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ACORD. CERTIFICATE OF LIABILITY INSURANCE OP ID DA .0/10/07
sanzo-1 so/1o/07
PROCUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Insurance Associates of Estes HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR
P O Box 4190 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Estes Park CO 80517
Phone 970-586-4407 Fax 970-586-3370 INSURERS AFFORDING COVERAGE NAICM
INSURED INSURERA Nautilus Insurance Company
INSURER B
SALZ 07 LLC INSLRERC
Susan Salz
1230 Canvas Back Court INSIRERD
Fort Collins CO BOS25
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEO MOW FOR THE POLICY PERIOD INDICATED NOTWITHSTPINDING
My REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO VMICH 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 SHOVM MAY HAVE BEEN REDUCED BY PAID CLAIMS
LTR
NIPS
ME OF INSURANCE
POLX: NUMBER
DATE MMIDDIYY)
DATE (MMIOOIYY
LIMITS
GENERAL UUIBILOY
EACHOCCURRENCE
$1000000
A
X
X COMIAERCULL GENERAL LIABILITY
CLAIMS MALE OOCCLR
TBD
10/09/07
10/09/08
PREMISES(Eeocpuerlce)
$50000
MED EXP(Any aria RerI rI)
$5000
PERSONAL S ADV INJURY
$1000000
GEWJZk AGGREGATE
s2000000
GENL AGGREGATE LIMIT APPLIES PER
PRODUCTS COMP/OPAGG
$2000000
POLICY JPERCOT- LOC
AUTOMOBILE
LIABILITY
AlJTO
COMBINED SINGLE LIMIT
(E ecmEeM)
$
ZY
L OWNED AUTOS
SCHEMED ALTOS
BODILY INJURY
(Per permn)
$
HIREDAUTOS
NON -OWNED ALROS
BODILY INJURY
(Per awdeH)
PROPERTY DAMAGE
(Per emi&d)
_
GARAGE LIABILITY
AUTOONLY EAACCIDENT
$
MY AUTO
OTHER EAACC
$
NTTO ONLYAIY AGG
$
E%LESS/UMBRELLA UABILDY
OCCUR CLAIMSNIADE
EACH OCCURRENCE
$
AGGREGATE
$
5
DEDUCTIBLE
i
RETENTION $
$
WORKERS COMPENSATION AND
EMPLOYERB LIABILITY
TORY LIMITS ER
EL EACH ACCIDENT
ANY PROPRIETORAPARTNERAEXECUTIVE
OFFICERIAEMBER EXCLUDED?
IT Yee Aesalbe MMer
EL DISEASE EAEMPLOYEE
$
EL DISEASE POLICYLIMIT
$
SPECIAL PROVISIONS Nfm
OTHER
DESCRRTIDN OF OPEMTIONS I LOCATIONS/ VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
It is understood and agreed that the certificate holder is named as
additional insured but only as respects to the liability arising out
of the activities of the named insured
CITYFC2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EPIRATION
DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO $O SHALL
City O£ Fort Collins Xr18t1 MBIMPOSE NO OBLIGATION OR LILDAN Y OF Y KSA UPON THE INSURER, ITS AGENTS OR
112 E Willow REPRESENTATIVES
Fort Collins CO 80524 AUTH5FPZED REPRIESEUXTRIfj A j
MI:T:i