HomeMy WebLinkAboutAMORE DJ ENTERTAINMENT FUN4BIZ INC & FUN FOR BUSIN - INSURANCE CERTIFICATE (2)®
,4�coRo CERTIFICATE OF LIABILITY INSURANCE
DATE (MMDIY DYYY)
O5/23/2018
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
1stAmerican Fort Collins LLC
220 Smith Street
Ft. Collins CO 80524
CONTACT Lisa Johnson
NAME:
PHONE (970) 484-2805 q.C, No : (970) 484-2885
(AlC No Ext :
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A : United Fire & Casualty
13021
INSURED
AMORE DJ ENTERTAINMENT FUN4BIZ INC & FUN FOR BUSINE
348 CAMINO DEL MUNDO
FORT COLLINS CO 80524-8945
INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
fr^VICrawr_r:c r_FRTIF!C-ATE MIIMRFR• 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.
ILTR
TYPE OF INSURANCE
INSD
WVD
POLICYNUMBER
MMIDDYEFF
/YYYY
EXP
MMDDIYYYY
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE OCCUR
RENTED
PREMISES Ea occurrence
$ 100,000
MED EXP (Any one person)
$ 51000
A
Y
60383895
05/23/2018
05/23/2019
PERSONAL&ADV INJURY
$ 1,000,000
GEN'LAGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OPAGG
$ 2,000,000
PRO ❑ LOC
POLICY El
Lead Liab Exclusion
$
OTHER.
AUTOMOBILE LIABILITY
Ea accident)COMBINED SINGLE LIMIT
$
BODILY INJURY (Per person)
$
ANYAUTO
BODILY INJURY (Per accident)
$
OWNED SCHEDULED
NO COVERAGE
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
Per accident
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
HCLAIMS-MADE-
AGGREGATE
$
EXCESS LIAB
NO COVERAGE
DED I I RETENTION $
1 $
WORKERS COMPENSATION'
PER I I OTH-
STATUTE I i ER
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE F--1
ER/MEMBER EXCLUDED?
OFFIC(Mandatory
NIA
NO COVERAGE
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)
CERTIFICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS TO LIABI LITY ARISING OUT OF OUR INSURED'S ONGOING OPERATIONS
CERTIFICATE HULDEK I IVIN
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
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD