HomeMy WebLinkAboutValley Nissan-Subaru LLC - Insurance Certificate A Q® DATE(MM/DDNYYY)
CERTIFICATE OF LIABILITY INSURANCE 02/22/2025
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(les) must have ADDITIONAL INSURED provisions or be endorsed. If
SUBROGATION IS WAIVED, subject to the terns 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 NAME: CLIENT CONTACT CENTER
FEDERATED MUTUAL INSURANCE COMPANY PHONE FAX
HOME OFFICE:P.O.BOX 328 (A/C,No,Ext):888-333-4949 IA/C,No):507-4464664
OWATONNA,MN 55060 ADDRESS:CLIENTCONTACTCENTER®FEDINS.COM
INSURERS AFFORDING COVERAGE NAIC#
INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935
INSURED INSURER B:
VALLEY NISSAN-SUBARU LLC INSURER C:
1005 KEN PRATT BLVD
LONGMONT,CO 80501-6330 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:25 REVISION NUMBER:0
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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF PODGY EXP LIMITS
LTR INSR WVD MM/DDNYYY MM/LID/VYW
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000
CLAIMS-MADE X OCCUR DAMAGE TO ELATED PREMISES
(Ee ocnmrence $100,000
MED EXP(Any one person) EXCLUDED
A N N 1893743 04/01/2025 04/01/2026 PERSONALS ADV INJURY $1,000,000
OENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
X POLICY �RO- ❑LOC PRODUCTS 6 COMP/OP ACC $2,000,000
OTHER'
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
(Ea accident)
ANYAUTO BODILY INJURY(Per Person)
OWNED AUTOS ONLY SCHEDULED BODILY INJURY(Per Accident)
HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE
AUTOS ONLY Per Acciden
X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $10,000,000
A EXCESSLIAB CLAIMS-MADE N N 1893753 04/01/2025 04/01/2026 AGGREGATE $30,000,000
LIED I RETENTION
WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY YfN X PERX PER STATUTE�THER
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $SOO,000
A OFFICER/MEMBEREXCLUDED7 N/A N 1893754 04/01/2025 04/01/2026
(Mandatory In NH) E.L DISEASE EA EMPLOYEE $500,000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L DISEASE POLICY LIMIT $500,000
UTO DEALER LIABILITY Y N 1893743 04/01/2025 04/01/2026 AUTO LIAB-EA ACCIDENT $1,000,000
A GENERAL LIABILITY
-EACH ACCIDENT $1,000,000
-AGGREGATE $2,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required)
THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ON AUTO DEALERS COVERAGE FORM SUBJECT TO THE CONDITIONS OF THE AUTO
DEALERS ADDITIONAL INSURED ENDORSEMENT
CERTIFICATE HOLDER CANCELLATION
CITY OF FORT COLLINS
PO BOX 580 25 0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
FORT COLLINS,CO 80522-0580 BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE/ fin/ n
O 1998-2015 ACORD CORPORATION.All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD