED X CERTIFICATE HOLDER To the person or organization stated above: This policy, as respects the interest of the loss payee, additional interested party, additional insured or certificate holder named herein, may be cancelled by the Company during the policy period by giving such person or organization 10 days written notice at its last address known to the Company. Proof of such mailing is deemed sufficient proof of such notice. This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by the policy referred to above. BU1380-1 PAGE 1 OF 1 BUi14-2, EN FROM (TUE)JUL 3 2007 13:19/3T.13:18/No.6801647194 P 2 Ate. CERTIFICATE OF LIABILITY INSURANCE DATFIMMIODNYYYI PRODUCER 1 GAS INSURANCE AGENCY, XNC 0040 W Flramay 50 ,SAL.IriA CO 81201 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. INSURERS AFFORDING COVERAGE NAIC# INSURED ARROWRMW TRAILS, rNC 21121 CQOZ+i'!TY ROAD 240 9ALrDA, CO 81201 ARRO01 I INSURER A: ALLIED PROP. it CAS. ZAS. INSURER bI PXBWACCL ASSURANCE INSURER C: INSURER D: _ INSURER E; NO COVERAGE APPLXCARLE rn vcoar_is 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 REDUCF0 BY PAID CLAIMS. INSR 00 TYPE Or INSURAmet POLICY NUMBS POLICY EPF[CTIVE POLR:Y EXPIRATION LIMITS EACH OCCURRENCE a 1,000,000 A G"ERAL LIABILITY ICP7302400357 10/15/2006 10/25/2007 X CQMMERCIAL GENERAL LIABILITY CLAIMSMADE ®OCCUR DAMAGE TO RENTED PREMISES (E9 oCCUrM.I N.10EXP(An one peIsom 0 100,000 $ 51000 PERSONALdADVIWURY 8 1,000,000 Gr.NEAAL AOOIIEGATE 0 21000,000 GEN'L AGGREGATE LIMIT APPUES PER: PROOUCYS. COMP/OP AGG 0 2,000,000 POLICY PRO. LOC A A_UTQMONLELIABLITY ANYAUTO ACP7502406357 10/15/2006 10/25/2007 COMBINED SINGLE LIMIT (E°x"dent) 0 1,000,000 S ALL OWNED AVID$ SCHEDULED AUTOS BODILY INJURY IPN Person) X X X HINEO AUTQS NON-OWNEDAUTOS BODILY INJURY (Pnrarrldpntl a PROPERTY DAMAGE (Per accidencl 0 S OARAGELIABILITY A/X AUTO ONLY -EAACCIDENT 0 NO COVERAGff 0 NO COVERAGE ANYAUTO QTHER THAN EA ACC AUTOONLY: At;G s 170 COVMQB S EXCESSAIWIBRELLA LIABILITY OCCUR CLAIMSMADE N/A CACH OCCURRENCE 0 NO COVSR.Ari)R AW LGA,ri 0 NO COVERAGE S 0 _ DEDUCTIBLE @ + RETENTION a 8 WORKERS COMPENSATION AND EMPLOYEES' TORIP I RT ANY PROPRIETORlPARYNERIEXECUTIVE OFPICER/M[MO n EXCLUDEDD If Yee. Mgcrllw �mder SPECIALPROVISIONSbelow 4000420 03/01/2007 0510112008 X oCRYTATU- OTH. LIMIT E.L. EACH ACCI DENT % 100, 000 E_L- DISEASE - EA EMPLOYEE '— 0 300, D00 E.L. DISEASE - POLICYI_IMIT A 500,000 A OTHER NIA 111/A N/A DESCRIPTION OF OPERATIONS r LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEIRENT /SPECIAL PROVISIONS Re. Bobcat Ridge ThaiI The City of Fart Collins is named as Additional Tnaured as Ito interest may appear In the General LiabIlity coverage. City of Port Collins 215 North Mason Street Fort Collins, CO 80522 SHOULD ANY OF THE ARCVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION GATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRIT -TEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL IMP06t NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, rr6 AGENTS OR AUTHORIZED 25f2001/08I D CORPORATION 1998 FROM (TOE)JUL 3 2007 13 :19; 3T. 13 :18/No. 6801647194 P 3 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policylies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsernent(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insureds), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 2512001108)