HomeMy WebLinkAbout132191 MOUNTAIN PARKING EQUIPMENT - INSURANCE CERTIFICATEACORD. CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDIY
12 27 200606
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
SCA Insurance - Colo springs
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4925 North union Blvd
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Colorado springs CO 80918
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
(719) 593-7016
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
Mountain Parking Equipment
INSURERA: Employers Mutual Casualty Comp
21415
INSURER B:
INSURER C:
2009 S Cherokee
INSURER D:
Denver CO 80223
INSURER E:
COV
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
.UR_U=
ADDI
TYPE OF INSURANCIF
POLICY NUMBER
GLICYEFFECTIVE
POLICY EXPIRATION
LIMITS
GENERAL LIABILITY
EACHOCCURRENCE
$ 1,000,000
A
X COMMERCIAL GENERAL LIABILITY
OX90878
1/26/2006
1/26/2007
PREMISES Ea occu
$ 100,000
MED EXP (Any one Person
$ 5, 000
CLAIMS MADE F_x1 OCCUR
PERSONAL B ADV INJURY
$ 1E
X $500 PD Deductible
GENERAL AGGREGATE
,000
$ 2,000
GEHL AGGREGATE LIMIT APPLIES PER
PRO LOC
POLICY X JFCT
PRODUCTS - COMP/OP AGG
$ 2,000
AUTOMOBILE
LIABILITY
A
ANY AUTO
OE9087807
3/13/2006
1/26/2007
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILYINJURY
(Per parson)
$
X
X
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
1
$
AUTO ONLY: AGG
A
NEXCESSIUMBRELLA LIABILITY
X OCCUR CLAIMS MADE
OJ9087807
3/15/2006
1/26/2007
EACH OCCURRENCE
$ 1, 000, 000
_
AGGREGATE
$ 11000,000
DEDUCTIBLE
X RETENTION $ 10,000
WORKERS COMPENSATION AND
WC STATU- OTH-
EMPLOYERS' LIABILITY
DRYANY
E.L. EACH ACCIDENT
$
PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
Res, describe under
y
SPECIAL PROVISIONS below
E.L. DISEASE - EA EMPLOYE
$
E.L. DISEASE -POLICY LIMB
$
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
City of Fort Collins is named as an Additional Insured with respects to General Liability.
City of Fort Collins
Purchasing
Attn: John Stephens
215 N. Mason
Ft. Collins CO 80524
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
AUTHORIZED REPRESENTATIVE Wz
ACORD 25
19RR
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
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