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I RELISH U LLC - INSURANCE CERTIFICATE
5/5/2003 4:56 PM EPOS: Fax U111h Lreurance TO: 221-6707 PAGE: 001 OF 001 ''�, A 1CdR0 CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYY) ' 05105r09 PRODUCER Welsh Insurance Agency, Inc. 4033 Boardwalk Drive, Suite #200 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 Fort Collins, CO 80525 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # Phone (970)206-1810 Fax (970)206-1808 INSURED I Relish U, LLC INSURER A: Auto Owners Ins. Co. INSURER B: INSURER C: -- 3806 Cassiopeia Lane Fort Collins, CO 80528- INSURER D: INSURER E: _ COVERAGES INSURER F: THE POLICIES OF INSURANCE LISTED 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 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR 0.DDTSRD INSRD TYPE OF INSURANCE POLICYNUMBER FDATE(MMIDDM'E I DATE YMMIODM' N ( ) LIMITS ._—_. GENERAL LIABILITY _ECTIV EACHOCCURRENCE 1,000,000 Q COMMERCIAL GENERAL LIABILITY r 749�921808 09/20/08 09/20/09 PEMI E�REFTEb PREMISES Eaoccurenca)_ _ 300,000 MED EXP(Any one person) 10,000 A © ❑❑ CLAIMS MADE [ OCCUR n PERSONAL &ADV INJURY 1,000,000 GENERAL AGGREGATE 2,000,000 GEHL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG 2,000,00_0_ U POLICY ❑ PROJECT ❑ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ❑ ANY AUTO (Ea accident) BODI LY INJURY (Perperson) B [] ❑ ALL OWNED AUTOS ❑ SCHEDULED AUTOS Ld HI RED AUTOS ❑ NON OWNED AUTOS _ BODILY INJURY (Per accident) ❑ PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT C ❑ ❑ ANYAUTO OTHER THAN EAACC ❑ AUTO ONLY: AGO EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE _ AGGREGATE ❑ OCCUR ❑ CLAIMS MADE ❑ DEDUCTIBLE ❑ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ❑ WC STATU- ❑ OTH- TORYLIMITS ER E.L. EACH ACCIDENT ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER /MEMBER EXCLUDED? If yes, describe under E.L. DISEASE - EA EMPLOYEE E.L_DISEASE -POLICY LIMIT I SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS HORSE & CARRIAGE SERVICE CERTIFICATE HOLDER CANCELLATION 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 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO 215 N. MASON ST. THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. FORT COLLINS, CO 80524 AUTHORIZED REPRESENTATIVE ATTN: LINDA SAMUELSON ACORD 25 (2001/08) OF ©ACORD CORPORATION 1988