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Home My WebLink AboutFRONT RANGE INSTITUTE OF SAFETY - INSURANCE CERTIFICATE (4)R�® CERTIFICATE OF LIABILITY INSURANCE OF ID LD DATE(MMIDD/YYYY) 08 03 11 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 AUI NAMEPHONE FAX 1AIC, No, Ext): (MC, No): Brown & Brown Inc 4832 Boardwalk Dr, Suite 200 Fort Collins CO 80525 ADDRESS: ADDRESS: -PRODUCER CUSTOMER ID N: FRINS - 1 INSURER(S) AFFORDING COVERAGE NAICN Phone:970-482-7747 Fax:970-484-4165 INSURED INSURER A: Scottsdale xnsuranca company 41297 INSURER B: earmington casualty company 41483 Front Range Institute of SafetMark Rosoff dba: INSURER C: 1437 hmmitview Drive Ft Collins CO 80524 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. INSRR TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY EFF (MMIDDIYYYY) -POLICY (MMMDNYYY) LIMITS A GENERAL LIABILITY X COMMERCIALGENERAL LIABILITY CLAIMS -MADE OCCUR X CPS1413881 06/27/11 06/27/12 EACH OCCURRENCE $1,000,000 PREMISES(Eaoccunence) $100,000 NED EXP(Any one person) $Excluded PERSONAL &ADV INJURY S1,000,000 GENERAL AGGREGATE $ 2, 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC PRODUCTS-COMPbP AGG $Excluded Prof Liab $ 1, 000, 000 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) S PROPERTY DAMAGE (Per accident) $ $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YINI ANY PROPRIETORIPARTNER/EXECUTIVEM OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA I IFUB9686C28All 01/25/11 01/25/12 X TORYLIMITS ER E.L. EACH ACCIDENT $lODODO E.L. DISEASE- EA EMPLOYEE$ 100000 E.L. DISEASE -POLICY LIMIT 1 $ 500000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES Attach ACORD 101, Additional Remarks Schedule, if more space is required) Instruction in First Aid & C�R City of Fort Collins is included as Additional Insured on the General Liability as respects the operations of the named insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITYF10 I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins 215 N. Mason St. All riahtc romrved ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD