HomeMy WebLinkAbout132191 MOUNTAIN PARKING EQUIPMENT - INSURANCE CERTIFICATE (2)ACORD. CERTIFICATE OF LIABILITY INSURANCE 1 DATE (IMMTD� 1
PRODUCER
SCA Insurance - Colo Springs
4925 North Union Blvd
Colorado Springs CO 80918
(719) 593-7016
INSURED
Mountain Parking Equipment
2009 S Cherokee
Denver CO 80223
COVERAGES
THIS CERTIFICATE IS ISSUED AS
ONLY AND CONFERS NO RIGH
INSURERS AFFORDING COVERAGE
MATTER OF INFORMATION
UPON THE CERTIFICATE
NOT AMEND. EXTEND OR
NAIC #
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
PkDDL
UM
F OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
-LIEL
GENERAL LIABILITY
EACH OCCURRENCE
$ 11000,000
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ❑X OCCUR
OX90878
1/26/2006
1/26/2007
ED
PREMISES aoAGE TO NTurence
$ 100,000
MED EXP Any one person
$ 51000
PERSONAL B ADV INJURY
$ 11000,000
X $500 PD Deductible
GENERAL AGGREGATE
$ 2,000,000
GEHL AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 2,000,000
PRO-LOC
POLICY X JECT
A
AUTOMOBILE
LIABILITY
ANY AUTO
OE9087807
3/13/2006
1/26/2007
COMBINED SINGLE LIMIT
(Ea accident)
$
11000,000
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
X
BODILY INJURY
(Per accident)
$
HIREDAUTOS
NON -OWNED AUTOS
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY -EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
$ 11000,000
A
X OCCUR CLAIMS MADE
OJ9087007
3/15/2006
1/26/2007
AGGREGATE
$ 11000,000
$
DEDUCTIBLE
$
X RETENTION $ 10,000
COMPENSATION AND
TH-
TATdWORKERS
WC SLIM OFR
L
EMPLOYERS'UABIUTY
ANY PROPRIETORIPARTNER/EXECUTIVE
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
OFFICER/MEMBER EXCLUDED?
If yes, deecdbe under
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
City of Fort Collins
Purchasing
215 N. Mason
Ft. Collins CO 80524
25
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
REPRESENTATIVE r
9�w $
0 ACORD CORPORATION 1988
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.
AGOKD 25 (2001/05)