HomeMy WebLinkAbout113129 FORT COLLINS CONVENTION & VISITORS BUREAU - INSURANCE CERTIFICATEFCCON-3 OP ID: P6
""" CERTIFICATE OF LIABILITY INSURANCE
DATE
10/18/2018Y)
10/18/2018
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
Brown & Brown Inc
4532 Boardwalk Dr, Suite 200
Fort Collins, CO 80525
House Account
CONTANAME: CT House Account
a/c°No Ext : 970-482-7747 FAX No): 970-484-4165
ADDRI
ESS:
INSURER S AFFORDING COVERAGE
NAIC N
'
INSURER A: CONTINENTAL WESTERN GROUP
INSURED Ft Collins Convention
& Visitors Bureau
INSURER B: Pinnacol Assurance Com an
41190
INSURER C :
19 Old Town Square #137
INSURER D :
Ft Collins, CO 80524
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER- ecviclnu w ua000.
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
OF INSURANCE
L
ADDTYPE
B
POLICY NUMBER
POLICY EFF
MM/DD/VYYY)
POLICY EXP
(MM/DDIYYYyi
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE a OCCUR
X
CPA3002926-27
11/01/2018
11/01/2019
EACH OCCURRENCE
$ 1,000,00
DAMAGETURENTED
PREMISES Ea occurrence
--
$ 300,00
MED EXP (Any one person)
$ 10,00
PERSONAL & ADV INJURY
$ 1,000,00
GENT
AGGREGATE LIMIT APPLIES PER:
POLICY PRO-
a JECT LOC
GENERAL AGGREGATE
$ 2,000,00
PRODUCTS -COMP/OP AGG
$ 2,000,0010
$
OTHER:
A
AUTOMOBILE
LIABILITY
ANY AUTO
X
CPA3002926-27
11/01/2018
11/01/2019
Ea BINEDtSINGLE LIMIT
$ 1,000,00
BODILY INJURY (Per person)
$
ALL OWNED X SCHEDULED
AUTOS AUTOS
BODILY INJURY Per accident
( )
$
HIRED AUTOS X NON -OWNED
AUTOS
X
PROPERTY DAMAGE
Per accident
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAR
CLAIMS -MADE
DED RETENTION $
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE ❑
OFFICER/MEMBER EXCLUDED?-
N / A
1967062
07/01/2018
07/01/2019
_
X STATUTE ER H
E.L. EACH ACCIDENT
$ 100,00
E.L. DISEASE - EA EMPLOYEE
_ - _
$ 100,00
(Mandatory in NH)
If yes, describe under
E.L. DISEASE - POLICY LIMIT
$ 500,00
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
Certificate holder included as Additional Insured on General Liability in
policy form CL CIS0492 9/16 if required by written contract and Auto
Liability policy per policy form CA2048 10/13
City of Ft. Collins
PO Box 580
Fort Collins, CO 80522
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.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2014/01)
V 191SU-2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD