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Home My WebLink About282740 SPORT AND FITNESS INC - INSURANCE CERTIFICATE®Allstate. You in ePod n,nd.. CERTIFICATE OF INSURANCE CI CW A02 10 11 This certificate is issued for informational purposes only. It certifies that the policies listed in this document have been issued to the Named Insured. It does not grant any rights to any parry nor can it be used, in any way, to modify coverage provided by such policies. Alteration of this certificate does not change the terms, exclusions or conditions of such policies. Coverage is subject to the provisions of the policies, including any exclusions or conditions, regardless of the provisions of any other contract, such as between the certificate holder and the Named Insured. The limits shown below are the limits provided at the policy inception. Subsequent paid claims may reduce these limits. Certificate Holler. CITY OF FORT COLLINS PO BOX 580 FORT COLLINS, CO USA 805220580 Named Insured: Z 8 y1 w L 7 SPORT AND FITNESS, INC 1409 PIKES PEAK AVE FORT COLLINS CO 80524-4313 Automobile Liability Insurer Name: Allstate Insurance Company Pof Number. 648128822 1 --Any Auto 2 - Owned Autos Only 3 - Owned Pnv. Pass. Autos Only 4 -- Owned Autos Other Than Priv. Pass. Autos Only 5 - Owned Autos Subject to No Fault 6 - Owned Autos Subject to a Compulsory UM Law X 7 -- Specifically Described Autos 18 - Hired Autos Only 9 - Nonowned Autos Only Policy Effective Date : 12 -17 - 2 013 1 Policy Expiration Date: Limits of $1, 000, 000 _ Combined Single Limit (each accident) Insurance: BI Per Person I BI Per Accident PD Per Accident Description of O rations/Locations/Vehicles/Endorsements/S sal Provisions Interested Party Type: Additional Insured - Municipality THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER. IF THIS CERTIFICATE INDICATES THAT THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES) MUST EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE HOLDER WITH ADDITIONAL INSURED STATUS. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE EXTENT INDICATED IN SUCH POLICY LANGUAGE OR ENDORSEMENT. Producer. OLD TOWN INS INC Date: Authorized Representative: M BU„4Rs Cl CW A02 10 11 Includes copyrighted material of Insurance Services Office, Inc., with its permission Allstate Insurance Company Page 1 of 1 Mdiuonnl lusurea Copy ®Allstate. You're In good hands. POLICY NUMBER: 648128822 COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement Effective: 0 2 - 0 5 - 2 014 Countersigned By: Authorized Representative Named Insured: SPORT AND FITNESS, INC SCHEDULE Name of Person(s) or Orgarization(s): CITY OF FORT COLLINS PO BOX 580 FORT COLLINS, CO USA 805220580 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form. N BU114R3 CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 ❑ Addip, el hwmd Copy ®Allstate. You re in good hood.. If II4R-3 CUSTOMER NUMBER: 502184 OLD TOWN INS INC 315 W.MAGNOLIA ST #7 FORT COLLINS, CO 80521 CITY OF FORT PO BOX 580 FORT COLLINS, COLLINS CO 80522-0580 RUN DATE: 02-05-14 100001402056481288220209000010001002 Cea4mele Copy QJ)Allstate Cl CW A02 10 11 CERTIFICATE OF INSURANCE This certificate is issued for informational purposes only. It certifies that the policies listed in this document have been issued to the Named Insured. It does not grant any rights to any party nor can it be used, in any way, to modify coverage provided by such policies. Alteration of this certificate does not change the terms, exclusions or conditions of such policies. Coverage is subject to the provisions of the policies, including any exclusions or conditions, regard- less of the provisions of any other contract, such as between the certificate holder and the Named Insured. The limits shown below are the limits provided at the policy inception. Subsequent paid claims may reduce these limits. Certllimte Holler. CITY OF FORT COLLINS PO BOX 580 FORT COLLINS, CO 80522-0580 Named Insured: SPORT AND FITNESS, INC 1409 PIKES PEAK AVE FORT COLLINS CO 80524-4313 Automobile Liability Insurer Name: Allstate Insurance Company Pd' Number. 648128822 1 — Any Auto 1 12 — Owned Autos Only 3 — Owned Pdv. Pass. Autos Only 4 — Owned Autos Other Than Priv. Pass. Autos Only 5 — Owned Autos Subject to No Fault 6 — Owned Autos Subject to a Compulsory UM Law X 7 — Specifically Described Autos 1 18 — Hired Autos Only 9 — Non -owned Autos Only Policy Effective Date: 12-17-2013 Policy ration Dote: 12-17-2014 Limits Of $ 500,000 Combined Single Limit (each accident) Insurance' BI Per Person I BI Per Accident PD Per Accident Description of OpeFations/Locations/Vehicies/Endorsoments/SpeciaI Provisions THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER. IF THIS CERTIFICATE INDICATES THAT THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES) MUST EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE HOLDER WITH ADDITIONAL INSURED STATUS. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE EXTENT INDICATED IN SUCH POLICY LANGUAGE OR ENDORSEMENT. Producer: OLD TOWN INS INC Authorized Representative: Date: Includes copyrighted material of Insurance Services Office, Inc., with its permission Cl CW A02 10 11 Allstate Insurance Company CeMkc ta ("l" Page 1 0l 1