HomeMy WebLinkAboutOUTDOOR PROMOTIONS - 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.)
Outdoor Promotions Inc Gene Frank (970) 482-5062
5724 S College Ave 2332 S College Ave
Fort Collins, CO 80525-3853 Fort Collins, CO 80525-1722 (002/316)
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.
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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 terns, exclusions, and conditions of such policies.
TYPE OF INSURANCE
POLICY NUMBER
POLICY DATE
LIMITS OF LIABILITY
EFFECTIVE EXPIRATION
(Mo.Da Yr (Mo.Da 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 $ ,ODD
Farm Liability & Personal Liability
Farm/Ranch Liability
Each Occurrence $ 000
Farts Employer's Liability
Each Occurrence $ 000
Workers Compensation and
Statutory .....:......
Each Accident $ 000
Employers Liability t
Disease - Each Employee $ '000
Disease - Policy Limit $ '000
General Liability
General Aggregate $ 2,000 000
Products - CompletedOperationsA r ate $ 2,000,000
® Commercial General
Personal and Advertising Injury $ 1,000
Liability (occurrence)
❑
05-X62252-31-00
12/10/2005
12/10/2006
Each Occurrence $ 1,000 ,000
❑
Damage to Premises Rented to You $ 100 000
Medical Expense (Any One Person) $ 5 000
Businessowners Liability
Each Occurrenoet t $ 000
Aggregatett $ ,000
Liquor Liability
Common Cause Limit $ ,000
Aggregate Limit $ ,000
Automobile Liability
Bodily Injury - Each Person $ 1,0001000
❑ Any Auto
IM All Owned Autos
Bodily Injury - Each Accident $ 1,000,000
Property Damage $ 1,000,000
❑ Scheduled Autos
05-X62252-26-00
1/1/2006
1/1/2007
❑ Hired Auto
❑ Nonowned Autos'
Bodily Injury and Property Damage Combined $ ,000
Excess Liability
❑ Commercial Blanket Excess
Each Occurence/Aggregate $ '000
El
Other (Miscellaneous Coverages)
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / RESTRICTIONS / SPECIAL ITEMS t The individual or partners shown as insured ❑ Have ❑ Have not
ADDITIONAL INSURED FOR GENERAL LIABILITY 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.
CERTIFIGA t E H4I QEt 'C)AME ArIO"AbOR
• ADDITIONAL INSURED
Should any of the above described policies be cancelled before the
expiration date thereof, the company will endeavor to mail'( 10 days)
City of Fort Collins
written notice to the Certificate Holder named, but failure to mail such
Attn: Purchasing
9
notice shall impose no obligation or liability of any kind upon the
*10 different
PO Box 580
company, its agents or representatives. days unless
number of days shown.
Fort Collins, CO 80522-0580
❑ This certifies coverage on the date of issue only. The above
described ppolicies are subject to cancellation in conformity with their
tat of issue.
terms and by the laws of the stall
DATE ISSUED
AUTHO ED REPRESENTATIVE
1/13/2006
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U-201 Ed. 5/00 Certificate Holder Stock No. 06668 Rev. 7/02