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HomeMy WebLinkAboutGREENSHIRE STABLES LLC - INSURANCE CERTIFICATE (2)OP ID: RC ,acoRO CERTIFICATE OF LIABILITY INSURANCE �,� 07/27 DATDYVVV) on27n 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER 970-867-8246 Goetz lnsurors, Inc. 970-867-4408 227 Main St Fort Morgan, CO 80701 Rob Carruth CONTACT_NAN PHONE FAX ac No Ext: AIC No: ADDRESS: PRODUCER GREE-ST CUSTOMER ID #: INSURERS AFFORDING COVERAGE NAIC# INSURED Greenshire Stables LLC, H INSURER A: American Bankers Insurance Co INSURER B: American Reliable Insurance Co 19615 Craig & Barbara L West Norris INSURERC: 4205 S County Road 7 Fort Collins, CO 80525-9610 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER' REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIVVVV MMIDDIYYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 X COMMERCIAL GENERAL LIABILITY X FSL4161751 11/15/10 11/15/11 ANIArA PREMSESEa occurrence $ 50,00 MED EXP (Any one person) S 5,000 CLAIMS -MADE Fx� OCCUR PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,00 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,00 I$ POLICY F7 PRO- LOC ECT B AUTOMOBILE LIABILITY ANY AUTO CFA000520-4 11/15/11 11/15/11 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ALL OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ SCHEDULED AUTOS HIRED AUTOS $ NON -OWNED AUTOS S LALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB EXCESS CLAIMS -MADE DEDUCTIBLE $ Is RETENTION $ WORKERS COMPENSATION AND EMPLOVERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N I A WC STATU- OTH- T V T R E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The City of Fort Collins is named as an Additional Insured in regards to the General Liability. CERTIFICATE HOLDER CANCFI 1 ATION CITY010 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins Purchasing Departmnet THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 AUTHORIZED REPRESENTA Fort Collins, CO 80522 Rob Carruth © 1988.2009 ORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACO D