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HomeMy WebLinkAboutJ.P. LEGEL INC DBA A WANDERLUST ADVENTURE - INSURANCE CERTIFICATE (3)A`COR�® CERTIFICATE OF LIABILITY INSURANCE 7DATE,(MM/DDIYYYY) /05/2018 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 have ADDITIONAL INSURED provisions or 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 CT NAME: Denise Leeper PH(208) 743-9426 A C, No : (208) 748-9433 A/C ONE No Ext : CBIZ Sattler Insurance E-MAIL dleeper@cbizsattler.com ADDRESS: 1504 8th St INSURERS) AFFORDING COVERAGE NAIC # INSURER A : Tudor Insurance Company 37982 Lewiston ID 83501 INSURED INSURER B : INSURER C : J.P. Legel, Inc., DBA: A Wanderlust Adventure INSURER D : 3500 Bingham Hill Rd. INSURER E : INSURER F : e t. Collins CO 80521 COVERAGES CERTIFICATE NUMBER: 18-19 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. IN TR TYPE OF INSURANCE INSD WVD POLICY NUMBER It" MM/DDAUULSUBR Y/YYYY POLICY EXP MM DD/YYYY LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE F OCCUR DAMAGE TO REN 11:17- PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 2,500 A Y PGP0893920 06/08/2018 06/08/2019 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OP AGG $Included POLICY PRO JLOC Non -owned s 500,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE --I OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ If 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. Landowner GtK I IYIL:A I t HULUtK I evil SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins Natural Areas Department ACCORDANCE WITH THE POLICY PROVISIONS. 1745 Hoffman Mill Rd. AUTHORIZED REPRESENTATIVE Fort Collins CO 80522-0580 K 1�iurwr}� U 19t S-ZU1 b AL:UKU GUKVUKA I IUN. All rlgnis reserveo. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD