HomeMy WebLinkAboutC AND D ENTERPRISES - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OP IDTD
DATE(MNNODDYYI
1
CSDSE 1
01/08 07
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
The Mechanic Group, Inc.
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
One Blue Hill Plaza, Suite 530
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P, O. Box 1646
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Pearl River NY 10965
Phone: 845-735-0700 Fax: 845-735-8383
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
INSURER A: Tudor Insurance Company
37982
INSURER BCIV
22667
C S D Enterprises Inc.
CORPORATE HEADQUARTERS:
INSURFRC:
INSURER..
306 Delaware Drive
Colorado Springs CO 80909-6615
INSURER E'.
COVERAGES
THE PoLRAES CF INSURANCE LISTED BELOW HAVE BEEN ISSUED iO THE INSURED RAISED ABOVE FOR THE POCKY PERIOD INDICAT ED. NOTVUTHSTANDMG
ANY REOUIREMENT, TERM OR CONDIT NM OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFOADED B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHONN NAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
L
POLICY EFFECTIVE
POLICY EXPIRATION
LTR
HERD TYPE OF INSURANCE
POLICY NUMBER
DAM(NSNDDIWI
DATE IMMNa,FYI
LIMITS
BEHERAL LIABILRY
EACH OCCURRENCE
S 1,000,DDD
A
X COMM ERCIAL GENERA L LIABILITY
PGL750178
07/01/06
07/01/07
DAMAGE TO RENTED
PREMISES LES P.U. )
f 100, DDD
MED UP (AM ore plwn)
S 1,000
CLAIMS MADE Lj] OCCUR
PERSONAL &AM INJURY
f 1,000,000
X ERRORS 6 OMISSION
GENE RAL AGGREGATE
S 5,000,000
GEN'L ADORE GATE LIMIT AP PLIES PER:
P.UCTS-CCMPKK AGG
s INCLUDED
PRO
X POLICY JECT LOC
B
AUTOMOBILE LIABILITY
ANY Auro
BA9462W396
07/01/06
07/01/07
COMBINED S INGLE LIMIT
(EN...N)
f 1,000, 000
eooxvlNJuxr
IRrP.eonl
3
ALL%YNED AUTW
X SCHEDULEDAUTOS
PoDILY INJURY
(0.r.<WBTI
3
X HIRED AUTW
X NON-0YINED AUTOS
PROPERTY DAMAGE
(P.r..M.m)
f
X Comp $500
X
Coll $1,000
pARAONABILITY
E
AUTO ONLY ACCIDENT
S
OTHER THAN EAACC
S
A.U7
S
AUTO ONLY: AGO
E%CESSNMBRELLA LIABILITY
EACH OCCURRENCE
3
AGGREGATE
s
OCCUR ❑ CLAIM. MADE
f
$
DEDUCTIBLE
f
RETENTION f
WORMERS COMPENSATION AND
X NCSTATU- GTH-
TORY LIMBS ER
B
EMPLOYERSLHUMLITY
ANY PRCPRIETCRIPARTNENE%ECUTIVE
C44523541
07/01/06
07/01/07
EL EACH ACCIDENT
$ $1,000,000
E L. DISEASE - FAEMPIOVEE
3 $1,000,000
OFFICERNEMBER EACLUDED?
E. L. DIBFASE-PoLICY LIMIT
$ $1, DDD, DDU
SPECIAL PROV NiIONS OaIow
OILER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES) EnLUSIONS ADDS BY ENNRSEMENTI SPECIAL PROYLSIOHS
re: Location - Old Town Parking Structure, Civic Center Parking Structure
With respect to the commercial liability coverage plan referenced above,
City of Fort Collins, is included as additional insured but only to the
extent that certificate holder is held liable for the negligent acts, errors
or omissions of the named insured herein
Len I IFILAI t HULUCN CANCPI 1 ATVwJ
CITI
SHOULD AN VOF THE ABOVE DESCRIBED MUCUS BE CANCELLED BEFORE THE EXPIRATOR
DATE THEREOF, THE ISSUIND INSURER WILL ENDEAVOR TO MAIL 10 DAYSWRFREx
NOTICE TO THIS CETTFICAM HOLDER NAMED TO TIE LEFT. BUT FAILURE TO DO SO SHALL
City of Fort Collins
215 N Mason, let Floor
LITTIE
IMPOSE NO OBLIGATON OR LIABILITY OF ANY KIND UPON E INSURER. ITS AGENTS OR
Fort Collins CO 80524-4408
REPRESENTATIVES.
AUTH
co I4wi3ual (J 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 certit sate 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.
25 r20011091