HomeMy WebLinkAboutFORT COLLINS AUTO LLC - INSURANCE CERTIFICATE'�e�"�'' Rp� CERTIFICATE OF LIABILITY INSURANCE onre��nM�aamvv�
04/13/2023
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIOHTS UPON 7HE CERTIFICATE HOLDER. THIS CERTIFtCATE
DOES NOT AFFIRMATIVELY OR NEOA7IVELY AMEND, D(TEND OR ALTER THE COVERAOE AFFORDED BY THE POUCIES BELOW. THIS CERTIFICATE OF
INSURANCE DOES NOi CONSTI7UTE A CONTRACT BETWEEN THE fSSUINO INSURER(S), AUTFiOR12ED REPRESENTATIVE OR PRODUCER, AND THE
CERTIFICATE HOLDER.
IMPORTANT: If the certiflcate holder Is an ADDITiONAI iNSUqED, the pdicy(ies) must ha�e ADDiTIONAL INSURED prwisions ar be erxiorsed. if
SUBROOATIQN IS WAIVED, subject fo the temts and tatditions of pte polity, certain policies may require an endarsement. A statement on this
certificate does not corAer ri�ts ta tl�e certiticate halder irt lieu of such endorsemenf{s).
PROnUCER H°nME �T C�IENT GONTACT CENTER
FEDERATED MUTUALINSURANCECOMPANY -
HOME OFFICE: P.O. BOX 328 A GNNo, Ext! �&�i3-4qI9 IAlC, Nol: SOT-446-4664
OMVATONNA, MN 55060 E^MAIL ri �r�irrnurnrrr��mcor._+ccr�u�c ��u
INSURED
FORT COLLINS AUTO �LG
58�7 S COLLEGE AVE
FORT COLLINS, CO 80525�.940
N I N I 0634516
COVERAGES CERTIFICATE NUMBER: 25 REVISION NUMBER: 0
TFt1S IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREO NAMED ABOVE FOR 7HE POLICY PERIOD INDICATED
HOTWITHSTANDING ANY REQUiREMENT. TERM OR CONDITION OF ANY CONTRACT OR O7HER DOCUMENT WITFS RESPECT 70 WHICH THIS CERTIFICA7E MAY BE
ISSUED OR MAY PERTAIN. iHE INSURANCE AFFORDEP BY TME POLICIES DESCRIBED HEREIN !S SUBJEC7 TO ALL TME TERMS. FJ(CLUSIONS AND CONDiTIONS OF
SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REOUCED BY PAID CLAIMS.
INSR TYPE OF IlISUq/WCE �+DDL SUBR pp��CY f1UMBER PO I V EFF PO CY EXP LIMITS
X COMMERCIILL OEN£R�ABILITV I EACH OCCURRENCE 5�,�
CLNMS-MAOE X OCCUR I PMAGE TO REM[D PREA5IBES S�� �
CENI AGCRE4ATE LIMIT APPLIES PER:
X Poucr �a � �oc
OTH£R:
AUiOM081LE LI6BIUTY
ANY AUTO j''j
OWNED AU7Q6 ONL� �A�T�U:ED
HEiEDAVTOSONlfJL!' NON�OWNEO
AUTQS ONLY
A
A
A L U1B
lwe
WORKERS COMPEN4ATION
ANO EMPLPVF,Rs' �IpBILITY
FWY PROPRIETORlPARTNERf EKECUTIVE
/{ OfF1GERlMEMOER EHCWDEDT
�M�nMtery In NH)
It Ycf. Oescrlbc �nqCr
IDESCR�PYION OF QPERATIORS O�bw
WUTO D£ALEN UABIUTY
A
N I N I 0634519
INSURERS AFFORDING COVERAGE NAfC p
iNs�reEn n:FEDERATED MUTUA� INSURANCE COMPRNY 13435
313-450-9 INSUREN B:
IHSURER C:
iNsuRen o:
INSURER E: '
INSURER F:
MEO EkP I�I u+e penon)
05J01/2022 05J01/2023 aracnua R GIIV INJIIGV
PRODl1CTS 6 CAMPIOP PLC
GOMBINED SINOLE UMIT
�Es acc�Q�ny
BOpLY INJIIRV �PC! PC�1011)
BODILY INJURY IP�r Accitl�nU
PROPERTY DAMAGE
IPecncciamo
EACH OCCURRfRCE
OS/OZ/ZOZZ OSiO'I/ZOZ3 AGGNE6ATE
EXCLUPED
SD0 000
��Q
31,000,000
515,000,000
T500,00�
E5oo,o00
5500,000
SSOO,OOD
f500,000
s� aoo.00a
PER STATUTE
N/A I N
Y I N
9910574 OV01/2Q23 ` 01/01/2024
I E.LOISEnSEEwEMPLOVEE
E.L OISE44E POLICY LIM T
063A$18 0$l01/2022 I OSl01/2023 UTOLas-EaACaoENT
NERAL LIABILfTY
I -EAGIACCIOENf
- AG(3REOAiE
OESCRIPTiOH OF OPERATIONS � LOCAtIONi 1 VEMICLES IACORD 101, 4dditioml Rem�rts ScheEule, m�r Oe �mched ii more wace is rcnWfsdl
THE CERTIFICATE HOLDER IS JW ADDITIONAL INSURm ON AUTO �EALERS COVERACE FORM.
CERTIFICATE HOLDER
�13-450-9
CITY OF FORT COLLIMS
PO BOX 580
FORT COLL NS, CO 80522-0580
CANCELIATION
25 0 SHOUID ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELIED
BEFORE 7HE EXPIRA710N DATE 7HEREOF, NOTICE WILL 8� DEUVERED IN
ACCORDANCE YJITH THE POLICY PROVISIONS.
NUTHORIZED REPRESEHTATIVE � � �/
� �: ��
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