HomeMy WebLinkAboutSAMMY Q'S GELATOLAND - INSURANCE CERTIFICATEAt OR,� CERTIFICATE OF LIABILITY INSURANCE OPID KA
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DAT0910Dl11
09/07/11
THIS CERTIFICATE 15 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.
t e cart cafe o er an , t e po cy es must a en orse . , s act 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
NAME: Diana Vigil
tac. Na,Ed): 970-494-4668 (NC, Na): 970-969-916
Brown 6 Brown Inc
ADDRESS: dvi il@bbcolorado.com
4532 Boardwalk Dr, Suite 200
Fort Collins CO 80525
c6sVoaRID r. SAIMIY-1
Phone:970-482-7747 Fax:970-484-4165
INSURER(S) AFFORDING COVERAGE
NMCs
INSURED
INSURER A: MOILCAh Casualty Of 6s6din9.
20427
Sammy QIs Gelatoland
205 F. College Ave.
Fort Collins CO 80524
INSURER B:
INSURER C:
INSURER D :
INSURER E :
INSURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HOVE BEEN ISSUED TO THE INSURED NAJMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING My PEOUIREMFNT. TERM OR CONDITION OF ANY CONTRACT OR OTTER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE Pq ICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMSINSK
LTR
ME OF INSURANCE
INSR
POLICY NUMBER
(MMIDDIYYYY)
I14MIDDI NNY)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$1,000,000
A
X COMMERCIAL GENERAL LIABILITY
4030576295
04/01/11
04/01/12
PREMISES Eaoccurrence)
$11000,000
CIUNMSMADE �X OCCUR
MEDI (My we person)
$10,000
PERSONAL B ADV INJURY
$1,000,000
Business Owners
x
GENERAL AGGREGATE
$ 2 , 000 , 000
GEHL AGGREGATE LIMIT APPLIES PER
PRODUCTS - COMP/OP AGG
$2,000,000
POLICY PEa LOC
$
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
E. ecc corc)
$
ANY AUTO
BODILY INJLRY (Per person)
S
ALL OV DAUTOs
BODILY WJI.RY (Per ecndert)
f
SCHEDULED AUTOS
HIREDAUTOS
PROPERTY DAMAGE
(Per ecadera)
$
NOWCVINED AUTOS
$
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
$
EXCESS LIAB
CLAIMSMPDE
AGGREGATE
$
DEDUCTIBLE
$
$
RETENTION $
WORKERS COMPENSATION
AND EMPLOYERS'LTABIUTY YIN
TORYLIMITS I ER
EL EACH ACCIDEM
i
ANY PROPRIETCF/PARTNER,E%ECUTIVE ❑
OFFICEWMEMBER EACLUDED9
;IA
E.L. DISEASE - EA EMPLOYEE
f
(Mandatory In NH)
It yes, describe under
E. L. DISEASE - POLICY LIMIT
S
DESCRIPTION OF OPERATIONS below
A
Property
4030576295
04/01/11
04/01/12
Building 55,000
Contents 100,000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional RemarNs Schetlule, a morn epaca Is required)
Cit of Fort Collins is included as additional insured on the general
lia ility if required by written contract.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE
CITYFC8 I THE EXPIRATION DATE THEREOF, NOTICEWILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Fort Collins
300 LaPorte Ave
ACORD 25 (2009/09) The ACORD name and logo are