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Home My WebLink About113129 FORT COLLINS CONVENTION AND VISITORS BUREAU - INSURANCE CERTIFICATE (6)FCCON-3 OP ID: P5 ACORO' CERTIFICATE OF LIABILITY INSURANCE DAT YY) 10/02/ E (MM/D2015 D/YYDIYY 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 Brown & Brown Inc 4532 Boardwalk Dr, Suite 200 Fort Collins, CO 80525 House Account CONTANAME: House Account PHONE 970�82-7747 FAXNo : 970-484-4165 A/c No El E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: CONTINENTAL WESTERN GROUP INSURED Ft Collins Convention INSURERS:Pinnacol Assurance Company 41190 & Visitors Bureau 19 Old Town Square #137 INSURERC: Ft Collins, CO 80524 INSURERD: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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. ILTR TYPE OF INSURANCE INSD VD POLICY NUMBER MM/DD/YYYY) (MM/DD/YYYY1 LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE OCCUR X CPA3002926-24 11/01/2015 11/01/2016 DAMA E T -RENTED PREMISES PREMISES Ea occurrence $ MED EXP (Any one person) $ 6,00( PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY PRO- JECT LOC PRODUCTS -COMP/OP AGG $ 2,000,00 $ IP OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea ac , dent) ent $ 1 000,00 1 BODILY INJURY (Per person) $ A ANY AUTO X CPA3002926-24 11/01/2015 11/01/2016 BODILY INJURY (Per accident) $ ALL OWNED X SCHEDULED AUTOS AUTOS X X NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 4 AGGREGATE $ EXCESS LIAB CLAIMS -MADE $ DED RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY N ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 1967062 07/01/2015 07/01/2016 ER OTH. STATUTE I I ER E.L. EACH ACCIDENT $ 100,00 OFFICER/MEMBER EXCLUDED? 10911�;l in N 1 If yes, describe under DESCRIPTION OF OPERATIONS below N / A _ E.L. DISEASE - EA EMPLOYEE $ 100,00 E.L. DISEASE - POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder included as Additional Insured on General Liability in policy form CL CG 00 13 7/09 if required by written contract and Auto Liability policy per policy form CA2048 2/99 CERTIFICATE HOLDER 1.AIYIiCL -A I IVI\ CITYOFF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ft. Collins PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 House Account V 1V?Jd-ZU14 At UML) liV1(r VRAI PUN. All f1V11LD 1CACI VCU. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD