HomeMy WebLinkAboutMOUNTAIN WHITEWATER DESCENTS INC - INSURANCE CERTIFICATEA � " CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDDNYYY)
4/14/2015
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 endorsement(s).
PRODUCER
Settler Insurance
1504 Sth St
Lewiston ID 83501
CONTACT Renee, Holland
NAME:
FAX
PHONE Exth (208) 743-9426 - (A/C No: (208)748-9433
E-MAIL ADDRESS: renes@sattlerina.com
INSURERS AFFORDING COVERAGE
NAIC N
INSURERA:Tudor Insurance Company
37982
INSURED
Mountain Whitewater Descents, Inc.
1329 N US HWY 287
ort Collins CO 80524
INSURERSJrtisain and Truckers Casualty10194
INSURERC:
INSURER0:
INSURER E :
INSURERF:
COVERAGES CERTIFICATE NUMBER:15-16 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
ADDL
UBR
POLICY NUMBER
POLICY EFF
MMDD
POLICY EXP
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
CLAIMS -MADE ❑R OCCUR
DAMAGE TO RENTED
PREMISES Ea occurrence
100,000
$_
MED EXP (Any oneperson)
$ 2,500
PGP8000167
4/22/2015
4/22/2016
PERSONAL &ADV INJURY
S 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
X POLICY ❑ PRO -
POLICY LOC
PRODUCTS - COMP/OP AGG
$. Included
Liqucr Liability -
$ 1,000,000
OTHER:
AUTOMOBILE
LIABILITY
_
COMBINED IN L LIM
Ea accident)r
$ 2 000 000
r
BODILY INJURY (Per person)
$
B
ANY AUTO
ALL OWNED SCHEDULED
X
AUTOS AUTOS
01597513-5
11/9/2014
5/9/2015
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
NON -OWNED
HIRED AUTOS AUTOS
Mufti policy credit
S
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS U AB
CLAIMS -MADE
DED RETENTION$
8
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
R H-
PTAT T R
ANY PROPRIETOR/PARTNERIEXECUTIVE
E.L. EACH ACCIDENT
S
OFFICER/MEMBER EXCLUDED? ❑
N/A
E.L. DISEASE - EA EMPLOYE
--
$
(Mandator! in NH)
IF yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required)
Outfitter and Guide
Fort Collins Natural Areas
1745 Hoffman Mill Rd
Fort Collins, CO 80524
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
J Sattler, CPCU, CIC/
U 1938-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
INS025 (201401)