HomeMy WebLinkAboutIGNACIOUS VENTURES DBA ROCKY MOUNTAIN ADVENTURES - INSURANCE CERTIFICATE (2)ACo CERTIFICATE OF LIABILITY INSURANCE
DATE(M/2019 Y)
05/10/019
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 endorsement(s).
PRODUCER
CBIZ Sattler Insurance
CONTACT Denise Leeper
NAME:
AHONN Ex[ : (208) 743-9426 FAQ Ne ; (208) 748-9433
ADDRESS: dleeper@cbizsattler.com
1504 8th St
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURERA: Tudor Insurance Company
37982
Lewiston ID 83501
INSURED
INSURER B : Artisan and Truckers Casualty
10194
INSURER C :
Ignacious Ventures, LLC
INSURER D :
DBA: Rocky Mountain Adventures, Mad Adventures
INSURER E :
PO Box 1329
INSURER F :
Winter Park CO 80482
rnvcoAr-cc CERTIFICATE NUMBER- 19-20 REVISION NUMBER:
v 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE 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
ADDLSU13R
INSD
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DDIWYY
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
F;Z711
DAMAGE TO RENTED
100,000
CLAIMS -MADE OCCUR
PREMISES Ea occurrence
$
MED EXP (Any one person)
$ 2,500
A
Y
PGP0894201
05/12/2019
05/12/2020
PERSONAL & ADV INJURY
$ 1,000,000
LAGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 3,000,000
PRODUCTS-COMP/OPAGG
$ Included
POLICY ❑ PRO ❑ LOC
JECT
P'OTHER:
Non -owned
$ 600,000
LIMIT
$ 2,000,000
AUTOMOBILE LIABILITY
EOa a."IentSINGLE
BODILY INJURY (Per person)
$
ANYAUTO
BODILY INJURY (Per accident)
$
g
OWNED X SCHEDULED
01321088-6
01/23/2019
07/2312019
AUTOS ONLY AUTOS
HIRED NON -OWNED
PROPERTY DAMAGE
Per accidenHt
$
AUTOS ONLY AUTOS ONLY
Uninsured motorist
$ 15,000
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DIED RETENTION $
$
WORKERS COMPENSATION
PER OTH-
STATUTE I IER
AND EMPLOYERS' LIABILITY Y I N
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. EACHACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
OFFICER/MEMBER EXCLUDED? ❑
(Mandatory In NH)
NIA
E.L. DISEASE - POLICY LIMIT
S
If yes, describe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
The certificate holder is an additional insured for general liability only with respects to the ongoing operations of the named insured.
Permit
CERTIFICATE
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Fort Collins Natural Areas Department ACCORDANCE WITH THE POLICY PROVISIONS.
1745 Hoffman Mill Rd
AUTHORIZED REPRESENTATIVE
Fort Collins CO 80524 I ,(, k,
U-I U00-Lu I a ALIURU I,VRrunm I IVIY. H1111911W 1c 1vcu.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD