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Home My WebLink AboutSERTOMA INTERNATIONAL - INSURANCE CERTIFICATE (2)ABM, CERTIFICATE OF LIABILITY INSURANCE 9/1/2008 DATE 7/21/IM/2008 Y) 008 PRODUCER LOCKTON COMPANIES LLC 1 KANSAS CITY 444W 47THSTREET SUITE900 KANSAS CITY MO 64112 1906 (816) 960 9000 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 THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE NAIC # INSURED SERTOMA INTERNATIONAL 1080371 AND ITS SUBSIDIARIES 1912E MEYER BLVD INSURERA PHILADELPHIA INDEMNITY INSURANCE INSURER B HARTPORD UNDERWRITERS INSURANCE NSURER C KANSAS CITY MO 64132 r`nvcCAG ma THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVLLD R E 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 ADDL INSRD TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1000 QQQ A X COMMERCIAL GENERAL LIABILITY PHPK255500 9/1/2007 9/l/2008 DAMAGETORENTEDPREMISES E, oommence) S 100,000 CLAIMS MADE EKOCCUR MED EXP (Any one person) $ 5 QQQ PERSONAL SADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2000 000 L AGGREGATE LIMIT APPLIES PER PRODUCTS COMP/OPAGG $ 2000000 GEN RO POLICY JECT X LOC A AUTOMOBILE LIABILITY PHPK255500 9A/2007 9/l/2008 COMBINED SINGLE LIMIT ANY AUTO (Ea ameent) $ ]QQQ QQQ ALL OWNED AUTOS BODILY INJURY $ XXXXXXX 1 SCHEDULED AUTOS (Per perwn) HIRED AUTOS X BODILY INJURY $ XXXXXXX X NON -OWNED AUTOS (Per emGent) PROPERTY DAMAGE $ XXXX}xX (Pero Idern GARAGE LIABILITY AUTOONLY EAACCIDENT $ XXXXXXX ANY AUTO NOT APPLICABLE OTHER THAN EA ACC S XXXXXXX AUTO ONLY AGO $ XXXXXXX A EXCES&UMBRELLA LIABILITY EACH OCCURRENCE $ ] 000000 X OCCUR CLAIMS MADE PHUB093000 9/1/2007 9/1/2008 AGGREGATE $ 1,000,000 $ XXXXXJ x X UMBRELLA DEDUCTIBLE FORM S XXXXXXX X RETENTION $ 10.000 $ XXXXXXX H WORKERS COMPENSATION AND 37WECPL4953 9/1/2007 9/1/2008 X WC STATU orH EMPLOYERS LIABILITY EL EACH ACCIDENT $ 500000 ANY PROPRIETORMARTNERff ECUTIVE OFFICERIMEMBER E)(CLUDED? E L DISEASE EA EMPLOYEE $ 500 000 If yes eexnne uMe SPECIAL No E L DISEASE POLICY LIMIT $ 500 000 PROVISIONS Mbw A OTHER LIQUOR LIABILITY PHPK255500 9/l/2007 9/l/2008 1000000 OCCURRENCE 1 000 000 AGGREGATE DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECULL PROVISIONS Overland Sertoma Club (CO) # 10606 City of Ft Collins Is named as an additional insured as respects the New West Fest being held Aug 16 17 2008 ....... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY OF FORT COLLINS DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 300 LAPORTE AVENUE NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL FT COLLINS CO 80524 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTAINES AUTHORIZED REPRESE ACORD 25 (2001108) For.Mw M Me aI 9thi. unlnute coM.ct IN n mW R roar toe 7m wr won wow ns.w Iry tM mM 1 RI s 0 pCORD CORPORATION 1989