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HomeMy WebLinkAboutRAM INTERNATIONAL 1 LLC - INSURANCE CERTIFICATEA� �® CERTIFICATE OF LIABILITY INSURANCE 7ni2oia/°°"YYY' 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 Arthur J. Gallagher Risk Management Services, Inc. P.O. Box 2925 Tacoma WA 98401-2925 CONTACT NAME: PHONE FAX (A1C N MESS INSURERS AFFORDING COVERAGE NAIC # ' INSURERA:Arch Insurance Company 11150 INSURED INSURER B : Ram International 1, LLC 10013 - 59th Avenue SW. F INSURER C: Tacoma, WA 98498 INSURER D INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: 1655379711 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. HIER LTR TYPE OFADULISUum INSD IWO POLICY NUMBER POLICY EFF MM/DD POUCYEXP MM/D LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S CLAIMS -MADE OCCUR DAMAGE NT PREMISES REMIT 15- $ MED EXP(Anyone person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ POLICY E PRO- ❑ ECT LOC PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY INGLE LIMIT Ea acdtlent $ BODILY INJURY (Per person) $ ANY AUTO ALL UTOOSSVNED AUTOS AUTOS BODILY BODILY INJURY (Per am en0 $ HIRED AUTOS NON -OWNED AUTOS ERDAMAGE$ Par accident S UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS UAB CLAIMSAADE DIED RETENTION$ $ A WORKERS COMPENSATION ANDEMPLOYERS' LMSIDTY YIN ZAWC16500500 /1/2014 /1/2015 PER OTH- X STATUTE ER E.L. EACH ACCIDENT $1.000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUOEO'1 ❑ NIA E.L. DISEASE- EA EMPLOYEd $1.000.000 (Mandatory in NH) It yes desuib undo, DESCRIPTION OF OPERATIONS It . E.L. DISEASE -POLICY LIMIT 1 $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICIES (ACORD 101, A4dihorral Remarks Stl edule. may W amehed If more apace is mqulred) Re: Collindale Golf Course - Restaurant/Snack Bar/Concession Agreement Named Insured includes: Collindale 57 LLC d/b/a CB & Potts Evidence of WC Insurance SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The City of Fort Collins, Colorado ACCORDANCE WITH THE POLICY PROVISIONS. 300 LaPorte Avenue Fort Collins CO 80521 USA gUTHORIZm REPRESENTATIVE ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All riahtc reserved The ACORD name and logo are registered marks of ACORD 001105