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HomeMy WebLinkAbout132191 MOUNTAIN PARKING EQUIPMENT - INSURANCE CERTIFICATE (3)ACORDTe CERTIFICATE OF LIABILITY INSURANCE DATE( Y la 27 27/2300606 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION SCA Insurance - Colo springs 4925 North union Blvd Colorado Springs CO 80918 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (719) 593-7016 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: Employers Mutual Casualty Comp 2141S Mountain Parking Equipment INSURER B: INSURER C: 2009 S Cherokee INSURER D: Denver CO $0223 INSURER E: COVERAGES 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 ADDI nm TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMMIDDIM POLICY EXPIRATIONJ.1& DATE (MMIDDIM LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAM —AGE TO RENTED PREMISES Ea ocur e $ 100,000 A X COMMERCIAL GENERAL LIABILITY OX90878 1/26/2006 1/26/2007 CLAIMS MADE ri� OCCUR MED EXP (Any one person $ 51000 PERSONAL 6 ADV INJURY $ 11000,000 X $500 PD Deductible GENERAL AGGREGATE $ 21000,000 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY I X i PRO- LOC A AUTOMOBILE LIABILITY ANY AUTO DE9087807 3/13/2006 1/26/2007 COMBINED SINGLE LIMIT (Ea accident) $ 11000,000 BODILY INJURY (Par person) $ ALL OWNED AUTOS SCHEDULED AUTOS X X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHERTHAN EA ACC $ ANY AUTO $ AUTO OHLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 11000,000 A X OCCUR Lj CLAIMS MADE OJ9087807 3/15/2006 1/26/2007 AGGREGATE $ 11000,000 $ $ DEDUCTIBLE $ X RETENTION $ 10,000 WORKERS COMPENSATION AND TH- WC STATUS TORY LIMITS FIR EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERlEXECUTIVE ' E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? H yes, desaibe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / 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 N0710E 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 x ACORD 25 (2001/08) Cc) ACOR13 CORF 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.