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HomeMy WebLinkAboutTAMMY RICE COLORADO CARRIAGE AND WAGON - INSURANCE CERTIFICATERDm, CERTIFICATE OF LIABILITY INSURANCE DATE _A.CO- 12/0l/2ooe 01/ 2008) PRODUCER (970) 484-2805 John C. Beckett & Associates, Inc. 220 Smith Street 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. Ft. Collins CO 80524- INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: Nautilus Insurance Cc Tammy Rice DBA: Colorado Carriage & Wagon INSURER 8: 410 Franklin St. INSURER C: INSURER D. Fort Collins CO 80521- 1 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. INSR LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MMIDD/YY) POLICY E%PIRATION DATE(MM/OD/YY) LIMITS a GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR PrNDING 11/26/2008 / / / / 11/26/2009 / / / / EACHCCCURREN^E 1000000 X DAMAGE TO RENTED PREMISES Ea occurrence $ 100000 MED EXP (Any one person) $ 5000 PERSONAL &ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: 7X POLICY JECOT LOC PRODUCTS - COMP/OP AGG $ NOW AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS NO COVERAGE / / / / / / / / / / / / COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Peraccidene) $ GARAGE LIABILITY ANY AUTO NO COVERAGE / / / / AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGO $ $ EXCESSIUMBRELLA LIABILITY OCCUR F—ICLAIMS MADE DEDUCTIBLE RETENTION $ NO COVERAGE / / / / / / / / EACH OCCURRENCE $ AGGREGATE $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANV PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below NO COVERAGE / / / / TORY LIMITS I R — E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE$ EL,DISEASE -POLICY LIMIT _ $ OTHER NO COVERAGE DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS - (970) 224-6134 Purchase & Risk Managment City of Fort Collins P.O. BOX 580 Fort Collins CO 4CORD 25 (2001/08) 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 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE ©ACORD CORPORATION 19RR V?? INS025(0108).05 ELECTRONIC LASER FORMS, INC. . (800)327-0545 Page 1 of 2 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. �(, INS025 (oID8) os Page 2 of 2