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Home My WebLink About282740 SPORT AND FITNESS INC - INSURANCE CERTIFICATE (3)®Allstate. Y ra In Nod lands. CERTIFICATE OF INSURANCE Cl Cw A02 10 11 This certificate is issued for inforn ational purposes only. It cerfies that the policies listed in this document have been issued to the Named Insured. It does not grant any lights to any party nor can it be used, in any way, to modify coverage provided by such policies. Alteration of this ortficate does not change the terms, exclusions or conditions of such policies. Coverage is subject to the provisions of the policies, including any exclusions or conditions, regardless of the provisions of any other contract, such as between the certificate holder and the Named Insured. The limits shown below are the limits provided at the policy inception. Subsequent paid claims ;may reduce these lht& Certificate Holder. Named Insured: CITY OF FORT COLLINS SPORT AND FITNESS, INC PO BOX 580 1409 PIKES PEAK AVE FORT COLLINS, CO USA 805220580 FORT COLLINS CO 80524-4313 Automobile Liability Insurer Name: Allstate Insurance :Company PolicliNumber648128822 1 - Any Auto 2 - Owned Autos Only 3 - Owned Priv. Pass. Autos Only 4 - Owned Autos Other Than Priv. Pass. Autos Only b - Owned Autos Subject to No Fault 6 - Owned Autos Subject to a Compulsory UM Law X 7 -- Specifically Described Autos X 8 - Hired Autos Only X 9 - Nonowned Autos Only Policy Effective Date: 12-1.7-2019 1 Policy tionDate: 12-17-2020 Limits of 1$1,000,000 Combined Single. Limit (each accident) Insurance: BI Per Person„_ BI Per Accident PD Per Accident Desari ion of 0 rations/LocationsNehicies/Endorsements/S dal Previsions Interested Party Type: Additional Insured - Municipality THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE, IF THIS CERTIFICATE INDICATES THAT THE EITHER BE ENDORSED OR CONTAIN SPECIFIC INSURED STATUS. THE CERTIFICATE HOLDER POLICY LANGUAGE OR ENDORSEMENT. OR RIGHTS TO THE CERTIFICATE HOLDER. I - CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES) MUST LANGUAGE PROVIDING THE CERTIFICATE HOLDER WITH ADDITIONAL IS AN ADDITIONAL INSURED ONLY TO THE EXTENT INDICATED IN SUCH I Producer. OLD TOWN INS INC Autlmrized Representative: Date: 10 - 21-19 r, s Includes copyrighted material of Insurance Services Office, Inc., with its permission BU114-3 CI CW A021011 A Wbde Insurance Company Page 1 of 1 Additional Insured Copy ®Allstate. You. in gwd hands. POLICY NUMBER, 64812.8822 THIS ENDORSEMENT COMMERCIAL AUTO CA 20 48 10 13 THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance AUTO DEALERS COVERAGE BUSINESS AUTO COVERAGE MOTOR CARRIER COVERAGE -------------- - - With respect to coverage prove modified by this endorsement. under the following: this endorsement, the provisions -of the Coverage -Form -apply unless This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy ffective on the inception date of the policy unless another date is indicated below. Named.lnsured: SPORT AND FITNESS, INC Endorsement Effective DaW. 12 i 17 - 2 019 — SCHEDULE Name Of Person(s) Or Organilzation(s): CITY OF FORT COLLINS PO BOX 580 FORT COLLINS, CO USA 805220580 , Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in an "insured" for Covered Autos Liabili only to the extent that person or orgal as an Insured" under the Who provision contained in Paragraph Ai Covered Autos Liability Coverage i Auto and Motor Carrier Coverac Paragraph D.2. of Section I — Coverages of the Auto Dealers Cover he Schedule is Coverage, but nation qualifies ii An Insured of Section II — the Business Forms and overed Autos e Form. BU114-3 CA 20 48 10 13 Insurance Services Office, Inc., 2011 Additional Insured .Copy Page 1 of 1