Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutFORT COLLINS TOWING - INSURANCE CERTIFICATEACORD,M CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
PRODUCER 1
Centerpointe Insurance Service
LICENSE#139649
' - B Camarillo Springs Road
.tarillo, CA 93012-9464
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC#
INSURED FORT COLLINS TOWING LLC
2008 W. VINE DR.
FORT COLLINS, CO 80525
FORT01
INSURERA: EMPIRE FIRE & MARINE INSURANCE
21326
INSURER B:
INSURER C:
INSURER D:
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
LTR
ADDT
N R
POLICY NUMBER
POLICY EFFECTIVE
DATEM Y
POLICY EXPIRATION
DATE MM D
LIMITS
A
GENERAL LIABILITY
CL432909
O5/10/2007
05/10/2008
EACH OCCURRENCE
$ 1,000,000
MERCIAL GENERAL LIABILITY
DAMAGE TO RENTED
PREMISES Ea occurence
$ 100, 000
M ED EXP(Any one person)
$ 5,000
CLAIMS MADE � OCCUR
l:71
i
PERSONAL & ADV INJURY
$ 11000,000
GENERAL AGGREGATE
$ 3,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OPAGG
$ 3,000,000
PROPOLICY JEC LOC
A
AUTOMOBILE
LIABILITY
ANY AUTO
CL432909
05/10/2007
05/10/2008
COMBINED SINGLE LIMIT
(Ea accident)
$
1,000,000
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
X
HIRED AUTOS
NON-OWNEDAUTOS
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
S
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHERTHAN EA ACC
$
ANY AUTO
$
AUTOONLY: AGG
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
OCCUR El CLAIMSMADE
S
$
DEDUCTIBLE
$
RETENTION $
EMPLOYSCOMPBILITY ON AND
EMPLOYERS' LIABILITY
WC STATU- OTH-
T R IMIT
E.L. EACH ACCIDENT
$
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. DISEASE - EA EMPLOYEE
S
OFFICER/MEMBER EXCLUDED?
If yes, describe under
E.L. DISEASE- POLICY LIMIT
S
SPECIAL PROVISIONS below
A
OTHER
CL432909
05/10/2007
05/10/2008
PER VEH.SCHED. 50000
ON-HOOK/CARGO
$1000 DEDUCTIBL
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
GARAGEKEEPERS LEGAL LIABILITY - LOC - 2008 WEST VINE DR., FORT COLLINS, CO; UNINSURED MOTORIST
BODILY INJURY - $50,000 LIMIT
�— l,Ii1Yl,CLLfi 1 IVIY
CITY OF FORT COLLINS
P.O. BOX 580
FORT COLLINS, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 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
C.
MLI
/1VVnV Gu JLww IIvor
19 ACORD CORPORATION 1988