HomeMy WebLinkAboutSUGAR RAYS - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY
INSURANCE OF ID DATE (MMIDDIYYYY)
PRODUCER
Brown & Brown Inc
125 S Howes, 5th Floor
P O Box 2226
Fort Collins CO 80522-2226
HUGHE-3 10 20 08
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.
Phone:970-482-7747 Fax:970-484-4165
INSURED .___.._.__ ._____.__ __.
IINSURERS AFFORDING COVERAGE
INSURER A. Allied Group
O� -_
NAIC#
Sugar Rays
INSURER B
—.
INSURERC.
—"—
Maxwell Hughes dba
617 Mathews St.
Fort Collins CO 80524
— ----- --
INSIJRER D:
-- —'
INSURER E'
THE POLICIES OF INSURANCE LISTED BELOW NAVE 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.
IN._._._____ __.._- _.___ _-____ __._..... _ _ ____
L7R NSR TYPE OF INSURANCE POLICY NUMBER DATEYMM/DDm E PDATE MM/D IYY) LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 500000
�NIAGE-TORENTEO-__—
PREMISES(Eaoccmence)
_
$ 100000
$ COMMERCIAL GENERAL LIABILITY
ACP7503713731
10/21/08
10/21/09
CLAIMSMADE 14:1 OCCUR
-
MED EXP (Any one person)
$ 10 Q 0
PERSONAL &ADV INJURY
$500000
-.
--
GENERAL AGGREGATE
$ 1000000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$1000QQQ
POLICY PRO-
JECT LOC
AUTOMOBILE
LIABILITY
-
COMBINED SINGLE LIMIT
$
ANY AUTO
(Ea accident)
ALL OWNED AUTOS
BODILY
$
SCHEDULED AUTOS
(Par personbo))
_.
HIRED AUTOS
-.._....... ____...._..
_ ._.
-
BODILY INJURY
$
NON -OWNED AUTOS
(Per accidenq
----"""-------_
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
"-
OTHER THAN -EA ACC
$
AUTO ONLY'. AGG
$--�-_
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$
- OCCUR u CLAIMS MADE
AGGREGATE
$
$
DEDUCTIBLE
___ __
���
RETENTION $
$
WORKERS COMPENSATION AND
EMPLOYERS' 11A.SH tI.
TORY LIMITS ER
ANY PROPRIETOR/PARTNER/EXECUTIVE
E. L. EACH ACCIDENT
$
OFFICER/MEMBER EXCLUDED?
"'-----'---'------
- -
Yee describe under
E.L. DISEASE - EA EMPLOYEE
_.._.___—_.__.._-___._._
$
S
SPECIAL PROVISIONS below
E.L. DISEASE -POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Certificate Holder is named as Additional Insured as respects the General
Liability and operations of the named insured.
Attn: David M. Carey Fax 970-221-6707
CERTIFICATE HOLDER CANCFI J ATION
CITYFIO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOo
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
City of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
PO BOX 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Fort Collins CO 80521 REPRESENTATIVES.