HomeMy WebLinkAboutFRONT RANGE INSTITUTE OF SAFETY - INSURANCE CERTIFICATEACORD TM CERTIFICATE OF LIABILITY INSURANCE DATE 2/5/2010
PRODUCER
Heritage General Agency, Inc.
9250 E. Costilla Avenue, Suite 650
Englewood CO 80112 .
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
Front Range Institute of Safety 2010 r ~
Mark Rosoff
437 Summ d ew Drive� 0 2��� �t'j
Ft. Collins, CO 80524 L _. _ L/I
INSURER A: Scottsdale Insurance Company
INSURER B:
INSURER C:
INSURER D:
INSURER E:
GOVEHAGES J�-7 - i-
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 (MM/DD/YY)
POLICY EXPIRATION
DATE (MM/DD/YY)
LIMITS
A
X
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE &A 7OCCUR
CPS1161299
02/04/2010
02/04/2011
EACH OCCURENCE
$1,000,000
PREMISES(Ea occurrence)
$100,000
MED EXP (Any one person)
Exciluded
PERSONAL & ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER
RO-
X FILOC
PT]OLICY JECT
11P
PRODUCTS -COMP/
OPS AGG
Ind in Gen Agg
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAG
(Per accident)
GARAGE LIABILITY
ANY AUTO
AUTO ONLY -EA ACCIDENT
OTHER THAN EA ACC
AUTO ONLY: AGG
EXCESS LIABILITY
OCCUR ❑CLAIMS MADE
DEDUCTIBLE
RETENTION
EACH OCCURENCE
AGGREGATE
WORKERS COMPENSA7iON AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNERSHIP/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, describe under:
SPECIAL PROVISIONS below !
IIVVCSTATLiMITS1 iOrHER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE -POLICY LIMIT
OTHER
I "T
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS FINANCE '10FE6 9 3 ( 36
Instruction in First Aid and CPS located at 1437 Summitview Dr., Ft. Collins, CO 80524
Certificate holder is an Additional Insured
10-day notice for non-payment
CECATE HOLDER: \\ CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Ft. Collins
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
Parks & Recreation
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
413 S. Bryan Ave.
LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY
Ft. Collins, CO 80521
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
M. Nye