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HomeMy WebLinkAboutTACOS ON THE STREET - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 07/27/2011 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Western Insruance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1520 E. Mulberry St. Ste 140 _ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins, CO 80524 INSURERS AFFORDING COVERAGE INSURED Tacos on the Street 702 Crown Ridge Lane #3 Fort Collins CO 80525 COVERAGES NAIC # THE POLICIES OF INSURANCELISTED BELOW HAVE BEEN ISSUEDTOTHE INSUREDNAMEDABOVE FORTHE POLICY PERIODI NDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE I NSURANCEAFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALLTHE TERMS, EXCLUSIONS ANDCONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD - POLICY NUMBER POLICY EFFECTIVE DATE dmmunniYyyy,i POLICY EXPIRATION DATE MMInnfYYYYi LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000 000 DAMAGE TO -RENTED $1,000,000 A X COMMERCIAL GENERAL LIABILITY 91SBMZ11549 08/01/2011 08/01/2012 CLAIMS MADE FX I OCCUR MED EXP (Any oneperson) 10,000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $ 2,000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG f2,000,000 17 POLICY PRO- LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ' OTHER THAN EA ACC $ ANY AUTO IS AUTO ONLY: AGG EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOWPARTNEWEXECUTIVLT� OFFICER/MEMBER EXCLUDED? LJ WCSTATU- X OTH- E.L. EACH ACCIDENT $ (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER TIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS is also Additional Insured r City of Fort Collins P.O. Box 580 Attn: Purchasing Division Fort Collins, CO 80522 Phone: I Fax: (9701221-6707 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 INSURER, ITS AGENTS OR ACORD 25 (20091011 988.2009 ACORD CORPORATION. All rights reserved_ The ACORD name and logo are registered marks of ACORD 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 This Certificate of Insurance 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. ibiYbAk1UL11