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HomeMy WebLinkAboutWINEKREP RELISH U - INSURANCE CERTIFICATE7/24/2009 4:34 PM FROM: Fax Welsh Insurance TO: 221-5707 PAGE: 001 OF 001 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYY) AC'C * 07/24/09 PRODUCER Welsh Insurance Agency, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 4033 Boardwalk Drive, Suite #200 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. Phone (970)206-1810 Fax (970)206-1808 INSURERS AFFORDING COVERAGE NAIC # INSURED Winekrep, LLC DBA I Relish U of Colorado INSURERA: AUTO-OWNERSINS. CO. INSURER B: 415 Buckeye St. INSURER C: Fort Collins, CO 80524- INSURER D: INSURER E: COVERAGES 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 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADVIL INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDIYYYY) POLICY EXPIRATION DATE (MMIDDNYY1') LIMITS GENERAL LIABILITY EACH OCCURRENCE 1,000,000 d COMMERCIAL GENERAL LIABILITY ❑ 7406959909 07/062009 07/062010 DAMAGE PREMISES Ea occurrence 300,000 MED EXP (Any one person) 10,000 ❑ ❑ CLAIMS MADE ❑� OCCUR A ❑ ❑ PERSONAL &ADV INJURY 1,000,000 ❑ GENERAL AGGREGATE 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG 2,000,000 ❑�/ POLICY ❑ PROJECT ❑ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ❑ ANY AUTO (Ea accident) BODI LY INJURY (Per person) ❑ ❑ ALL OWNED AUTOS ❑ SCHEDULED AUTOS ❑ HIRED AUTOS ❑ NON OWNED AUTOS BODI LY INJURY (Per accident) ❑ PROPERTYDAMAGE ❑ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT ❑ ❑ ANY AUTO OTHERTHAN EA ACC ❑ AUTO ONLY: AGG EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE AGGREGATE ❑ OCCUR ] CLAIMS MADE ❑ DEDUCTIBLE ❑ RETENTION S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER / MEMBER EXCLUDED? ❑ WC STATU- ❑ OTH- TORY LIMITS ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE (Mandatory in NH) If es, describe under SPECIAL PROVISIONS below E.L. DISEASE- POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS CONCESSIONAIRES CITY OF FORT COLLINS IS AN ADDITIONAL INSURED AS RESPECTS THE GENERAL LIABILITY ON AUTO -OWNERS ADDITIONAL INSURED ENDORSEMENT 55202. 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 Fort Collins, CO 80522 OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE fax 221.6707 AGUKU [O (ZIJUMMi) UP ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD