HomeMy WebLinkAboutTUMBLEWEED SUPER TASTY TEATS - INSURANCE CERTIFICATEA 70 CERTIFICATE OF
LIABILITY INSURANCE OP ID
DATE(MMIDDIYYYY)
TUMBL-1
06 24 08
PRODUCER
Brown & Brown Inc
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
125 S Howes, 5th Floor
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1
P 0 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 !� NAIC #
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INSURED
, INSURER A: Auto -Owners Insurance Co. 1 18988
Tumbleweed Super Tasty Treats
INSURER B
- - - — -
David Ammann dba
INSURER C
525 Peterson Street
Fort Collins CO 80524-3137
INsuRERO - -- --
_.
INSURER E:
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 ADD' _---- -_--- _------""""'""'- POLICY EFFECTIVE 'POLICY EXPIRATIONI
LTR INSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DDM' DATE MMIDDIYY LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 500 , 000
A
X
X COMMERCIAL GENERAL LIABILITY
0623327485709008
06/28/08
06/28/09
I DAMAGETO RENTED
I PREMISES(Eaomurence)
$ 300, 000
CLAIMS MADE �X OCCUR'
_
MED EXP(Any one person)"
-
QQQ
PERSONAL&ADVINJURY
I$10,
I$500,000
..__ _
GENERAL AGGREGATE
$ 1, 000, 000
GEN'L AGGREGATE LIMIT APPLIES PER:
'
-- _.
PRODUCTS COMPIOPAGG
_.-
i -
0OO., QQQ
- �
j POLICY P
� JECROT I LOG
I
i
�$1,
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
� $
ANY AUTO
I
(Ea accident)
q
I
ALL OWNED AUTOS
-
--
SCHEDULED AUTOS
BODILY INJURY
(Per person)
HIRED AUTOS
ILY
Ber
-'--"
NON -OWNED AUTOS
(Per accident)
accident)
$
LI
"--- --- -
PROPERTY-__
$
(Per
(Per accident)
GARAGE
LIABILITY
AUTO ONLY EA ACCIDENT
$
ANY AUTO
EAACC
$
AUTO ONLY: AGO
$
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$
OCCUR I CLAIMS MADE
AGGREGATE
$
1 DEDUCTIBLE
RETENTION
---
�- �
$_----
--
$
$--
WORKERS COMPENSATION AND
-
TORV
EMPLOYERS' LIABILITY
LIMITS ER_{
_
ANY PROPRIETOR/PARTNERIEXECUTIVE
E L EACH ACCIDENT f
$
OFFICER/MEMBER EXCLUDED?
E L DISEASE EA EMPLOYEE
$
yes, describe under
-- _..
S
SPECIAL PROVISIONS below
E.L. DISEASE -POLICY LIMIT
$
jOTHER
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Concessionaires.
Certificate Holder is named as Additional Insured as respects the General
Liability and operations of the named insured.
Attn: Christine Jarvis FAX: 970-221-6707
City of Ft. Collins
Finance Department
Purchasing Division
281 N College Avenue
Fort Collins CO 80522
FTCOLLIJ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 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
REPRESENTATIVES.
ACORD 25