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HomeMy WebLinkAboutCOLORADO CARRIAGE & WAGON - INSURANCE CERTIFICATE (2)ACOR I 'M CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 2/I/2019 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 MOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or 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 I st American Fort Collins LLC 220 Smith Street Fort Collins CO 80524 JNAME: Lisa Johnson FAX I PHONE 970 484-2805 F -MAIL ;ADDRESS: LisaFCClaia.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Mesa Underwriters Specialty Insurance Company INSURED Colorado Carriage & Wagon 410 FRANKLIN ST FORT COLLINS CO 80521 INSURER B : Artisans and Truckers Casualty Company 10194 INSURER C : Nationwide Mutual Insurance Company INSURER D : INSURER E : INSURER F : rnvr=oer_Gc r_FRTIFIr'ATF PJIIMRFR• REVISION NUMBER: Th;-S 13 TO CERTIF (Th' AT THE POLICIES CF !N._U=A,NCE LISTED DELOV%' HAVE PFPNI ISSUED TO THE InISURFC NAMED ABQVF FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS 1 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 INSD WVD POLICY NUMBER (MMIDD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FXI OCCUR CPS7002618 01/03/2019 01/03/2020 EACH OCCURRENCE $ 2,000,000 PREMISES (Ea occurrence) $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY JE� LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO O WNED SCHEDULED AUTOS ONLY X AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY i I I 03794348-2 05/24/2018 05/24/2019 (Ea accident) $ 300,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ (Per accident) $ Medical Payments $ 5,000 C X UMBRELLA LIAB EXCESSLIAB HCLAIMS-MADE OCCUR XBS0108506 01/03/2019 01/03/2020 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 DIED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN NY PROPRIETOR/PARTNER/EXECUTIVE FFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATICNS glow N / A No Coverage STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF FORT COLLINS ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 580 AUTHORIZED REPRESENTATIVE FORT COLLINS CO 80522 j �+ ' J ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD