HomeMy WebLinkAboutJ.P. LEGEL INC DBA A WANDERLUST ADVENTURE - INSURANCE CERTIFICATEA� �® CERTIFICATE OF LIABILITY INSURANCE
rDATE
5/29/2014rr)
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 endomement(s).
PRODUCER
Sattler Insurance
1504 8th St
Lewiston ID 83501
CONTACT HollyFriede
NAME:
PHONE (208)743-9426 PAX AIC ,(208)748-9433
E-MAILESS .holly®sattlerins.com
INSURERS AFFORDING COVERAGE
NAICa
INSURERA:Tudor Insurance Company
37982
INSURED
J.P. Legal, Inc.,
DBA: A Wanderlust Adventure
3500 Bingham Bill Rd.
Ft. Collins CO 80521
INSURER B :
INSURER C:
INSURER D:
INSURER E:
INSURER F:
CnVFRAGFS CERTIFICATE NUMBER:14-15 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
ADDLSUBR
POLICY NUMBER
POLICY EFY
MMIIDIYYYY
LIMITS
GENERFLLIABILITY
EACH OCCURRENCE
$ 11000,000
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE FxIOCCUR
X
PGP0774119
6/8/2014
5/8/2015
PREMISES ocwrm,ce
$ 100,000
MED EXP (Any one person)
$ 2,500
PERSONAL B ADV INJURY
$ 11 000,000
GENERAL AGGREGATE
$ 2, 000,000
GENT AGGREGATE LIMIT APPLIES PER:
PRODUCTS AGG
$ Include
$
-X POLICY PRO- LOG
AUTIFCT
OMOBILE LIASILITY
COMBINED SINGLE LIMIT
Ea acc,d.,t
BODILY INJURY Per person)
$
ANY AUTO
BODILY INJURY (Per accident)
$ --'
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
HIRED AUTOS PAUTOS
PROPERTY DAMAGE
Per accident
$
$
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED RETENTION It
$
WORKERS COMPENSATION
IINC STATU- I OTH-
•
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNERIEXECUTIVE
E.L. EACH ACCIDENT
$
OFFICER/MEMBER EXCLUDED?
NIA
(Mandatory in NH)
E.L. DISEASE - EA EMPLOYE
$
'
If ns.'desuibe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
The certificate holder is an additional insured for general liability only with respects to the ongoing
operations of the named insured.
Landowner
City of Fort Collins Parks and Recreation
1745 Hoffman Mill Rd.
Fort Collins, CO 80526
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
125
Settler, CPCU, CIC/
01988-2010 ACORD
INS025 (2D10o5) o1 The ACORD name and logo are registered marks of ACORD
rights