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HomeMy WebLinkAboutRAM INTERNATIONAL 1 LLC - INSURANCE CERTIFICATE (3)ATE OF LIABILITY INSURANCE DATE (MM/DD YYYY) F41272015/ NFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS GATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES =S NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED IFICATE HOLDER. INAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to es may require an endorsement. A statement on this certificate does not confer rights to the CONTACT NAME: Joy Lewis PHONE 20G 607-0954 FAXINC 253-572-1430 E-MAIL foy_IeW15@ajg.Com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Continental Western Insurance Com a 10804 INSURER BArch Insurance Company 11150 INSURER C : INSURER D INSURER E : INSURER F : MRFR• 785043328 RFVI.SInN NIIMRFR- 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 PEQUIREMENT, TERM OR CONDITION 0= ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE PGLICIES 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 AUIJL INSO WVD POUCYNUMBER POLICY I MM/DD POLICY I MMID LIMITS A X COMMERCIAL GENERAL LIABILITY �X OCCUR $5,000 PD Ded. CWP297241024 /1/2015 /1/2016 EACH OCCURRENCE $1,000,000 —7CLAIMS-MADE DAMAGE TO RE PREMISES Ea occurrence $100,000 X MED EXP(Any one person) $10,000 PERSONAL &ADV INJURY $1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO JECT � LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANYAUTO AALL UTOS NED X SCHEDULED HIRED AUTOS ,y NON -OWNED AUTOS CWP297241024 /1/2015 /1/2016 UM -E accident $1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ XIAUTOS PRO E Per accident $ UMBRELLA UAB EXCESS UAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOP/PARTNERIEXECUTIVE ❑NIA OFFICER/MEMBER EXCLUDED? (Mandatory In NH) H yes, describe no. DESCRIPTION OF OPERATIONS below ZAWC16500500 /112014 71112015 RER I X PSTATUTE EOTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYE $1,000,000 E.L. DISEASE- POLICY LIMIT 1 $1,000,000 A Liquor Liability Employers Liab - Stop Gap CWP297241024 (WC Stop Gap) iPer 11/2015 /1/2016 Each common cause 1,000.000 Aggregate 2,000,000 Occ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Collindale Golf Course - Restaurant/Snack Bar/Concession Agreement Named Insured includes: Collindale 57 LLC d/b/a CB & Potts CERTIFICATE HOLDER CANCELLATION 30 Days NOC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The City of Fort Collins, Colorado ACCORDANCE WITH THE POLICY PROVISIONS. 300 LaPorte Avenue Fort Collins CO 80521 USA AUTHORIZED REPRESENTATIVE © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 003751