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