Certificate of Liability Insurance (2)ACORVDATE (MMIDD/YYYY)
TM 09/29/2009
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
United Agencies Insurance Group ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Donald J. Mada HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Y ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
1422 Euclid Ave, #900
Cleveland, OH 441 15-2001 INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURER A: TRAVELERS INSURANCE CO
Hilton Garden Inn Kalispell c/o INSURER B: Illinois Union Insurance Co.
Gateway Hospitality Group, Inc. INSURER C:
8921 Canyon Falls Blvd., #140 INSURER D:
Twinsburg, OH 44087 INSURER E:
CnVFRAGFR
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, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
IADD'LPOLICY EFFECTIVE POLICY
II RD'. POLICY NUMBER DAT Td AYDD/Y Y',
EXPIRATION
^ATE'MM ur^/'; LIM!TS
A
i X j GENERAL LIABILITY 10/01 /2009 I
1 0/01 /201 0EACH OCCURRENCE $
1 ,000,000.
COMMERCIAL GENERAL LIABILITY 0296P824 i
DAMAGE TO RENTED
PREMISES (Eaoccurence) $
100000.
CLAIMS MADE 1x:1 OCCUR i
� MED EXP (Any one person) I S
_ 5,000,
Lilquor Liability Included I
,PERSONAL & ADV INJURY S
-
1 000 000,
j Blanket Contractual
GENERAL AGGREGATE is
2000000.
I GEN'L AGGREGATE LIMIT APPLIES PER'. I
j PRODUCTS - COMP/OP AGG $
2,000,000.
PRO-
'
1 POLICY J CT x I L OC
A
( AUTOMOBILE
LIABILITY 1 0/01 /2009
1 0/01 /201 0 ;COMBINED SINGLE LIMIT S
1 n00 000
'�
ANY AUTO 0296P824
(Ea accident)
i I
—
ALL OWNED AUTOS
I BODILY INJURY
SCHEDULED AUTOS
(Per person)
X
I HIRED AUTOS
j
BODILY INJURY
(Pe $
r accident)
X
I NON -OWNED AUTOS
I I I
I
I
j PROPERTY DAMAGE
(Per accident) $
GARAGE LIABILITY j
AUTO ONLY - EA ACCIDENT j $
F
I i
ANY AUTO j
OTHER THAN EA ACC I $
.I
j AUTO ONLY: AGG S
B
( EXCESS/UMBRELLA LIABILITY i 7292 1 10/1 /2009 I!
10/1 /2010 EACH OCCURRENCE j $
50,000,000._
XOCCUR CLAIMS MADE I i
I AGGREGATE _ $
50000.000.
I
I$
DEDUCTIBLE
$
__
I
Xi RETENTION $ 10,000 I I
I I S
_
I
WORKERS COMPENSATION AND j
TORY LIMITS ER
___ _
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
j $
ANY PROPRIETOR/PARTNER/EXECUTIVE , I
,
--
.
OFFICER/MEMBER EXCLUDED?
E.L. DISEASE - EA EMPLOYEEI S
i
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT S
OTHER
DESCRIPTION OF OPERATIONS ( LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
RE: Hilton Garden Inn Hotel Kalispell, 1840 Highway 93 South, Kalispell, MT
59901
Kalispell Hotels, LLC.
Certificate Holder is Additional Insured.
;L90451R.11
City of Kalispell, Montana
ATTN: City Manager
201 Ist Avenue East
Kalispell, MT 59901
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2001/08) V AGUHL) C;UHPUHAI IUN 1988