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HomeMy WebLinkAboutMILE HIGH CHIMES - INSURANCE CERTIFICATE- --"I � -CA /30/2014Y ) CERTIFICATE OF LIABILITY INSURANCE 2nDi2D1A IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS THIS CERTIFICATE 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 pollcy(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 endorsoment(s). PRODUCER Henry Ham Insurance Agency 645 East Evans Ave. P.O. Box 100547 CONTACT NAME PHONE FA% AR No. EX : ac No E-MAIL Christine@henryham.com INSURERES) AFFORDING COVERAGE NAIC i Denver, CO 80210 www.henryham.com INsuRERA: U.S. Fire Insurance Company 21113 INSURED SPORTS AND RECREATION PROVIDERS ASSOCIATION(PURCHASING GIIOUP)AND ITS PARTICIPATING MEMBERS: INSURERS: INSURERC: INSURERD: MILE HIGH CHIMES LEONA WINTER INSURERE: _ 1340E WCR 64 --- AULT, CO 6D610 INSURERF: CERTIFICATE NUMBER: US.S2AR761 REVISION NUMBER: COVERAGE,. CERTIFICATE ......_ NUMBER: ____._ _. THIS 15 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 HEREW IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ITS OFINSURANCE LNSR WYU POLICY NUMBER PMMIporcYYY) POLICY EXP (MMIDDITYTYI LIMITS GENERAL LIABILITY GENERAL AGGREGATE S 2.000D1O IDRODUCTS- COMPOP AGO S ?,iA00J0 X GCI ERDAL GENERAL UADUTY PERSONAL' i ADV IN.UR Y $ 1 000 000 cL>r.Is.Mme a nccuR 014 A x SRPG-101-0414 1201 AM 12:01 AM 12:01 AM 12:01 AM EP"'H 0"c;IRRBNcr_ $ +,000,oaI FIRE DPMAOE (AnYore fire) S $00 NO GENLAOCRErAVE LIMITAPPUES PER. MED EX (Any om, p.m,) $ 5000 X PCUC. R JECT LOC COMBINED SINGLE LIMIT (Ea acrldery S AUTOMOBILE LIABILITY E0D." NVVJRY (PUI' 'I... y no0., BODILY NJURY P I -II IdsnN g ALL OMJED S:HEMIEn AJTGS AUTOS NIX,-0..ED PROPERTYCNHAGE wcrsr!daR) $ 11PPMAUI0 AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE S AGGREGATE $ E%LESS LIAB IXAIMSauDE f RETS11TI011 S WORKERS COMPENSATION LNCBTABU O1H g ANDENTLOYERS LABILITY YIN TORYUMITS ,R EACH ACCIDENT T AM OFFIC£WMnA GE%1:JICL UTIFUR 7 We q Pu—II.mry1n NM) EL. DISEASE -PI LIMIT g s ses, ceunoe mua DESCRIPTUM OFOPEPAhOIISpem, ADBD MAXIMUM MEDICAL DEDUCTIBLE TERMS OF PAYMENT DESCRIPTION OF OPEMnONS / LOCATIONS / VEHICLPS (Attach ACORD 101, AddlDonal Remereo Schedule, If more space Is required) Covered Vendor Type: Ads 6 Crofts Vendors. Certificate Holder is named as additional insured with respect to the operations of the Named Insured. r PRTIFICATE RICH DER CANCELLATION CITY OF FORT COLLINS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 580 ACCORDANCE WITH THE POLICY PROVISIONS. FORT COLLINS, CO 80527 AUTHON2eD REP"SENTATYB Fra&v-LY L. P a-w © 1998-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD