HomeMy WebLinkAboutSAPPHIRE EVENTS LLC - INSURANCE CERTIFICATE (2)ACORIDI® CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DDNYYY)
1013112017
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 Victoria Rendon
NAME:
John C Beckett and Associates Inc
AHONNo Ezt : (970)484-2805 AID No): (970)484-2885
220 Smith Street
E-MAIL vickie@beckettinsurance.com
ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAIC #
Ft. Collins CO 80524
INSURER A: GRANITE INSURANCE SERVICES,INC
INSURED
INSURER B
Sapphire Events, LLC
INSURER C :
1050 E. County Road 76
INSURER D:
INSURER E :
Wellington CO 80549
INSURER F :
COVERAGES CERTIFICATE NUMBER: CL17103103468 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELO`.N HAVE BEEN !SSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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
ADULbUHR
INSD
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MMIDDNYYY
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE ❑X OCCUR
DAMAGE RENTED
PREMISES
PREMISES Ea occurrence
$ 500,000
MED EXP (Any one person)
$ 5,000
PERSONAL&ADV INJURY
$ 1,000,000
A
MP0005004000790
10/27/2017
10/27/2018
GEN'LAGGREGATE LIMITAPPLIES PER:
I GENERAL AGGREGATE
$ 2,000,000
X POLICY ❑PRO ❑
JECT LOC
PRODUCTS-COMP/OPAGG
$ 2,000,000
Employee Benefits
$
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
no coverage
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
no coverage
DEC) I I RETENTION $
$
WORKERS COMPENSATION
PER OTH-
AND EMPLOYERS' LIABILITY Y / N
STATUTE ER
E.L. EACH ACCIDENT
$
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? ❑
N /A
n0 coverage
g
E.L. DISEASE - EA EMPLOYEE
$
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE- POLICY LIMIT
$
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
THE CITY OF FOR COLLINS AND THE MUSEUM OF DICOVERYA NON-PROFIT PARNTER ITS OFFICERS, AGENTS AND EMPLOYEES ARE ADDITIONAL INSURED PER
WRITTEN CONTRACT ON THE GENERAL LIABILITY POLICY ARISING OUT TOF THE OPERATIONS OF THE NAMED INSURED.
CERTIFICATE HOLDER CANCELLATION
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.
P.O. BOX 580
AUTHORIZED REPRESENTATIVE
FORT COLLINS CO 80522
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