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HomeMy WebLinkAbout113129 FORT COLLINS CONVENTION AND VISITORS BUREAU - INSURANCE CERTIFICATE (2)FCCON-3 ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDlYYYY) ns/na/zn1 q 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 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 endorsements . PRODUCER 970-482-7747 1 CONTACT House Account Brown & Brown Inc PHONE 970-482-7747 FAX 970-484-4165 4532 Boardwalk Dr, Suite 200 A/C, No, Ext): (A/C, No): Fort Collins, CO 80525 E-MAIL House Account INSURED Ft Collins Convention & Visitors Bureau 1 Old Town Square Suite 107 Ft Collins, CO 80524 CONTINENTAL WESTERN GROUP Pinnacol Assurance Company COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 190 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR Y CPA3002926-27 11/01/2018 11/01/2019 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED PREMISES 300,000 MED EXP (Any oneperson) $ 10,000 GEN'L X PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY ipra LOC OTHER : GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY X AUTOSSVy Ep X A�TOS ONLY X AUOTOS ONLY Y CPA3002926-27 11/01/2018 11/01/2019 COMBINED SINGLE LIMIT 1,000,000 $ BODILY INJURY Perperson) BODILY INJURY Per accident $ PROPERTY accRd ntDAMAGE UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ H AGGREGATE _ $ DED RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY �FFICER/MEMBER EXCLUDED9 ECUTIVE (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 1967062 07101 /2019 07/01/2020 X PER OTH- E.L. EACH ACCIDENT 100,000 $ E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT 500,000 A Property Section CPA3002926-27 11/01/2018 11/01/2019 DESCRIPTION OF OPERATIONS / LOCATIONS I 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 CG 0492 9/16 if required by written contract and Auto Liability policy per policy form CA2048 10/13 CITYOFF City of Ft. Collins PO Box 580 Fort Collins, CO 80522 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 House Account ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD