HomeMy WebLinkAboutWILDWATER INC - INSURANCE CERTIFICATEACORO® CERTIFICATE OF LIABILITY INSURANCE
DATE (MM DDIV
1/22/2013
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 endorsements .
PRODUCER
NAOMWEACTLeslie Vannoy, CIC
---�
PHONEf4 Po . (208)743-9426 FACA IL No:(208)748-9433
lvannoy@sattlerins. com
CBIZ Insurance Services, Inc.
44 Baltimore Street, Cumberland, MD 21502
Phone 800-624-5914; Fax 301-724-3953
INSURERS AFFORDING COVERAGE
NAIC S
INSURERA:Tudor Insurance company
7982
INSURED
INSURERS:
INSURERC:
Wildwater, Inc
INSURERD:
DBA: Al Wildwater
INSURERE:
2801 N Shields St
INSURERF:
Fort Collins CO 80524
COVERAGES CERTIFICATE NUMBER:13-14 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
ADDL
POLICY NUMBER
MMIDDY EFF
MMIDD ExP
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
PREMISES Ea occurrence
$ 100,000
X COMMERCIAL GENERAL LIABILITY
A
CLAIMS -MADE FOOCCUR
X
PGPO773549
/26/2013
/26/2014
MED ExP (Any one person)
$ 2,500
PERSONAL &ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GENL AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ Include
$
X POLICY PRO- LOC
AUTOMOBILE
LIABILITY
Ee accident IN GLE LIM17—
3001000
BODILY INJURY (Per person)
$
A
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
GPO773549
/26/2013 ��
1�..
'.
/�6/2014
-
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
NON-OVNJED
HIRED AUTOS AUTOS
N
-
-
$
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAR
CLAIMS -MADE
DED RETENTION
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNERIFJECUTIVE
NC STATU- I OTH-
TORY LIMITS_
E.L. EACH ACCIDENT
$
OFFICERIMEMBER EXCLUDED?
N/A
E.L. DISEASE- EA EMPLOYE
$
(Mandatory In NH)
I(ns, describe underi
DESCRIPTION OF OPERATIONS below
E.L. DISEASE- POLICY LIMIT
$
b
DESCRIPTION OF OPERATIONS) LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
Business Description is rafting, kayak rental S instruction, 6 raft rental
City of Fort Collins is listed as additional insured with respct to the above mentioned policy
Landowner
CERTIFICATE HOLDER I CANCELLATION .
City of Fort Collins
424 West Mulberry Street
Fort Collins, CO 80524
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION :.DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH 1THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Sattler, CPCU, CIC/
f��if�Z1i[11GI•i'.
OO 1988-2010 ACORD CORPORATION. All rights reserved.
INS025 (201005).01 The ACORD name and logo are registered marks of ACORD