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HomeMy WebLinkAboutGREENSHIRE STABLES LLC / CRAIG AND BARBARA NORRIS - INSURANCE CERTIFICATEA� Rom® CERTIFICATE OF LIABILITY INSURANCE °Ao5105f 0° 15 ' 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 Marinda Simpson State Farm Insurance 2501 S Letnay Ave, Suite#37 5#a#eFarlfit Fort Collins, CO !� • 80525 NNiWA TBrooke Rowell �1� .970-223-78M FAX N 970-223-7800 ADDRESS: brooke@marindasimpson.com A INSURER(SI AFFORDING COVERAGE NAIC 4 INSURER A :State Farm Mutual Automobile Insurance Company 26178 INSURED BariTard Lynn Norris 8t H Craig Norris INSURER B :State Farm Fire and Casualty Company 25143 4205 S County Road 7 Fort Collins, CO 80525 INSURER C : A 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 VITH 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. LTR TYPE OF INSURANCE Sm POLICY NUMBER POLICY EFF M DDOYYYY POLICY va MMIDD -- - LIM113 COMMERCIAL GENERAL LIABILITY _ CLAJMS-MADE L� OCCUR Farm/RanCh Liability y 96-B9-P068-1 04l0112015 EACH OCCURRENCE_ i_ DAMAGE PREMISES R occurrence) 04,01,2016 MED EXP (Any ona perwn) PERSONAL S ADV INJURY GENERAL AGGREGATE PRODUCTS -COMP/OP AGG S 1,000,000 $ X $ 5.000 _ $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY ❑ JECT LOC OTHER: $ S $ A AUTOMOBILE is LULBILITY ANY AUTO ALL OVNED AUTOS AUTOSVLED HIREDAUTOS �OS1M1NED , lr I I i 212 6203-F01-06B 06,01,2015 1 1210112015 COMBINED i LE LIMIT Ea accident $ BODILY INJURY (Per person) $ 250,000 BODILY INJURY (Per accident) $ - 500,000 4— PROPERTY DAMAGE Per_accid_ent) is- 100,000 i M S UMBRELLA UA9 11 EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE __ g S DED RETENTIONS T WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFfCER1rA EMBER EXCLUDED? ❑ (Mandatory In NH) If yes, describe urger DESCRIPTION OF OPERATIONS below NIA PER O - STATUTE _..I _ER E E.L. EACH ACCIDENT — $ E.L. DISEASE -EA EMPLOYEF _....--.._ E.L. DISEASE - POLICY LIMIT s DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is rain ad) The city of Fort Collins is Additional Insured for General Liability and Automobile Liability. - � vtrlr��.GLLA 1 RJM City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO BOX 580 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Fort Collins, CO ACCORDANCE WITH THE POLICY PROVISIONS. 80522 AUTHORIZED REPRESENTAnVE m 1988-2014 AMRD CORPORATION- All rights rsmarvc.d ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD 1001486 132849.9 02-04-2014