HomeMy WebLinkAboutIGNACIOUS VENTURES DBA ROCKY MOUNTAIN ADVENTURES - INSURANCE CERTIFICATE (12)DATE (MM/DD/YYYY)
A� " CERTIFICATE OF LIABILITY INSURANCE
71/31/2017
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 NAME: D@Wise Leep er _
_
CBIZ Sattler Insurance Services ZrNNo Ext: (208) 743-9426 FAX No: (208)748-9433
1504 8th St E-MAIL dleep er@cbizsattler.com
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC q
Lewiston ID 83501
INSURED
Ignacious Ventures, LLC, DBA: Rocky Mountain
PO Box 1989
INSURER A :Tudor Insurance Company 3798
INSURER B Artisan and Truckers Casualty 1019
INSURER C :
INSURER D :
I Fort Collins CO 80522 I INSURER F:
!^GDTtCICATF All IMRFD•7 6-17 RFVISION NIIMRFR:
vTHIS 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
LTR
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
CLAIMS -MADE x OCCUR
DAMAGE TO RETED
PREMISES CE.occur ante
$ 100,000
MED EXP (Any one person)
$ 2,500
X
PGP8000577
5/12/2016
5/12/2017
PERSONAL 8 ADV INJURY
$ 1,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 3,000,000
X
POLICY PRO ❑ LOC
JECT
PRODUCTS-COMPIOPAGG
$ Included
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
I
7/23/2017
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
BED
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED I RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
$
OFFICER/6 —11BER EXCLUDED? �
(Mandatory in NH)
N / A
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)
The certificate holder is an additional insured for general liability only with respects to the ongoing
operations of the named insured.
Permit
CER I IFIGA It HULUtK l+N1YV CL LN I IVI4
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
i Sattler, CPCC, CIC/ C
U 19BB-2014 ACORD COKPOKA I IUN. 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