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Home My WebLink AboutRAM INTERNATIONAL 1 LLC - INSURANCE CERTIFICATE (2)ACCAR o® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 12/1 /2014 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 Arthur J. Gallagher Risk Management Services, Inc. P.O. Box 2925 Tacoma WA 98401-2925 CONTACT NAME: Joy Lewis ix 253-572-1430 PHONE 206-607-0954 FAC In Ban. -WI =L,,,.joy_lewis@ajg.com INSURERS AFFORDING COVERAGE I NAIC # INSURER A: Continental Western Insurance Com a 110804 INSURED INSURERB:Arch Insurance Company 11150 Ram International 1 LLC Attention: Tim Bunch INSURERC: PO Box 98768 INSURER D: Lakewood WA 98496 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1402193279 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 INSURANCEADUCSUBR INSO WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CWP297241023 11/2014 5/1/2015 EACH OCCURRENCE $1,000,000 CLAIMS -MADE FT OCCUR -DAMAGE TORENTED PREMISES Ea occumencel $100,000 X MED EXP (Any one person) $10,000 $5 000 PD Ded. PERSONAL& ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY ❑ PRO - POLICY F-X� LOC PRODUCTS - COMP/OP AGG $2,000,000 $ OTHER: A AUTOMOBILELIABIDTV CWP297241023 /l/2014 5/1/2015 COMBINEDL IN $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO AUTOS NED X AUTOSULED BODILY INJURY (Per accident) $ X HIREDAUTOS X NON -OWNED AUTOS PROPER Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ZAWC16500500 /i/2014 /112015 PER OTH- X STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? ❑NIA (Mandatory In NH) E.L. DISEASE -EA EMPLOYE $1,000,000 U yes, describe under DESCRIPTION OF OPERATIONSbelow E.L. DISEASE -POLICY LIMIT $1,000,000 A Liquor Liability - Employers Liab-Stop Gap CWP297241023 CWP297241023 (WC Stop Gap) /1 /2014 /1/2014 /1I2015 5/1/2015 Each common cause 1.000,000 Aggregate 2,000,000 Per Dec 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Re: Collindale Golf Course - Restaurant/Snack Bar/Concession Agreement Named Insured includes: Collindale 57 LLC d/b/a CB & Potts <naCuo VTL\ra Gllq sJ 9C 9a. PJa�L'\rlq[Ilnn�.ry The City of Fort Collins, Colorado 300 LaPorte Avenue Fort Collins CO 80521 USA 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 ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD CORPORATION. All rights reserved. 003736