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HomeMy WebLinkAboutIGNACIOUS VENTURES DBA ROCKY MOUNTAIN ADVENTURES - INSURANCE CERTIFICATE (11)75/8/2017 TE (MM/DD/YYYY) ACG'R" CERTIFICATE OF LIABILITY INSURANCE 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 er Denise Le@ NAME: p CBIZ Sattler Insurance Services Ig/o No Ell)(208) 743-9426 A/C No). (208)748-9433 E-MAIL dlee er 1504 8th St E-MAIL s• p @Cbizsattler.Com _ INSURER(S) AFFORDING Lewiston ID 83501 INSURERA:Tudor Insurance Cc INSURED INSURER B:Artisan and Trucke Ignacious Ventures, LLC, DBA: Rocky Mountain INSURERC: PO BOX 1989 INSURER D : Fort Collins CO 80522 INSURERF: rnkll=l c rtFRTIPIr ATF NI IMRFR•17-18 RFVISION Nt1MRFR: 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 I LTR TYPE OF INSURANCE INSD UBR POLICY NUMBER MM DD/YYY ICY EXP MML DDNYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A � CLAIMS -MADE I X I OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 2,500 X PGP0774429 5/12/2017 5/12/2018 PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 PRODUCTS - COMP/OP AGG $ Included X POLICY E PRO LOC JECT Non -owned $ 600,000 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 01321088-6 1/23/2017 7/23/2017 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ BED $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ,ANY PROPRIETOR/PARTNER/EXECUTIVE (-� PER OTH- TAT TE I ER E.L. EACH ACCIDENT $ ------- — E.L. DISEASE - EA EMPLOYE ------- - $ OFFICFWME M BER EX.Ci UDED? (Mandatory in NH) —" NIA 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. Permit CERTIFICATE HOLDEK %,AN%,r_LLA I IUN 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 J Sattler, CPCU, CIC/ © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401) Additional Named Insureds Other Named Insureds Mad Adventures Rocky Mountain Adventures Rocky Mountain Adventures, Mad Adventures Wide Open Adventures LLC Doing Business As Doing Business As Doing Business As Additional Named Insured OFAPPINF (02/2007) COPYRIGHT 2007, AMS SERVICES INC ADDITIONAL COVERAGES Ref # Description Uninsured motorist property damage Coverage Code UMPD Form No. Edition Date Limit 1 15,000 Limit 2 Limit 3 Deductible Amount 250 Deductible Type Premium Ref # Description Uninsured motorist combined single limit Coverage Code UMCSL Form No. Edition Date Limit 1 2,000,000 Limit 2 Limit 3 Deductible Amount Deductible Type Premium $190.00 Ref # Description Multi policy credit Coverage Code ACCT Form No. Edition Date Limit 1 Limit 2 it 3 Deductible Amount Deductible Type Premium Ref # Description Medical payments Coverage Code MEDPM Form No. Edition Date Limit 1 5,000 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description PKG Coverage Code PKG Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Policy Fee Coverage Code POLFE Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium $15.00 Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium �OFADTLCV Copyright 2001, AMS Services, Inc.