The URL can be used to link to this page

Home My WebLink AboutGROWLING BEAR CO - INSURANCE CERTIFICATE (2)DATE (MWDD/YYYY) O A ORD CERTIFICATE OF LIABILITY INSURANCE GRI W 3 07 2208 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE LBN Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4848 Thompson Pkwy ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Johnstown CO 80534 Phone:970-635-9400 Fax:970-635-9401 INSURERS AFFORDING COVERAGE NAIC# Growling Bear Co., Inc. 2330 4th Ave. Greeley CO 80631 V VYGRNVCJ INSURER A. Employers Mutual INSURER B: Pinnacol Assurance INSURER C: INSURER D: 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. INURP LTR NSR TYPE OF INSURANCE POLICY NUMBER LI FFE TIV DATE MWDD/YY P LEXPIRATION DATE MWDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ® OCCUR OD96522 07/31/08 07/31/09 PREMISES (Ea owurence) $100,000 MED EXP (Any one person) E 5,000 R Blanket Add'1 PERSONAL B ADV INJURY $1,000,000 X Blkt Waiver GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGO $2,000,000 POLICY X PRO - ECT A AUTOMOBILE AUTOMOBILE LIABILITY ANY AUTO OE96522 07/31/08 07/31/09 COMBINED SINGLE LIMIT (Eaac dent) E1 QQQ QQQ ' X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X BODILY INJURY (Per aWdent) $ X PROPERTY DAMAGE (Per amdent) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT Y ANY AUTO OTHER THAN EA ACC E $ AUTO ONLY: AGO A EXCESS/UMBRELLA LIABILITY X OCCUR �CLAIMSMADE OJ96522 07/31/08 07/31/09 EACH OCCURRENCE E5,000 QQQ AGGREGATE $5,000,000 E DEDUCTIBLE E RETENTION E $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE 1436910 07 /Ol /08 07/01/09 X TORY LIMITS ER E.L. EACH ACCIDENT $1,000,000 urd., EXCLUDED? Oyes, descrMBER ibe If yes, Oaacrlbe under SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYEE — --- $1,000,000 ___ _ E.L. DISEASE - POLICY LIMIT $1,000,000 OTHER A Installation OC96522 07/31/08 07/31/09 Any 1 Loc $1,500,000 Floater I Ded $500 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ALL Operations - All Locations CITYFTC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 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 City of Fort Collins IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 215 North Mason REPRESENTATIVES. Fort Collins CO 80525 AUT AE RESEjWATIVVE- 25 (2001/08) 0 ACORD 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(s). 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 on the reverse side of this form 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.