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HomeMy WebLinkAboutROCKY MOUNTAIN ADVENTURES - INSURANCE CERTIFICATE (2)A� " CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 5/12/2015 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 endorsement(s). PRODUCER CONTACT Holly Friede NAME: Sattler Insurance PHONE. Extlo (208) 743-9426 A/C No: (208)748-9433 1504 8th St E-MAIL ADDRESS: holly @sattlerina.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:Tudor Insurance Company 37982 Lewiston ID 83501 INSURED Ignacious Ventures, LLC , INSURERS :Artisan and Truckers Casualty 10194 INSURER C: DBA: Rocky Mountain Adventures, MAD Adventures INSURER D : Wide Open Adventure, LLC INSURER E : PO Box 1989 Fort Collins CO 80522 INSURER F : COVERAGES CERTIFICATE NUMBER:15-16 REVISION NUMBER: 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. INSR TR TYPE OF INSURANCE ADDLPOLICY INSD UBR POLICY NUMBER P�/Y DDYYY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE I'� X ] OCCUR DAMAGE TO RENTED PREMISE Ea occurrence) $ 100, 000 MED EXP (Any one person) $ 2,500 X PGP8000250 5/12/2015 5/12/2016 PERSONAL 8 ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 X POLICY PRO LOC JECT PRODUCTS - COMP/OP AGG $ Included Non -owned S 600,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT___T_ Ea accident BODILY INJURY (Per person) $ B ANY AUTO ALL OWNED SCHEDULED AUTOS X AUTOS 01321088-2 1/21/2015 7/21/2015 BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPE�RTYDAMAGE P $ Policy Fee $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE _ $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE PTAT T ERH $ E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? N / A E.L. DISEASE - EA EMPLOYE (Mandator/ in NH) $ If yes, describe under i— DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT i $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) The certificate holder is an additional insured for general liability only with respects to the ongoing operations of the named insured. Permit CERTIFICATE HOLDER CANCELLATION City of Fort Collins Natural Areas Department 1745 Hoffman Mill Rd Fort Collins, CO 80524 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 J Sattler, CFCU, CIC/ ACORD 25 (2014101) INS025 (201401) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD