HomeMy WebLinkAbout111211 SPORT ABOUT INC - INSURANCE CERTIFICATEA ORD CERTIFICATE N LIABILITY INSURANL" OP ID P
DATE(MWODIYYYY)
SPORT-3
08 09 05
PR CER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
LBN Insurance Agency-FC
1614 Oakridge Drive, Unit A
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins CO 80525
Phone:970-229-9304 Fax:970-229-1398
INSURERS AFFORDING COVERAGE
NAIC#
INSURED
INSURER A: Mountain states Inavrance Grp
INSURER B: PinnaC01 Assurance
$port About, Inc.
INSURER C:
Jam Pearson
1205 W. Elizabeth St.
Fort Collins CO 80521
INSURER D:
INSURER E:
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.
________F6LF57_ff"ECTIV`F
NUK
LTIRINSIRC
OWL
TYPE OF INSURANCE
POLICY NUMBER
DATE MWDDIYY
POLICY EXPIRATION
DATE MWDD/YY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
i 1 OOO 000
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE FX_] OCCUR
BOP007785904
07/24/05
07/24/06
PREMISES (Ea occurence)
8250,000
MED EXP (Any one person)
$ 10 000
PERSONAL d ADV INJURY
S 1 000 000
GENERAL AGGREGATE
82 000,000
GENT AGGREGATE LIMIT APPLIES PER:
PRODUCTS -COMPIOP AGG
$ 1 000 000
I-iX POLICY r PRO- _- LOC-
JECT
Ip"s►, 4k At
AUTOMOBILE
LIABILITY
ANY AUTO
440
'
�
COMBINED SINGLE LIMIT
(Ea accident)
=
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Par accident)
$
PROPERTY DAMAGE
(Per accident)
:
— ---
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
i
ANY AUTO
OTHER THAN EA ACC
It1
i
AUTO ONLY: AGG
EXCESSIUMBRELLA LIABILITY
.71 OCCUR n CLAIMS MADE
EACH OCCURRENCE
E
AGGREGATE
S
S
DEDUCTIBLE
$
RETENTION $
$
B
WORKERS COMPENSATION AND
ANY PROPRIETOR/PARTNER/EXECUTIVE
ANY PROPRIETOR/PARTNER/EXECUTIVE
4004928
08 01
/ /OS
08/01/06
X TORY LIMITSTATUS ER
E.L. EACH ACCIDENT
S100OOO
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE - EA EMPLOYEE$100
/ 000
E.L. DISEASE -POLICY LIMIT
i500 000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
Colorado State University and its respective officers, agents and employees
(collectively referred to as "CSU") are included as Additional Insured as
respects liability arising out of the operations of the Named Insured.
COSTATB SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 80 $HALL
Colorado State University IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
271 Aylesworth S.W. REPRESENTATIVES.
Fort Collins CO 80523 Au Rlz REPRES
ACORD 25 (2001/08)