HomeMy WebLinkAboutAMORE DJ ENTERTAINMENT FUN4BIZ INC & FUN FOR BUSIN - INSURANCE CERTIFICATEi 1 ®
ACOR" CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDIYYYY)
05/23/2018
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
CONTACT Lisa Johnson
NAME:
1 st American Fort Collins LLC
A C, No Ext : (970) 484-2805 FaAic, No): (970) 484-2885
E-MAIL
ADDRESS:
220 Smith Street
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A : United Fire & Casualty
13021
Ft. Collins CO 80524
INSURED
INSURER B :
INSURER C :
AMORE DJ ENTERTAINMENT FUN4BIZ INC & FUN FOR BUSINE
INSURER D :
348 CAMINO DEL MUNDO
INSURER E :
INSURER F :
FORT COLLINS CO 80524-8945
COVERAGES CERTIFICATE NUMBER: MASTER 2018-2019 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.
LTR
TYPE OF INSURANCE
INSD
WVD
POLICY NUMBER
(MM DD/YYYY)
(MMIDD/YYYY)
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE � OCCUR
PREMISES Ea occurrence
$ 500,000
MED EXP (Any one person)
$ 5,000
PERSONAL & ADV INJURY
$ 1,000,000
A
60383895
05/23/2018
05/23/2019
GEN'L AGGREGATE LIMIT APPLIES PER.
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS-COMP/OP AGG
2,000,000
$
PRO
POLICY JECT 71 LOC
Lead Llab Exclusion
$
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
NO COVERAGE
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
$
HCLAIMS-MADE
AGGREGATE
$
EXCESS LIAB
NO COVERAGE
DED I I RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE ❑
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
N / A
_
NO COVERAGE
FERTUTE ER � ��
STA
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 I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
lr/11\ V GLLM 1 1 V I\
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
CITY OF FORT COLLINS ACCORDANCE WITH THE POLICY PROVISIONS.
221 N. COLLEGE AVE
AUTHORIZED REPRESENTATIVE
PO BOX 580
FORT COLLINS CO 80526 4�crft .
U l9tSS-ZUIO AUUKU I.UKr'UKA I IVPI. All ngnL5 reserveu.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD