The URL can be used to link to this page

Home My WebLink About478664 PROFESSOR MUNCHIE CONCESSIONS (G BJORKLUND) - INSURANCE CERTIFICATE (2)HRR-01-2011 15:24 From:WESTERH INSURANCE 9704841453 To:Cit!j of Fort Collins P.2 CERTIFICATE OF LIABILITY INSURANCE ATF(MM100fYYYY) [02:12212C11 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Western Insurance Services, Inc, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1520 E Mulberry Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 140 Fort Collins CO 80524 INSURERS AFFORDING COVERAGE NAIC # INSURED Professor Munchie IN9URERA- Scottsdale Insurance Cornan 5200 Stillwater Creek Ct INSURE B FirstCom INSt�R�,C Fort Collins CO 60528 COVERAGES THEPOLICIESOFINSURANCELISTEDBELOW ANY MAY POLICIES. REQUIREMENT, P£RTAIN,THE TERM OR CONDITION INSURANCEAFFORDED AGGREGATE LIMITS SHOWN HAVE Br;ENISSUEDTOTHEINSURE:DNAMEDABOVEFORTHEPOi OF ANY CONTRACT OR OTHER BYTHEPOLICIES DESCRIBED MAY HAVE BEEN REDUCED aY DOCUMENT WITH HEREINISSU13JEGTTOALLTHETERMS, PAID CLAIMS. RESPECT TO WHICH ICYPERiODINDICATED.NOTWITHSTANDING THIS CERTIFICATE MAY Be ISSUED OR EXCLUSIONS AND CONDITIONSOFSUCH N5R CID' RL POLICY NUMBER POLICY EFFECTIVE POLICY eXPIRATION LIMITS A GENERAL LIABILITY COnnMERCIALGENER4LLIABELITY CLAIMSMADE I OCCUR CP51320z14 02l2212011 02l22l2012 FACH OCCURRENCE .'9 1,000,_000 DAMAGE TO RENTED sGEagccutrJ]0. MED EXp An one 9reon $100 000 rJ 000 PERSONAL S ADV INJURY g 1,000,000 „GENERALAGGREGATE a 2,000,000 i I GENT AGGREGATE I,I,MITAPPLIES PER: POLICY Pfi0_ LOC PRODUCTS -COMP? PAGG s 2,000,000 AUTOMOBILE LIABILITY I ANY AUTO f:OMBINEO SINGLE LIMIT (ES 9br,,dvnq 9 ALL OWNED AUTOS SCHFDULED AUTOS 150DILY INJURY (Per person) S HIRED AUTOS NON -OWNED AUTOS BODILY INJURY I {Pef 8to,d9nl) PROPERTr DAMAGE (Per9yddenq 3 GARAGE LIA8IUT'Y A TQ2 - EA ACCIOENT ANY AUTO OTHER THAN AUTO ONLY: A G $ EXCESS / UMDRELLA LIABILITY OCCUR CLAIMS MADE i EA-'H OCCURRENCE GGREGATE DEDUCTIBLE RETENTION S WORKERS COMPQNSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNEPJEXECUTIVf OFFICERIMEMSER EXCLUDED? N I f qs. degctory in NH) i} 94, tl99Cfip6 Unddr SQ—IA_LZ VI I o RF;00004366,01 02122/2011 02/22/2012 WG STgTU- X OTH• 3 E.L.EACHACCIOENT s100,000 E.L. DISEASE . EA EMPLOYEE 3 100,000 E.L. DISEASE - POLICY LIMIT 16 800 000 f i CITHER f DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT f SPECIAL PROVISIONS Certificate Holder is listed as an Additional Insured with respect to the general liability coverage, I'COTICIfIA rr- UnI nro ---- vn NVr- /A I IVI`I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BR CANCELLED BEFORE THE EXPIRATION City of Fort Collins DATE THEREOF, THE ISSUING INSURER WLL ENDEAVOR TO MAIL -j9— DAYS WRITTEN P.O. BOX 580 NOTICE TO THE C6R-nFI(:ATE HOLOER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Attn: Purchasing Division IMPOSE NO OKR. AT1ON OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fort Collins, CO 80522 REPRESENTATIVES. Phone: AUTHORtza) P E''ENTATIVE Fax: 970 221-6707 ;4PRLA40N. ACORD 26 (2009/01) s8s-2009 ACORD CAll r€gllts reserved, I ne AC:URU name and logo are registered marks of ACORD HAR-01-2:011 15:24 Froni:WESTERN INSURANCE 970434/453 To:Cita of Fort Collins P.3 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this cell#fcate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or after the coverage afforded by the policies listed thereon. r�r:a�rrrirw CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 02/22/2011 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Western Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1520 E Mulberry Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 140 INSURED Professor Munchie 5200 Stillwater Creek Ct Fort Collins CO 80528 COVERAGES INSURERS AFFORDING COVERAGE NAIC # INSURERA: .Scottsdale Insurance Company INRIIRFR R FlrstComo THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN I SSUEDTO THE INSURED NAMEDABOVE FORTH E POLICYPERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECTTOALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD1 POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED $ 100,000 A X COMMERCIAL GENERAL LIABILITY CPS1320214 02/22/2011 02/22/2012 CLAIMS MADE O OCCUR MED EXP (Any oneperson) $ 5,000 PERSONAL R ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $2,000,000 1-1 POLICY PRO LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS _ SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS- -- - -- - - -- - PROPERTY DAMAGE (Per accident) •$ - - GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/ UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F—ICLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION WC STATU- X" OTH- B AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIV Y / N OFFICER/MEMBER EXCLUDED-% N (Mandatory in NH) RFC0004366-01 02/22/2011 02/22/2012 E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE- EA EMPLOYEE$ 100,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate Holder is listed as an Additional Insured with respect to the general liability coverage. City -of Fort Collins i P:O: Box 580 ' Attn: Purchasing Division Fort Collins, CO 80522 Phone: I Fax: (970)221-6707 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE_ THE EXPIRATION ' DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED ACORD 25 (2009/01) The ACORD name and logo are registered marks of ACORD All rights reserved. IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2009101)