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Home My WebLink About130689 SKYHAWKS SPORTS ACADEMY - INSURANCE CERTIFICATEA-C-OBEs., CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD Y19 02/03/2009 PRODUCER (509) 325-3024 FAX (509) 325-1803 Moloney, O'Neill, Corkery & Jones, Inc. - 818 W. Riverside, Suite 800 ' fane, WA 99201 3_" Fenton ext 213 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. INSURERS AFFORDING COVERAGE NAIC # INSURED Skyhawks Sports Academy, Inc. 6311 Mt Spokane Park Dr Suite B Mead, WA 99021 INSURERA: Philadelphia Indemnity Ins Co INSURERS: Markel Insurance Co INSURER C: INSURER D: . ' ', As' INSURER E: .+ A 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 ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY PHPK383215 02/08/2009 02/08/2010 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE AI OCCUR DAMAGE TO RENTED $ 100,000 MED EXP (Any one person) $ Excluded A PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGO $ 3,000,000 AUTOMOBILE LIABILITY ANYAUTO - PHPK383215 02/08/2009 02/08/2010 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILYI,INJURY (Perrpersonrson) $ A ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS - X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ I j GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY X OCCUR CLAIMS MADE PHUB262231 02/08/2009 02/08/2010 EACH OCCURRENCE $ 5 000,000 AGGREGATE $ 5,000,000 A $ DEDUCTIBLE X RETENTION $ 10, 00C Is WORKERS COMPENSATION AND WC CRYSTATUMi - OTH- FIR EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? describe antler SPECIAL CIAL PROVISIONS below E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT 1 S B OTHER xcess Medical $100 eductible Applies 4102AH2838874 02/08/2009 02/08/2010 Aggregate Limit - $250,000 Medical Aggregate - $25,000 AD&D Limit - $5,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS ertificate holder is added as additional insured as respects to general liability arising out of Aerations of the named insured per insuring form CG 2026 (7/04). CERTIFICATE HOI. DFR 1`!AIUrP1 I ATInM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Fort Collins Parks &Recreation 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn Marc Rademacher BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 413 South Bryan Avenue OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Fort Collins, CO 80521 AUTHORIZED REPRESENTATIVE — Jan Fenton/LEP ACORD 25 (2001/08) ©ACORO CORPORATION 1988 A-C-OBEs., CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD Y19 02/03/2009 PRODUCER (509) 325-3024 FAX (509) 325-1803 Moloney, O'Neill, Corkery & Jones, Inc. - 818 W. Riverside, Suite 800 ' fane, WA 99201 3_" Fenton ext 213 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. INSURERS AFFORDING COVERAGE NAIC # INSURED Skyhawks Sports Academy, Inc. 6311 Mt Spokane Park Dr Suite B Mead, WA 99021 INSURERA: Philadelphia Indemnity Ins Co INSURERS: Markel Insurance Co INSURER C: INSURER D: . ' ', As' INSURER E: .+ A 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 ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY PHPK383215 02/08/2009 02/08/2010 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE AI OCCUR DAMAGE TO RENTED $ 100,000 MED EXP (Any one person) $ Excluded A PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGO $ 3,000,000 AUTOMOBILE LIABILITY ANYAUTO - PHPK383215 02/08/2009 02/08/2010 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILYI,INJURY (Perrpersonrson) $ A ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS - X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ I j GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY X OCCUR CLAIMS MADE PHUB262231 02/08/2009 02/08/2010 EACH OCCURRENCE $ 5 000,000 AGGREGATE $ 5,000,000 A $ DEDUCTIBLE X RETENTION $ 10, 00C Is WORKERS COMPENSATION AND WC CRYSTATUMi - OTH- FIR EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? describe antler SPECIAL CIAL PROVISIONS below E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT 1 S B OTHER xcess Medical $100 eductible Applies 4102AH2838874 02/08/2009 02/08/2010 Aggregate Limit - $250,000 Medical Aggregate - $25,000 AD&D Limit - $5,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS ertificate holder is added as additional insured as respects to general liability arising out of Aerations of the named insured per insuring form CG 2026 (7/04). CERTIFICATE HOI. DFR 1`!AIUrP1 I ATInM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Fort Collins Parks &Recreation 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn Marc Rademacher BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 413 South Bryan Avenue OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Fort Collins, CO 80521 AUTHORIZED REPRESENTATIVE — Jan Fenton/LEP ACORD 25 (2001/08) ©ACORO CORPORATION 1988