HomeMy WebLinkAboutRELISH THE DOG - INSURANCE CERTIFICATE06/23/2008 15:11 9706674167 ED B01,4EN SF INS AGY PAGE 02/03
�+LIP CERTIFICATE OF LIABILITY INSURANCE PATE IMMIDgryyYY)
PRODUCER THIS CERTIFICATE I$ ISSUED AS MATTER OF INFORMATION
Agent Ed Bowen ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
1491 N Denver Ave, Ste 201 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Loveland, CO 80538 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURED
Cindy Peyton
DEA Relish The Dog
868 E 231D ST
Loveland, CO 60538-3304
INSURERS AFFORDING COVERAGE
INSURERA:State Pam rire and I,a
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, T11E INSURANCE APFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN_MAY HMC DEEM F(E�UCED DY PAID CLAIMS.
...,..,.....v.,».,.._............................ ,' PEEN RE CLAIMS.
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AIB'L
INSRD
TYPE OF INSURANCE
....� �_ED _Y-PAIL.,
POLICY NUMBER
DATE MM10D
P LI EEPIRATION
DATE MMIDD
LIMITS
X
GENERAL
Y`
Fp
LIABILM
COMMERCIAL GCNERAL LIABILITY
C(AIMSMADE OCCUR
96-BB-N276-5 F
06-09-08
06-09-09
EACH
OCCURRENCE
1, 000, 000
PREMISES
(Es ocwrrencel
8
MED EXP(Any one pormn)
S 10,000
PERSONAL & AOV INJURY
OENERAL AGGREGATE
9 2,000,000
fS-G7,pescAPR.IFSPERPRODUCTS-COMP,OPAGG
Hk�o`L,CY JECY LOC
S 2,000,000
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
COMBINED SINGLE LIMB
(Ew Axidnn{)
4
BODILY INJURY
(Pal Pnf°n)
$
BODILY INJURY
(Par acddent)
$
PROPERTY DAMAGE
(Peracddent)
S
GARAGE LIABILM
_ ANY AUTO
AUTO ONLY —EA ACCIDENT
S
OTHERTHAN EAACC
AUTO ONLY:
AGG
S
EXCESSIUMSRELLA
LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION F
EACH OCCURRENCE
4.
AGGREGATE
}
S
WORKERS COMPENSATION AND
EMPLOYRRS' LIABILITY
ANY PROPWETOPPARTNERIFXECUTWF
OyFyFICER.demft IMEMBER EXCLUDED?
11m
uSIONS below
OR STAID- ER
TORV LIMBS ER
E.L. F.ACHACCIDF.NT
5
3
EL
E,L, DISEASE -PDLILY LIMIT
;
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES EXCLUSIONS ADDED BY ENDORSRMRNT 16PRCIAL PROVISIONS
Additional Insured: City of Ft. Collins,
City of Port Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAJION
Puschasinq DJ.vJ..w,on DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WINTTEN
P.O. Box 580 NOTICE TO THE CERTJFICAiE HOLDER NAMED TO THE LEFT, OUT FAILURE TO DO SO SHALL
Fort Collins, CO 80522 IMPOSE NO OBLIGATION OR LIABILITY OF ANY RIND UPON THE INSURER, ITS AGENTS OR
06/23/2008 15:11 9706674187 ED PDWEN SF INS AGY PAGE 03/03
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement($).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of insurance an the reverse side of this farm does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
,_ -- p.-v --,