HomeMy WebLinkAboutIGNACIOUS VENTURES DBA ROCKY MOUNTAIN ADVENTURES - INSURANCE CERTIFICATE (5)DATE (MM/DD/YYYY)
ACOR" CERTIFICATE OF LIABILITY INSURANCE
L 1 1/25/2016
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 HollyKrohn
NAME:
CBIZ Sattler Insurance Services
1504 8th St
Lewiston ID 83501
INSURED Ignacious Ventures, LLC,
DBA: Rocky Mountain Adventures,
Mad Adventures; Wide Open Adventures
PO Box 1989
PHONE Ext (208)743-9426 A/C No: (208)748-9433
E-MAIL hkrohn@cbizsattler.com
ADDRESS:
INSURERS AFFORDING COVERAGE NAIC If
INSURER A :Tudor Insurance Company 37982
INSURER B:Artisan and Truckers Casualty 10194
D:
Fort Collins CO 80522 1 INSURER F: I I
P!CQ !`CDTICIr'ATI= IVI IMRGR•1 6-17 RFVISION 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,
1NSR
LTR
TYPE OF INSURANCE
ADDL
SUBR
-
POLICY NUMBER
POLICY EFF
MM/DDlYYYY
POLICY EXP
MM/DDIYYYY
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
CLAIMS -MADE OCCUR
A AGE TO TED
lccurrence)$
PREM SES (E. occurrence)
100,000
MED EXP (Any one person)
$ 2,500
X
PGP8000250
5/12/2015
5/12/2016
PERSONAL & ADV INJURY
$ 1,000,000
GE AGGREGATE LIMIT APPLIES PER.
GENERAL AGGREGATE
$ 3,000,000
PRODUCTS - COMP/OP AGG
$ Included
1N'L
X POLICY PRO LOC
� JECT
Non -owned
$ 600,000
i
I OTHER:
AUTOMOBILE LIABILITY
COEaMBINED ccident SINGLE LIMIT
a
$ 2,000,000
BODILY INJURY (Per person)
$
B �
ANY AUTO
ALL OWNED X SCHEDULED
AUTOS AUTOS
NON -OWNED
HIRED AUTOS AUTOS
01321088-4
1/23/2016
7/23/2016
BODILY INJURY (Per accident)
$
PROP RTY DAMAGE
--
$
PKG
$
I
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE
',
PERTLITE ER OTH-
TA
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
$
OFFICER/MEMBER EXCLUDED? u
(Mandatory in NH)
N/A
E.L. DISEASE -POLICY LIMIT
$
It yes, describe under
DESCRIPTION OF OPERATIONS below
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
City of Fort Collins
Natural Areas Department
1745 Hoffman Mill Rd
Fort Collins, CO 80524
I.HrVV CLLH 1 IV IY
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, CPCU, CIC/
U 1988-2014 ACORD CUKNUKA I IUN. All rlgnts reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
INS025 (201401)
ACOR" CERTIFICATE OF LIABILITY INSURANCE
it
DATE(MM/DD/YYYY)
1/25/2016
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
CBIZ Sattler Insurance Services
1504 8th St
Lewiston ID 83501
CONTACT NAME: y Holl Krohn
PH0N o Ext (208) 743-9426 FAX,
No: (208)748-9433
ADDRESS,hkrohn@cbizsattler.com
INSURERS AFFORDING COVERAGE
NAIC p
INSURERA:Nationwide Life 6 Annuity Company
INSURED
Ignacious Ventures, LLC, DBA: Rocky Mountain
PO Box 1989
Fort Collins CO 80522
INSURER B:Artisan and Truckers Casualty
10194 _
INSURERC:
INSURER D :
INSURER E :
INSURER F :
f`n\/CR A(]I:c CFRTIFICGTF NIIMRFR•16-17 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
LTR
TYPE OF INSURANCE
ADDL
S U B R
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$
A
CLAIMS -MADE ] OCCUR
$
DAMAGE TO RENTED
currence
PREMISES Ea ..""an.)
MED EXP (Any one person)
$
X
L045964930
10/1/2015
10/1/2035
PERSONAL & ADV INJURY
$
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ -
PRODUCTS -COMP/OP AGG
$
POLICY PRO ❑ LOC
JECT
OTHER.
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ 2 000 , , 000
_ _
BODILY INJURY (Per person)
B
ANY AUTO
ALL OWNED SCHEDULED
AUTOS X AUTOS
NON -OWNED
HIRED AUTOS AUTOS
01321086-4
1/23/2016
7/23/2016
$
$
BODILY INJURY (Per accident)
PROPERTY DAMAGE
Per accident
$
PKG
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DID RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y�
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
$
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
N / A
E.L. DISEASE - POLICY LIMIT
$
it yes, describe under
DESCRIPTION OF OPERATIONS below
i
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
CERTIFIGAIt HULUtK 61IYIYVCLLAI IVIY
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
ACORD 25 (2014/01)
INS025 (201401)
U 19BB-ZU14 AGUKU GUKHUKA I IVN. An rignts reservea.
The ACORD name and logo are registered marks of ACORD