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HomeMy WebLinkAboutI RELISH U LLC - INSURANCE CERTIFICATE (3)6/4/2009 1:49 PM FROM: Fax Welsh Insurance TO: 221-6707 PAGE: 001 OF 001 4 oRfl® CERTIFICATE OF LIABILITY INSURANCE DATE OS/18/O9YY) PRODUCER Welsh Insurance Agency, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4033 Boardwalk Drive, Suite #200 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 INSURERA: Auto Owners Ins. Co. INSURER B: 3806 Cassiopeia Lane INSURER C: 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 BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR AD INSIRD RD TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATEPOLICYMM/DDM ( ) DATEYMM/DDM EXPIRATION ( ) LIMITS GENERAL LIABILITY EACH OCCURRENCE 1,000,000 0 COMMERCIAL GENERAL LIABILITY 7495921808 09/20/08 09/20/09 DAMAGE TO RENTED PREMISES Ea occurence 300,000 MED EXP (Any one person) 10,000 ❑❑ CLAIMS MADE ❑J OCCUR A ❑ ❑ PERSONAL &ADV INJURY 1,000,000 ❑ GENERAL AGGREGATE 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG 2,000,000 V POLICY [:]PROJECT ❑ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ❑ ANY AUTO (Ea accident) BODI LY INJURY (Per person) B ❑ ❑ ALL OWNED AUTOS ❑ SCHEDULED AUTOS ❑ HIRED AUTOS ❑ NON OWNED AUTOS BODI LY INJURY (Per accident) ❑ PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT C ❑ ❑ ANYAUTO OTHERTHAN EA ACC ❑ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE AGGREGATE ❑ OCCUR ❑ CLAIMS MADE D ❑ ❑ DEDUCTIBLE ❑ RETENTION $ WORKERS COMPENSATION AND ❑ WC STATU- ❑ OTH- EMPLOYERS' LIABILITY TORY LIMITS ER E.L. EACH ACCIDENT E ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT SPECIAL PROVISIONS below OTHER F DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS CONCESSIONAIRS CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED AS RESPECTS THE GENERAL LIABILITY AND OPERATIONS OF THE NAMED INSURED. 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 - PURCHASING DEPARTMENT 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO PO Box 580 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 80522 AUTHORIZED REPRESENTATIVE fax 221.6707 Cu-P ACORD 25 (2001/08) OF © ACORD CORPORATION 1988