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HomeMy WebLinkAbout113129 FT COLLINS CONVENTION & VISITORS BUREAU - INSURANCE CERTIFICATE7 se �I CERTIFICATE OF LIABILITY INSURANCE OF FM DATE(MMIDDM'YY) 06/19/12 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. -S< A the certificate holder is an ADDITIONAL INSURED, the po cy es must be endorsed. G , 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 Hour of such endorsement(s). PRODUCER NAME: PHONE INC, No, Est): (AIC, No): Blown & BIOwn Inc ADDRESS: 4532 Boardwalk Dr, Suite 200 Fort Collins CO 80525 CUSTOMERIDS: FCCON-3 Phone:970-482-7747 Fax:970-484-4165 INSURER(S) AFFORDING COVERAGE WUCi INSURED I�l_ '/ INSURERA: Ind*smitY ^'P+nY co 25658 Ft Collins Convention S Visitors Bureau _Ttavol.ze INSURER B: Plnnacol Assurance company 41190 1 INSURER C: Ta+velets cas, lty c surety 31194 19 Old Town Square #137 -- Ft Collins CO 80529 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. NOTWITHSTANOING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTWITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Y,[R TYPE OF INSURANCE INSR POLICY NUMBER (MMIDDIYY'R) (MMIDOM'W) LIMITS AC( A GENERALUABILTY X COMMERCwLGENERAIUABILITY CI -Ad -MADE O OCCUR X 26806539H83AINDll 11/01/11 11/01/12 EACH OCCLRRENCE f 1,000,000 PREMISES IES=.',rlce) f 300,000 MED EXP (Am, ane person) $ 5,000 PERSONAL& ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2 , 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY PRO JECT LOC PRODUCTS - COMP/OP AGG $2,000,000 $ A -- AUTOMOBILE LIABILITY PNY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BA-217OC947-11-SEL 11/01/11 11/01/12 COMBINED SINGLE LIMIT (Ee III $ 1 , OOO , DDD BODILY INJURY (Per parson) f BODILY INJURY (Per accident) f X PROPERTY DAMAGE (Per sccidant) $ X X $ S — UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEIXICTIBLE RETENTION f $ $ B AC( 8Cold ENSATION AND EMPLOYERS' LIABILITY YIN PNY PROPRIETOR/PARTNEREXECUrIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandetory in NH) If yes, descnbe under DESCRIPTION OF OPERATIONS below /A 196'7062 07/01/12 07/01/13 X TORY LIMITS ER E. L. EACH ACCIDENT $100,000 E. L. DISEASE - EA EMPLOYEE $100,000 E. L. DISEASE -POLICY LIMIT $500,000 C Directors/Officers EPLI 105633862 01/01/12 07/01/13 D60/EPLI 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101. Addttlonal Rems Ms Schedule, B more apace is required) City of Fort Collins it officers, a4ents, nlo ees and volunteers are namean d as Additional insured as it relates to theyAmateur Softball Associaton on Tuesday, July 31, 2012 - Civic Center Park lmurray@fcgov.com - Larry Murray CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE FTCRMGT I THE EXPIRATION DATE THEREOF, NOTICE WILL Be DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins AUTHORRED REPRESENTA Risk Managment PO Box 580 House Account reserved ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD