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Home My WebLink AboutCFG CONCESSIONS - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY MSURAhICj OPID R9 DATE(MM/DD/YY) G, 1 10/14/04 PRODUCER Brown & Brown Inc - Ft Collins 125 S Howes, 5th Floor P O Box 2226 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 THECOVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE Fort Collins CO 80522-2226 Phone 970-482-7747 Fax 970-484-4165 INSURED INSURER Pinnacol Assurance INSURER B CFG Concessions Weston Router INSURERC INSURERD 401 Skysail Lane Fort Collins CO 80525 NSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOVVHAVESEEN ISSUED TO THE INSURED NAMWASOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING' ANY REQUIREMENT TERM OR CONDITION OF ANY CONTWT OR OTHER DOCUMENT W1TH RESPECT TO WHICH THISIDERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIWSVAJEGT TO ALL THE TERUS EXCLUSIONS AND CONDITIONS OF SUCH POLLCIE$ A50REGATE-LIMITS SHOWN MiIY HAVE BEEN REDUCED BY PAID CLAIMS LTR TYPE OF INSURANCE _POLICY NUMBER DATEMM/DDIYY DATEMM/ LYY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑ OCCUR EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Any one Person) $ PERSONAL$ ADV INJURY $ GENERAL AGGREGATE $ GEN L AGGREGATE LIMIT APPLIES PER POLICY PE 0 LOC PRODUCTS COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS COMBINED SINGLE LIMIT (Ea asidenp $ BODILY INJURY (Per person) $ BODILY INJURY (Per amidenQ $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTOONLY EAACCIDENT $ OTHER THAN EA ACC AUTO ONLY AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ It $ A WORKERS COMPENSATION AND EMPLOYERS LIABILITY TBD 10/15/04 10/15/05 X TORY LIMITS I I ER EL EACH ACCIDENT $ 100000 EL DISEASE EA EMPLOYEE $ 100000 EL DISEASE POLICY LIMIT $500000 OTHER DESCRIPTION OF OPERATIONS/LOCAnONWEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS FAX 221-6707 D 10 1V I AUUII IUNAL INZURLU IIVSUXI XLt 11 LK I.XNI.CLL.X I IVN CITYDIV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City OP Fort Collins DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10_DAYS WRITTEN Purchasing Division NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL Attn David Carrey PO Box 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR Fort Collins CO 80522-0580 REPRESENTAnVEY*7 n ACORD 25 S (7/97) ACORD CERTIFICATE OF LIABILITY INSURANCEGOP ID R3 DATEIMM/4 0 CO-1 10/1/04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown Inc - Ft Collins ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 125 S Howes, 5th Floor HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR P O Box 2226 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Fort Collins CO 80522-2226 Phone 970-482-7747 Fax 970-484-4165 INSURERS AFFORDING COVERAGE INSURED INSURER Pinnacol Assurance NSURER B CFG Concessions Weston Router INSURER 401 Skysail Lane Fort Collins CO 80525 INSURER INSURER E COVERAGES 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DDIYY CY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ FIRE DAMAGE(Ary one fire) $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE D OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS COMPIOP AGG $ 17 POLICY PRO LOD AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Par person) $ HIRED AUTOS NON OWNED AUTOS i BODILY INJURY (Par accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY AGG EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND A EMPLOYERS LIABILITY TBD 10/15/04 10/15/05 _X TORY LIMITS _ ER EL EACHACCIDENT _ _ $ 100000 EL DISEASE EA EMPLOYEE $ 100000 EL DISEASE POLICY LIMIT $SOOOOO OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS FAX 221-6707 1( City of Fort Collins Purchasing Division Attn David Carrey PO Box 580 Fort Collins CO 80522-0580 CITYDIV I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOP DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL -lD-- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR IiU]aL:T:T9