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HomeMy WebLinkAboutGREENSHIRE STABLES LLC - INSURANCE CERTIFICATE (8)CERTIFICATE OF LIABILITY INSURANCE DATE (MWDOIYYYY) 05/05/2015 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 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 endorsementfal. PRODUCER Marinda Simpson State Farm Insurance State Farm 2601 S Lemay Ave, Suite#37 i Fort Collins, CO 80525 • INSURED Barbara Lynn Norris & H Craig Norris 4205 S County Road 7 Fart Collins, CO 80525 `ADDRESS: brooke@marindasimpson.00m C: INSURENS) AFFORDING COVERAGE Farm Mutual Automobile insurance Company Farm Fire and Casualty Company COVERAGES CERTIFICATE NUMBER' 121'1nSInN NUMBER: 26178 25143 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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. ILTR ' TYPE OF INSURANCE POLICY NUMBER EFF M LICY EXP LIMITS B COMMERCIAL GENERAL LAWLITY CLAIMS-MOE L-1 OCCUR FarmIRan& Liability - Y 96-89-PO68-1 oUo1)2ois o4f01J2o16 EACH OCCURRENCE S 1,000.000 DAMAGE 10 Ea RENTED oa S S 5,DDD j( NEDEXP Amy —Ramon) GEN-L PERSONAL a ADV INJURY S AGGREGATE LIMIT APPLIES PER: POLICY JE0. LOC OTHER: GENERAL AGGREGATE S PRODUCTS - COWICIP AGG S 1 S A AUTOMOBILE LIABILITY ANY AUTO _ ALL OwMED SCHEDULED2126203- AUTOS ' IAUTOS I NON-oYMED HIRED AUTOS AUTOS Y I F01-06B o6to112015 1 ; 12mw2o15 COMBINED accident LED S is BOOZY INJURY (Per person) s 250,000 BODILY INJURY (Par accidart) $ 500,000 acoddeennlDAWI('E j S 100,000 S UMBRELLALJA9 EXCESS LIAR OCCUR CLAMS -MADE EACH OCCURRENCE S AGGREGATE S — DED RETENTIONS - S WORKERS COMPENSATION ANDEMPLOYERS'DABILITY YIN ANY PROPRIETORIPARTNEWEXECUTWE FFICERMEMBER EXCLUDED? ❑ (Mandatory In NH) If yyeass,, descrme under DESCRIPTION OF OPERATIONS bNOV NIA . PER IO STATUER E.L.EEACH ACCIDENT _ S E.L DISEASE -EA EMPLOYEE _-_ S E.L. DISEASE -POLICY LIMIT - 8 r f 1 DESCRIPTION OF OPERATIONS! LOCATIONS I'VEHK:LES(ACDBD 101, Additional RamarXs Schedule, may be attached H more span Is r"Wred) The city of Fort Collins is Additional Insured for General Liability and Automobile Liability. City of Fort Collins PO BOX 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISiONS- AUTHORIZED REPRESENTATIVE rinhfu ronnnrnrn ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD 1001486 132849.9 02-04-2014