HomeMy WebLinkAboutCOLORADO CARRIAGE & WAGON - INSURANCE CERTIFICATE1/4/2012 11:29 AM FROM: JCB TO: 4162209 PAGE: 002 OF 002
acoRoW CERTIFICATE OF LIABILITY INSURANCE
BAT` 7200Y1yyy
2,
O1/04/2012
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(les) 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 endorsemen((s).
PRODUCER
CON AL
NAM:
JONN C. HECKETT 6 ASSOCIATES, INC.
220 Smith Street
a2"ENS En)'. (970) 484-2805 FAX (At. NAI, (BTp) aaA-seas
tim
POOREST: @beckettinsurance.com
EUSTOWER n xolorado Carriage 6 Wagon
INSURERS) AFFORDING COVERAGE
NAIC#
Ft. Collins CO 80524-
INSURED
INSURER A NAUTILUS INSURANCE
Colorado Carriage s Wagon
_COMPANY
INSURER B
410 Franklin St.
INSURER L
INSURER D
INSURER E
Fort Collins CO 80521-
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 NMICH 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.
NS0.
FOOL
SOUR
POLICY EFF
FOLD EXP
LTR
TYPE OF INSURANCE
N5R
WYD
I POLICY NUMBER
ASNDDrcrY1T
NmmpnrrntNOMD
uTers
A
GENERAL LIABILITY
BR0156243
1/03/2012
1/03/2013
RENCE
g 1,000, 000
X COMMERCIAL GENERAL LIABILITY
/ /
/ /
PREMISES QNDEncP
$ 100,000
/ /
/ /
CLAIMS -MADE OCCUR
y one person)
$ 5,000
COV INXRY
$ 1,000,000
GREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER
PRODUCTS AGO
$ INCLUDED
/ /
/ /
X POLICY PROJECT LOT
/ /
/ /
E
AVTONODILE
WOLRY
10 COVERAGE
/ /
/ /
COMBINED SINGLE LN11T
E. aaiderU
$
ALAUTO
/ /
/ /
BODILY INJURY (Per person)
$
ALL L GAINED AUTOS
/ /
/ /
BODILY INJURY (Per aoPJePU
$
SCHEDULED AUTOS
/ /
PROPERTY DAMAGE
(Peramdent)
$
HIREDAUTOS
/ l
l l
NON-OV,NED ALTOS
/ /
/ /
$
UNUREL1A UAB
OCCUR
0 COVERAGE
/ /
/ /
EACH OCCURRENCE
$
EXCESS Lee
CLAIMSNADE
/ /
/ /
AGGREGATE
$
/ /
/ /
DEDUCTIBLE
$
RETENTION $
/ /
/ /
$
WORMERS COWENSATON
0 COVERAGE
I /
/ /
R STATU 1 OTH-
AND EMPLOYERSLUGILRY
YIN
EL EACH ACCIDENT
$
ANV PROPRIEIORPARINER,XECUIIVE
/ /
/ /
OFFICERmn EMBER ExCwoEDN
NIA
(Mandatory In NH)
EL DISEASE - EA EMPLOYE
$
uses desorbe Under
/ /
/ /
DESCRIPTION OF OPERATIONS beIeW
E.L. DISEASE -POLICY LIMIT
S
0 COVERAGE
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES AGAIN ACORD 101. AYtlma1 emvaX S[MWA, a TOIA Fp KA IS .'XR,
CERTIFICATE HOLDER IS LISTED AS AN ADDITIONAL INSURED WITH RESPECT TO THE GENERAL LIABILITY.
(970) 416-2209
Attn: Kayla Ballard SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Fort Collins
P.O. BOX 580
Fort Collins CO 80522-
AVTHORREO REPRESENTATIVE
• J / i
n 191111.711051 ArnRn rnaonRannN AN HnHrc rDAAr„N.l
INS025(2ooe09) IMe ACORD name and logo are registered marks of ACORD