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Home My WebLink AboutLEWIS TENNIS - INSURANCE CERTIFICATE (5)ACORD CERTIFICATE OF LIABILITY INSURANCE OATE(MMIODIYYYYI _ ntiYnciDnnR PRODUCER (970)679-7333 FAX (970)679-7377 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Ewing -Leavitt Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4025 St Cloud Or HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Loveland CO 80538 INSURERS AFFORDING COVERAGE NAIL # INSURED Lewis Tennis Inc INSURERA Auto Owners 18988 1205 W Elizabeth ST #PMB111 INSURER --- Fort Collins CO 80521 INSURER INSURER 0 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 INSR11B. OD rypE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE 07/15/2008 POLICY EXPIRATION LIMITS A GENERAL LIABIUTY X COMMERCIAL GENERAL LIABILITY CLAIMS AADL FX occorz 7468736808 INCLUDES HIRED & NON— OWNED AUTO $1,000,000 07/15/2009 EACHOCCURPENCE $ 1,000 00 DAMAGE TO RENTED $ SD OO $ 5 000 MED EXP (AI ow person) PERSONAL & ADV INJURY S 1 DOD 000 GENERAL AGGREGATE S 2 DDD 000 GEN'L AGGREGATE LIMIT APPLIES PER X POLICYJECT LOC PRODUCTS COMP/OP AGG $ 2 DDD DDD -- AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea am don0 S ALL OWNED AUTOS SCHEDULED AUTOS ODIL INJURY Ber petsm) $ HIRED AUTOS NON OWNED AUTOS BODILY (Pesamlden)RY $ ROPERTY DAMAGE (PeramdonU $ GARAGE LIABILITY AUTO ONLY EAACCIOENT S ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG S EXCESSAIMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE S AGGREGATE S DEDUCTIBLE — — RETENTION $ S WORKERS COMPENSATION AND WC STATU O7H EMPLOYERS LIABILITY L EACH ACCIDENT S ANY PROPRIETORMARTNEReXFCUTNE OFFICERIMEMBER EXCLUDLDT EL DISEASE EA EMPLOYEE S If yes deser be muter E L DISEASE POLICY I IMIT S SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL City of Fort Collins 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT Purchasing Department BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY PO Box 580 OF ANY HIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES Fort Collins CO 8OS22 AUTHORIZED REPRESENTATIVE + O r ACORD 25 (20011081 FAX (970)221-6 IMPORTANT If the certificate holder is an ADDITIONAL INSURED the polrcy(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 ,.. <a rav uuo)