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HomeMy WebLinkAboutFORT COLLINS THANKSGIVING DAY RUN - INSURANCE CERTIFICATEFORTCOL-17 SLUNDEfj
CERTIFICA E OF LIABILITY INSURANCE DATE 10/2 /2019
10/24/2019
THIS CERTIFICATE IS ISSUED AS A MATTER OF. IN 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(fes) must have Ab01TIONAL INSURED provisions or be endorsed.
n SUBROGATION IS WANED, 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 Ileu of such endorseme s . - -
PRODUCER I gRI,CT Shelly-LundeF
PFS Insurance Group Fax
4848 Thompson P Suits 200 alC, No, Ert): ac, No 970) 636-9401
Johnstown. CO 80534 €�e. shellvl®mVofsinsuranee.com
INSURED
INSURER B :
Fort Collins Thanksgiving Day Run
INSURER C :
1409 Pikes Peak Ave
Fort Collins, CO 80525
INSURER D ,
INSURER E
INSURER F.:
rnveeAr_ee nenrmn.rc au uance.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE
INDICATED. NOTWITHSTANDING ANY REOUIREMENT, TERM
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITSS40WN
ILISTE_D BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE.POLICY PERIOD
OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
TYPE OF INSURANCE
ADDLSUBR
POLICY NUMBER
.POLICY EFF
'POLICY EXP
LONnb
COMMERCIAL GENERAL LIABILITY .
CLAIMS -MADE OCCUR
-
-
_ .._.. _ .
. _ _ ..
. EACH OCCURRENCE
E
DAMAGE TO REPRE EDrre
E
MED EXP � one a icon
E
PERSONAL S ADV INJURY
GENL
AGGREGATE LpIIMpIIT. APPLIES PER:
POLICY ❑ %& LOC
OTHER.
GENERAL AGGREGATE
E
PRODUCTS '-COMPIOP AGG
E
.. ....
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHEDULED
Au�qT�o�S ONLY AUTOS"
AUTOS ONLY BOB O�V
COMBINED SINGLE LIMIT(Ea accident
- - -- -
$
BODILY INJURY Per on
E
BODILY INJURY. Per accident
E
d2Or dT � AMAGE
E
'E
_
UMBRELLA LIAB
EXCESS LUUI
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
E
AGGREGATE
E
DED
RETENTION E
_
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY �PERpOAP�REeMEB R/EXCLUDEWF�XECUTNE ❑
nwtory' NN
If yyea desonbe under
DESCRIPI N OF OPERATIONS below
NIA
_
PER OTH-
T R
E.L. EACH ACCIDENT
E
E.L. DISEASE -EA EMPLOYE
E
E.L. DISEASE -POLICY LIMIT
A
General.Liabllity _
CL1964628
11/28/2019
11l3012019,Oecurence-
1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD I OI. Addlaonal
If required by written contract, the Certificate Holder is included
Romaft ScheduM, may be adached N more apace la requlred)
as Additional Insured for ongoing operations under General Liability.
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCEUJFn BEFORE
City of FOR Collins THE EXPIRATION DATE THEREOF NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
215 N Mason Street
Fort Collins, CO 60524
AUTHORIZED
/RE RRmENT�ATIVE
ACORD 25 (2016/03) ©1Own! 5 ACQRD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD