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HomeMy WebLinkAboutFORT COLLINS TOWING - INSURANCE CERTIFICATE (4)DATE(MM/DD/YYYY)
ACORD,M CERTIFICATE OF LIABILITY INSURANCE
PRODUCER 2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Centerpointe Insurance Service I HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
LICENSE#NPA00139649
807 - B Camarillo Springs Road
Camarillo, CA 301.- 464
INSURED FORT COLLINS COLLISION REPAIR
DBA: FORT COLLINS TOWING INC.
4257 SOUTH MASON ST.
FORT COLLINS, CO 80525-3036
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INSURERS AFFORDING COVERAGE
INSURER A: RMDTRR FIRE Z MART!
INSURER B:
INSURER C:
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
11
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
A
GENERAL LIABILITY
CL431711
11/25/2005
11/25/2006
EACH OCCURRENCE
S
DPREMISES EAMAGE (E RENTED
a occurence
$
COMMERCIAL GENERAL LIABILITY
CLAIMSMADE 6-1 OCCUR
M ED EXP(Any one person)
$ 5, Ono
PERSONAL& ADV INJURY
$ 1,000,0013
GENERAL AGGREGATE
$
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$
POLICY PRG LOC
A
AUTOMOBILE
LIABILITY
ANYAUTO
CL431711
11/25/2005
11/25/2006
COMBINED SINGLE LIMIT
(Ea accident)
S
BODILY INJURY
(Per person)
S
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
S
HIRED AUTOS
NON-0 W NED AUTOS
PROPERTY DAMAGE
(Per accident)
S
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
S
OTHERTHAN EA ACC
$
ANYAUTO
S
AUTOONLY: AGG
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$
OCCUR CLAIMSMADE
AGGREGATE
S
S
S
DEDUCTIBLE
_
$
RETENTION S
WORKERS COMPENSATION AND
WC
OBSTATU� O�TH-
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT
S
E.L. DISEASE - EA EMPLOYEE
$
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
$
A
OTHER
CL431711
11/25/2005
11/25/2006
PER. VEH.SCHED 50000
ON-HOOK/CARGO
$1000 DEDUCTBL
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS
2005NOV17 pm12:41
GARAGEKEEPERS LEGAL LIABILITY - $120,000 LIMIT; LOC - 4235/4251/4257 S. MASON ST., FORT COLLINS, C
UNINSURED MOTORIST BODILY INJURY - $50,000 LIMIT
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
nrnon �G ronn� /nDl
AUTHORIZED
-."-,\. A- MT.T
Ar nDn rn DDnDATin It) 1000