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Home My WebLink AboutLEWIS TENNIS - INSURANCE CERTIFICATE (6)09/05/2006 16:19 9704847077 HERBERT LEAVIII ACORN CERTIFICATE OF LIABILITY INSURANCE ODUCER (303)939-9921 FAX (303)939-9926 1 THIS CERTIFICATE IS ISSUED ASA Herbert -Leavitt Longmont 275 South Main Street Suite 208 Longmont, CO 80501 INSURED Lewis Tennis Inc 4221 Buckskin Trail Laporte, CO 80535 'rTOIT1zT_TcTZ INSURERS AFFORDING COVERAGE INBURERA• AntA nwnane INSURER C: INSURER D: INSURER E PAGE 01 DATE (MMRWYYTY) 09/05/2006 MATTER OF INFORMATION PON THE CERTIFICATE NOT AMEND, EXTEND OR BY THE POLICIES BELOW. NAIC # 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. iNSR ADOPITYPE DP INSURANCE P)UOY NUMBER POLICY EFMC71VE POLICY EXPIRATION IMMMU LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 10 CCUR 7468736806 07/15/2006 07115,120 77 EACHOCCURRENCE S 100 1 ON DAMAGE TO RENTED $ SO OO MED EXP (Any une pwe ) S 5,00( PERSONAL A AOV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000.0 GWL AGGREGATE LIMIT APPLIES PER: POLICY PEA M LOC PRODUCTS - COMPIOP AGO f 2 000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNEO AUTOS COMBINED SINGLE LIMIT (EA 4caidom) S BODILY INJURY (Per Peft6n) S BODILY INJURY (Per mcldenl) S PROPERTY DAMAGE (Per a=Went) S GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT S OTHER THAN EAACO AUTO ONLY: AGG EXCESSIUMBRELIA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION 8 EACH OCCURRENCE S AGGREGATE 1 S 3 WORKERS COMPENSATION AND EMPLOYERS' LIAINUTY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERVEMBER EXCLUDEM S yes CM=HI:A wilder SPE&AL PROVISIONS beOm ITUC OTH• ED E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE S LL. DISEASE -POLICY LIMIT S OTHER DESCRIPTION OF OPERATIONS I LOCATIONS r VEHICLES I EXCLUSU]NS ADDED BY ENDORSEMENT SPECIAL PROVISIONS City of Fort Collins Purchasing Division PID Box 580 Fort Collins. CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION GATE THEREOP, THE 19BUING INSURER WALL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAjIL MSUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OK ANY MIND UFOXII INewma. O,AOCNTGOR RCMC6CNTATNC6. ACORD 25 (2001108) FAX: (970)221-6707 CORPORATION 1988