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HomeMy WebLinkAbout113129 FORT COLLINS CONVENTION AND VISITORS BUREAU - INSURANCE CERTIFICATEFCCON-3 OP ID: P6 ,a►`oRo CERTIFICATE OF LIABILITY INSURANCE DAT10/03/14YY) 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 endorsements . PRODUCER Phone:970.482-7747 Brown & Brown Inc Fax: 970-484-4165 4532 Boardwalk Dr, Suite 200 Fort Collins, CO 80625 House Account CONTACT PHONE FAX ac Na EMI, INC, No): EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC P INSURERA:CONTINENTAL WESTERN GROUP INSURED Ft Collins Convention INSURER B: Plnnacol Assurance Compan 41190 & Visitors Bureau 19 Old Town Square #137 Ft Collins, CO 80524 INSURER C INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 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 A US POLICY NUMBER MIDD/YYYY MM/DD/YYYYffi&ADV UNITS GENERAL LIABILITY RRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X CPA3002926.23 11/01114 11/01/15ELATED a ocwrrence E 100,00 CLAIMS -MADE Y OCCUR ny one person) $ 10,00 ADV INJURY $ 1,000,00GREGATE $ 2,000,00GENT AGGREGATE LIMIT APPLIES PER. -COMP/OP AGG $ 2,000,00 $ POLICY PRO- LOC JECT AUTOMOBILE LIABILITY Ee amdeD SINGLE LIMIT $ 1,000,00 BODILY INJURY(Per person) $ A ANY AUTO X CPA3002926-23 11/01/14 11/01/15 BODILY INJURY (Per accident) $ ALLOWNED SCHEDULED AUTOS X AUTOS PROPERTY DAMAGE Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN 1967062 07101N4 07/01/15 WC STATU- OTH- X T IT R E.L. EACH ACCIDENT $ 100,00 OFFICERIMEMBER EXCLUDED? ❑ (Mandatory In NH) NIA E.L. DISEASE - EA EMPLOYEE $ 100,00 It yes, describe under DESCRIPTION OF OPERATIONS below EL DISEASE -POLICY LIMIT E 500,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more spa" is required) Certificate holder included as Additional Insured on General Liability in G9if d2 by /9written contract and Auto Liability policyper policyform CA20489 CERTIFICATE HOLDER CANCELLATION CITYOFF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ft. Collins PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD