HomeMy WebLinkAboutTHE TOWN PUMP - INSURANCE CERTIFICATECertificate of Insurance
This Certificate is issued as a matter of information only and confers no rights upon the
certificate holder. This certificate does not amend, extend or alter the coverage afforded
ISSUE DATE 02/11113
by the policies below.
RETAIL PRODUCER
ISSUING CARRIER — PRIMARY POLICY
John C. Beckett & Associates
Century Surety Company
220 Smith Street
465 Cleveland Avenue
Fort Collins, CO 80524
Westerville, OH 43082
Phone: 970-484-2805 Fax: 97OA84-2885
INSURED
ISSUED BY:
The Town Pump
Anchor Bay Insurance Managers, Inc
John K. L.atendresse
Post Office Box # 2510
124 North College Avenue
Silverdale, WA 98383
Fort Collins, CO 80524
COVERAGES - - --
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, tens 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.
Effective
Expiration
Type of Insurance
Policy number
Date
Date
Limits
Building(s)
Not Covered
Tenant's Improvements & Beftennents
Not Covered
Commercial Property
CCP804896
2/8/2013
2/8/2014
Business Personal Property
$32,300
Business Income Including
$60.000
Extra Expense
General Aggregate
$2,000,000
Products and Completed Ops Aggregate
$1,000,000
Commercial General Liability
CCP804896
2/8/2013
2/8/2014
Personal & Advertising Injury
$1,000,000
& Liquor Liability
Each Occurrence
$1,000,000
Damage to Premises Rented to You
$100,000
Medical Payments (each person)
$5,000
Liquor Legal (each common cause)
$300,000
Liquor Legal (annual aggregate)
$3Do,00
Non -owned & Hired Auto Liability
Not Covered
Employee Benefits UabiliD/
S1,000,0W$1,000,000
Excess Liability
Not Covered
Comments:
RE: Outdoor Seating Area
Equipment Breakdown Enhancement Endorsement & Property Enhancement Endorsement are both included.
Certificate Holder is added as Additional Insured per: ISO form CG 2012 0798.
Location Address: 124 North College Avenue Fort Collins, CO 80524
Certificate Holder
Cancellation:
Should any of the above described policies be canceled before the expiration date
City of Fort Collins
thereof, the issuing company will endeavor to mail 30' days written notice to the
PO Box 580
certificate holder named to the left, but failure to mail such notice shall impose no
Fort Collins, CO 80522
obligation or liability of any kind upon the company, its agents or representatives.
-10 days for non-payment of premium.
Authorized Representative:
THIS CONTRACT IS DELIVERED AS A SURPLUS ONES COVERAGE
UNDER T ADMITTED INSURANCE ACT'. THEDOBUINSURER
IS CON
ISSUING THIS CONTRACT IS NOT LICENSED IN COLORADO BUT IS
AN APPROVED NON ADMITTED INSURER. THERE IS NO
PROTECTION UNDER THE PROVISION OF THE COLORADO
' INSURANCE GUARANTY ASSOCIATION ACT.