HomeMy WebLinkAboutGROWLING BEAR - INSURANCE CERTIFICATE (2)Client# 49185
GRORF2
ACORD CERTIFICATE OF LIABILITY
INSURANCE DATE
07/28/08Dnvrv)
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Ins Inc
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P O Box 578
HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
4687 W 18th Street
Greeley CO 80632
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
Growling Bear Co Inc
2330 4th Avenue
Greeley CO 80631 7113
INSURERA CNA Insurance Company
INSURER B
INSURER G
INSURER D
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
ADD,
NSR
TYPE OF INSURANCE
POLICY NJ! BEP
POLICY EFFECTIVE
DATE ! M1 DD'YyEFFECTIVE
POLICY EXPIRATION
POLICY
DATM IDDNEXPIRATION
LIMITS
A
GENERAL LIABILITY
2095216232
07/31/08
07/01/09
EACH OCCURRENCE
$1000000
nCOM,C ERCIAL GENERAL LIABILITY
LAIMS MADE � OCCUR
DARMMGETO RENTED,
$1 QQ QQQ
MED EXP (Any one person)
$5 000
PERSONAL & ADV INJURY
$1 QQQ 000
GENERAL AGGREGATE
s2,000,000
GEN L AGGREGATE LIMIT APPLIES PER
PRODUCTS COMP/OP AGO
s2,000,000
POLICY X jECT LOC
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
2095216246
07/31/08
07/01/09
COMBINED SINGLE LIMIT
(Ea accident)
$1 000 000
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTOONLV EAACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTOONLV AGO
A
EXCESSIUMBRELLA LIABILITY
X OCCUR CLAIMS MADE
2095216229
07/31/08
07/01/09
EACH OCCURRENCE
s4,000,000
AGGREGATE
s4,000,000
8
$
DEDUCTIBLE
$
RETFr NON S
WORKERS COMPENSATION AND
WC STATU OTH
EMPLOYERS LIABILITY
E L EACH ACCIDENT
$
ANY PROPRIETOR/ R/EXEGUTIVE
EL DISEASE EA EMPLOYE
$
ER/MEe and E%CLUDED"+
EXCLUDED'
OFFIIf yes er
describALPRe
EL DISEASE POLICY LIMIT
$
SPECIAL
SPECIAL PROVISIONS below
PROVISIONS
A
OTHER Installation
2095216232
07/31/08
07/01/09
Any One Location
Floater
$1 500 000
Deductible $2 500
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
All Operations All Locations
City of Fort Collins
215 North Mason
Fort Collins CO 80525
LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_ DAYS WRITTEN
!E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL
HE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
AUTHORIZE REPRESENTATIVE
P 7r�
Nl.UIKU ZO jZUUT/UC) 1 of 2 #M421568 DSM 0 ACORD CORPORATION 1988
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
ACORD 25 S (2nn1/nAl q .d 9 ORRA14 cco