HomeMy WebLinkAboutCOLORADO CARRIAGE - INSURANCE CERTIFICATE (2)6/4/2010 10:23 AN FROM: ITS T0: F2 (970) 221,5707 PAGE: 001 OF 002
ACORD,M CERTIFICATE OF
LIABILITY
INSURANCE
0 TOYYYY)
4/26/26/2010
PRODUCER (970) 484-2805
John C. Beckett 6 Associates, Inc.
220 Smith Street
Ft. Collins CO 80524—
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
Taray Rice DBA: Colorado Carriage S Wagon
410 Franklin St.
Fort Collins CO 80521—
INSURERA. Nautilus Insurance Co
INSURER
INSURERC
INsuRER c
INSURER E.
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 WMICH 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.
TR
NSRD
TYPE OF INSURANCE
POLICY NUMBER
DATE(MM/7DNY) CTIVE
PDATE (OLICY MMDYMIN
LIMBS
A
GENERAL LIABILITY
NC938632
11/30/2009
11/30/2010
EACH OCCURRENCE
s 1,000,000
X COMMERCIALGENERAL LIABILITY
CLAIMSMADE OCCUR
/ /
/ /
M ADAGETORENTED
PREMISES Ea oQmence)
s 100,000
MEDEXP (Any oneperson)
$ 5,000
PERSONAL 3ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AS GREGATE
LIMIT APPLIES
PER
PRODUCTS - COMP/OP AT'
$
X POLICY
PELF
LOT
AUIOMOBILELIABILITY
NO COVERAGE
/ /
/ /
COMBINED SINGLE LIMIT
ANYAUTO
(Ee amidenl)
s
ALL OMED AUTOS
/ /
/ /
BODILY INJURY
]HEDULED AUTOS
fPerperson)
s
HIRED AUTOS
/ /
/ /
BODILY INJIRY
NON-0vNJED AUTOS
(P,r ,c dent)
PROPERTY DAMAGE
(PerecadeM)
$
GARAGE LIABILITY
AUTOONLY-EAACCIDENT
IS
ANYAUTO
NO COVERAGE
/ /
/ /
0—HERTHAN EA ACT
s
AUTO ONLY AGO
s
EXCESSIUMBRELLA LIABILITY
NO COVERAGE
/ /
/ /
EACH OCCURRENCE
$
AGGREGATE
$
OCCUR CLAIMSMADE
s
DEDUCTIBLE
$
RETENTION I
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
NO COVERAGE
/ /
/ /
'ACSTATJ-ORY , u.--TRH
o
E — EACH ACCIDENT
s
ANY PRO PRIETOR/PARTNER,'ENECUTIVE
OFFICERIMEMBER EXCLLDEDo
It ves, desonbe under
/ /
ELDISEASE -EA EMPLOYEES
E L. DISEASE POLICY LIMIT
s
SPECIAL PROVISIONSbelow
OTHER
NO COVERAGE
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESRXCLUSIONS ADDED BY ENDORSEMENTSPECIAL PROVISIONS
CERTIFICATE HOLDER IS LISTED AS AN ADDITIONAL INSURED WITH RESPECT TO THE GENERAL LIABILITY.
( ) — (970) 224-6134
Purchase 6 Risk Managment
City of Foxt Collins
P.O. BOX 580
Fort Collins CO 80522—
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
.V _ f a5sr. s•. :..
AGURU ZD (LUUIJUH)
IN3025!0Ins) os
C ACORD CORPORATION 1988
Page I ot2
6/4/2010 10:23 A14 PROM: JCB TO: *1 (970) 2216707 PAGE: 002 OF 002
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this
certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an
endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such
endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing
insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively
amend, extend or alter the coverage afforded by the policies listed thereon.
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