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Home My WebLink About260459 FUN FORTRESS AND PLAY POINTE DBA FORT FUN - INSURANCE CERTIFICATEAl Or CERTIFICATE OF LIABILITY INSURANCE 5/23/2013Y) 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(ies) 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 endorsement(s). PRODUCER CENTENNIAL INSURANCE AGENCY, LLC. 1515 Fortino Blvd. 2nd Floor Pueblo !/�f Q Y� CO 81008 CONTACT Mark E. Swanson NAME: PHONE (719)544-1111 qAC No: (719)545-5120 E-MAIL ,mswanson@centennial-ins. com INSURERS AFFORDING COVERAGE NAIC M INSURERA:T.H.E. Insurance COm an INSURED Fun Fortress, LLC and Play Pointe, LLC DBA: Fort Fun 1513 E. Mulberry Street Fort Collins CO 80524 INSURER B INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:2013-2014 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 UBN POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP (MMIDDNYYYI LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR PP0101471-03 /30/2013 /30/2014 EACH OCCURRENCE $ 1,000,000 DAMAGE T RENT PREMISES Ea occurrence $ 50,000 MED EXP(An, one person) $ 5,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMITJECT APPLIES PER'. X POLICY PRO LOC PRODUCTS-COMP/OP AGG $ 1,000,000 S A AUTOMOBILE LIABILITY ANY AUTO ALL OVAED SCHEDULED AUTOS AUTOS HIRED AUTOS X NOWONMED AUTOS PP0101471-03 /30/2013 /30/2014 EOMBINtlEEDI SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY Per accident ( ) $ X PROPERTY DAMAGE Per accitlent $ A X UMBRELLALIAB EXCESS LIAB Xd OCCUR CLAIMS -MADE PP0101471-03 5/30/2013 5/30/2014 EACH OCCURRENCE S 1,000,000 AGGREGATE $ 1,000,000 DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED' ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS be. NIA I WC STATU- GTH- EL EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE- POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, ITmom space Is required) City of Fort Collins Purchasing Division P.O. BOX 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 25 (2010/05) Swanson/CARLIE` / �`- Oc 1988-2010 ACORD CORPORATION All rinhto rneerond INS025 (201005).01 The ACORD name and logo are registered marks of ACORD