HomeMy WebLinkAbout113129 FORT COLLINS CONVENTION & VISITORS BUREAU - INSURANCE CERTIFICATE (2)®a! CERTIFICATE
FUGONa
OF LIABILITY INSURANCE
OP in,
DATE (MMIDDIYYYY( _ __10122i1019.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORM„
RT CEIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVE
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE
TION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
Y AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
IOLDER.
IMPORTANT: If the Certificate holder is an ADDITIONAL INS
If SUBROGATION IS WAIVED, subject to the terms and conditions;
this certificate does not confer rights to the certificate holder
JRED, the policy(lies) must have ADDITIONAL INSURED provisionS or be endorsed.
of the policy, certain policies may require an endorsement A statement on
in lieu of such endorsemen s .
PRODUCER 970-482-7747
Brown & Brown Inc
4632 Boardwalk Dr, Suite.200
Fort Collins, CO 80525
House Account
C CT House Account
PHONE 970-482-774T FAX 970-484-4165
A/C. No, Ext : AIC; No
:
MESS,
INSURER(S) AFFORDING COVERAGE
NAIL 0
INSURER A:Cont inental Western Ins Co
10804
INSURED Ft Collins Convention
& Visitors Bureau
1 Old Town Square Suite 107
Ft Collins, CO 80624
INSURER e:,P1nnacoI Assumncb Company
41190
INSURER C
INSURER D :
INSURER E:
.INSURERF:
C -CERTIFICATE B • "-
-
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEDI
INDICATED. NOTWITHSTANDING ANY REQUIREMENT TERM OR
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE, INSURAN
EXCLUSIONS AND CONDITIONS_ OF SUCH POLICIES. LIMITS, SHO
BELOW HAVE giffEk ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
ONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
itAFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
OF INSURANCE
ADDLTYPE
rusn
SUB
POLICY
NUMSER
POLICY EFF.
POLICY IXPJZL
LIMITS -
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE X OCCUR
y
CPA3002926
8
11/0112019
11/01/2020
EACHOCCURRENCE
$ 1.,000,000
DAMAGE TO RENTED
PREMISES (Ea rmncelMED
$ 300,000
EXP one
$ 10,000
PERSONAL IL ADV INJURY
1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY ❑ j LOC
OTHER'
GENERAL AGGREGATE
'2,000,000
PRODUCTS -COMP/OP AGG
$ 2,000,000
S
A
AUTOMOBILE
LJABILmaccdent)
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY X AU�TNNOpSSyWy�N
AUTOS ONLY X AUTOS ON�
y
CPA3002926-J28
11/0112019
11/01/2026
COMBINED SINGLE LIMB
_1.10001000
BODILY. INJURY Per n
BODILY. INJURY Per accident
X
PPe°PE �m AMAGE
$
UMBRELLA LIAB
EXCESS LAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DED RETENTION $
B
"-
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY ViolA
ANY PROPRIETORIPARTNERIEXECUTIVE
0FFICERIMEMBERR EXCLUDED?
(Mandatory In RHI
If under
DE,IP I FOPERATIONS below
N/A
19670ti2
-
-. -
07/01/2019
07/01/2020
X PER OTH-
LITE
E.L. EACH ACCIDENT
$ 100,000
E.L. DISEASE - EA EMPLOYEE
$-100,000
E.L. I -POLICY LIMIT
S 500,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addltlonal Raw
Certificate holder included as Additional Insured on General
policy form.CL CG 049210/18 if required by written contract
Liability policy per policy form CA2048 10/113
malt$ Schedule, may be aNached N more apace Is required(
Liability in
and Auto
CERTIFICATE HOLDER
CANCELLATION -- - - -
CITYOFF
City of Ft Collins
PO Box580
Fort Collins, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE. EXPIRATION DATE THEREOF,, NOTICE VALL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016103) 01088-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD