The URL can be used to link to this page

Home My WebLink AboutCANYON CONCERT BALLET LTD - INSURANCE CERTIFICATEA nn An CERTIFICATE OF LIABILITY INSURANCE F DATE(MMIDDIYYYY) O8/16/2011 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 CONTACT NAME: Ewing -Leavitt Insurance Agency nIc°"ueE=t:970.679.7333 1 acNe:866.456.4265 4025 St. Cloud Dr. EMAIL ADDRESS: Suite 100 PRODUCER 00007889 CUSTOMER ID p: INSURERS) AFFORDING COVERAGE NAICN Loveland, CO 80538 INSURED INSURER A: Philadelphia Insurance Group R18667 Canyon Concert Ballet LTD INSURERB: Plnnacol Assurance 41190 1031 Conifer INSURERC: Fort Collins, CO 80524 INSURER D: INSURER E : INSURER F : COVERAGES GERI IFICATE NUMBER: 11-12 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 LTR TYPE OF INSURANCE N DL INSR SUBR WVD POLICY NUMBER POLICY EFF MMIODIVVVV POLICY EXP MMIDDIVVVY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE `J OCCUR PHPK76080508119/2011 11/01/2012 EACHOCCURRENCE $ 2,000,000 DAMAGETO RENTED PREMISES.(Ea ccurraricef MED EXP (Any one person) $ 300,000 $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GENL AGGREGATE LIMIT APPLIES PER. X POLICY r7 PACT LOC PRODUCTS - COMP/OP AGG $ 4,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS PHPK76080508/1912011 11/01/2012 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X $ $ UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS MADE EACH OCCURRENCE 8 AGGREGATE $ _ DEDUCTIBLE RETENTION $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY OFFICER/MEMBER EXCLUDED? PROPRIETORIPARTNER/EXECUTIVE❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 151676208/01/2011 08/01/2012 X WC STATU- QtH TORY LIMITS ER E.L. EACH ACCIDENT 8 100,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE -POLICY LIMIT $ 100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) E: Canyon Concert Ballet and Dance Center Spring Showcase - May 14, 2011. City of Fort Collins 's named as Additional Insured on the General Liability policy as respects this event. li_. I HlnH I ¢ nv,�,n VHIYIiCLLH I IVIY City of Fort Collins P.O. Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE K 1988-2009 ACORD CORPORATION. All ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD