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Home My WebLink AboutVEL GREEN DBA THE CHEER AND DANCE CONNECTION - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE A CORD .�� 08-21-2015 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 INSURERS), 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 99996 / Health & Fitness Direct A Division of Markel Service Incorporated 4600 Cox Road Glen Allen, VA 23060 INSURED Val Green DBA The Cheer and Dance Connection 2014 Fossil Creek Parkway Fort Collins, CO 80528 CONTACT NAME: PHONE E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE INSURER A: MARKEL INSURANCE COMPANY INSURER B: INSURER C: INSURER D.- INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: NAIC # 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. NSR ADDL SUBR POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A GENERAL LIABILITY ® COMMERCIAL GENERAL LIABILITY ❑ CLAIMS -MADE ® OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: PRO- ❑ POLICY ❑ JECT ❑ LOC AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ ALL OWNED ❑ SCHEDULED AUTOS AUTOS ❑ HIRED AUTOS ❑ NON -OWNED El ❑ AUTOS —;~ UMBRELLA LIAB ❑ OCCUR ❑ ❑ EXCESS LIAB ❑ CLAIMS -MADE DED ❑ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below 3602HF430218-0 07-28-2015 07-28-2016 EACH OCCURRENCE $ 11000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ l 00,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 3,000,000 PRODUCTS - COMP/OP AGG $ 1,000,000 S COMBINED SINGLE LIMIT (Ea accident) S BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ S EACH OCCURRENCE $ AGGREGATE 9 WC STATU- ❑ OTH- TORY LIMITS ER - E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Classes to be held at Loc. 3 - 2536 Midpoint Dr., Fort Collins, CO 80525 CERTIFICATE HOLDER City of Fort Collins 215 N. Mason St P. O. Box 580 Fort Collins, CO 80522 ACORD 25 (2010/05) CANCELLATION 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 GANI _Bruce A. Kay �CO�. 10 (c) 1988-2010 A ORATION. rights reserved. The ACORD name and logo are registered marks of ACORD