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Home My WebLink About132191 MOUNTAIN PARKING EQUIPMENT - INSURANCE CERTIFICATE (4)ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MM DD YYYY) PRODUCER Hub International 4925 North Union Blvd Colorado Springs CO 80918 (719) 593 7016 INSURED Mountain Parking Equipment 2009 S Cherokee Denver CO 80223 i CERTIFICATE IS ISSUED AS A .Y AND CONFERS NO RIGHTS .DER THIS CERTIFICATE DOES INSURERS AFFORDING COVERAGE INSURER B THE 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 MAYBE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDRIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR DD POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 A X COMMERCIAL GENERAL LIABILITY CP3134504 1/26/2008 1 26/2009 / AMA E RE 0 PREMISES Eaoccurence $ 100 000 MED EXP (Any one person) $ 5 000 CLAIMS MADE X� OCCUR PERSONAL B ADV INJURY $ 1 000 000 X $500 PD Ded/Claim GENERAL AGGREGATE $ 2 000 000 GENL AGGREGATE POLICY LIMIT APPLIES PER X PRO LOC PRODUCTS COMP/OP AGG $ 2 000 000 AUTOMOBILE LIABILITY A X ANY AUTO A3134505 1/26/2008 1/26/2009 COMBINEDSINGLELIMIT (Ea accident) $ 1 000 000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per parson) X HIREDAUTOS NON -OWNED AUTOS BODILY INJURY (Par accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTOONLY EAACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY AGO A EXCESSIUMBRELLA LIABILITY X OCCUR CLAIMS MADE CU3134506 1/26/2008 1/26/2009 EACH OCCURRENCE $ 5 000 000 AGGREGATE $ 5 000 000 DEDUCTIBLE $ X RETENTION $ 10 000 WORKERS COMPENSATION AND WC STATU OTH EMPLOYERS LIABILITY E L EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED' It eS descnbe under SPECIAL PROVISIONS below E L DISEASE EA EMPLOYE $ E L DISEASE POLICY LIMIT $ OTHER $10 000 Limit LA Blanket Employee T230553 12/4/2007 12/4/2008 Dishonest Bond DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS City of Fort Collins is named ae an Additional Insured with respects to General Liability City of Fort Collins 215 N Mason SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFINUE 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 Ft Collins CO 80524 25 (2001108) AUTHORIZED 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 ACORD 25 THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY ADDITIONAL INSURED WRAP This endorsement modifies Insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM BUSINESSOWNERS LIABILITY COVERAGE FORM 1 Additional Insured When Required by Written Construction Contract A Operations Performed for an Additional Insured Who Is An Insured is amended to include as an additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy Such person or organization is an additional insured only with respect to liability for "bodily injury property damage" or personal and advertising injury caused in whole or in part by 1 Your acts or omissions or 2 The acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insured A person s or organization s status as an additional insured under this provision ends when your operations for that additional insured are completed B Limitations The Operations Performed for an Additional Insured coverage is limited as follows This insurance does not apply to Bodily injury" properly damage or personal and advertising injury" ansing out of the rendering of or the failure to render any professional architectural engineering or surveying services including The preparing approving or failing to prepare or approve maps shop drawings opinions reports surveys field orders change orders or drawings and specifications or b Supervisory inspection architectural or engineering activities 2 This insurance does not apply to "Bodily injury" or property damage occumng after a All work including materials parts or equipment furnished in connection with such work on the project (other than service maintenance or repairs) to be performed by or on behalf of the additional Insured(s) at the location of the covered operations has been completed or b That portion of your work' out of which the injury or damage anses has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project 3 The Limits of Insurance applicable to the additional insured are those specified in the written contract or agreement or in the Declarations for this policy whichever is less These Limits of Insurance are inclusive and not in addition to the Limits of Insurance shown in the Declarations If other insurance available to you and wntten by us is applicable to this additional insured the maximum recovery under all coverage fortes or policies combined may equal but not exceed the highest applicable limit under any one coverage forth or policy providing coverage on either a pnmary or excess basis ILE 10 37 includes copyrighted matenal of Insurance Services Office with its penrusswn Page 1 of 2 0505 2 Additional Insured When Required by Written Construction Contract —Completed Operations A Additional Insured - Completed Operations WHO IS INSURED is amended to include as an additional insured any person or organization when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy but only with respect to bodily Injury" or property damage caused in whole or in part by "your work" performed for that additional insured and Included in the products completed operations hazard B Limitations The Additional Insured Completed Operations coverage is limited as follows 1 A person or organization s status as an Insured under Additional Insured -Completed Operations continues only for the period of time required by the written contract or agreement If no time period is required by the written contract or agreement a person or organizations status as an additional insured under this endorsement will not apply beyond the lesser of, a The period of lime required by the written contract or agreement or b Five years from the completion of your work on the project which is the subject of the written contract or agreement 2 The Insurance as provided to the additional insured does not apply to bodily Injury" property damage or "personal and advertising Injury° arising out of your work for which a consolidated (wrap-up) insurance program has been provided by the prime contractor project manager or owner of the construction project in which you are involved 3 The Limits of Insurance applicable to the additional insured are those specified in the written contract or agreement or in the Declarations for this policy whichever is less These Limits of Insurance are inclusive and not in addition to the Limits of Insurance shown in the Declarations If other insurance available to you and written by us is applicable to this additional Insured the maximum recovery under all coverage forms or policies combined may equal but not exceed the highest applicable limit under any one coverage form or policy providing coverage on either a primary or excess basis 4 The coverage provided to the additional Insured by this endorsement and by paragraph f of the definition of insured contract under DEFINITIONS do not apply to bodily Injury or `property damage arising out of the products -completed operations hazard" unless required by the written contract or agreement 3 Primary and Noncontributory As respects the coverage provided under this endorsement Paragraph 4 b of the Other Insurance Condition is deleted and replaced by the following 4 Other Insurance b Excess Insurance This insurance is excess over any other insurance naming the additional insured as an Insured whether primary excess contingent or on any other basis unless the written contract or agreement described in 1 and 2 above specifically requires that this insurance be either primary or primary and noncontnbutory Waiver of Transfer of Rights of Recovery Against Others to Us LIABILITY CONDITIONS Transfer of Rights of Recovery Against Others to Us is amended by adding the following We waive any right of recovery we may have to recover we make for all or part of any payment we have made under this Coverage Part arising out of your work under a written contract or agreement requffmg such waiver with that person or organization However our rights may only be waived prior to the occurrence for which we make payment under this Coverage Part The insured must do nothing after a loss to impair our rights At our request the insured will bring suit" or transfer those rights to us and help us enforce those rights 5 Amendment —Aggregate Limits of Insurance (Per Project) The General Aggregate Limit under LIMITS OF INSURANCE applies separately to each of your projects away from the premises owned by you or rented to you This extension does not apply to the products -completed operations hazard ILE 10 37 Includes copyrighted material of Insurance Services Office with Its permission Page 2 of 2 0505 ACORD,N CERTIFICATE OF LIABILITY INSURANCE OA;E(MM'DDIYYYY) PRODUCER Hub International 4925 North Union Blvd Colorado Springs CO 80918 (719) 593 7016 INSURED Mountain Parking Equipment 2009 S Cherokee Denver CO 80223 [KelTl�'LTH3.1 ALTER INSURERS AFFORDING COVERAGE A Secure INSURER C 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 T.INSURANCE DO POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 A X COMMERCIAL GENERAL LIABILITY CP3134504 1/26/2008 1/26/2009PREMISES AMA ET REN D PREMI ES Ea Occurence $ 100 000 CLAIMS MADE 1XI OCCUR MED EXP(Any one person) $ 5 000 PERSONAL B ADV INJURY $ 1 000 000 X $500 PD Ded/Claim GENERAL AGGREGATE $ 2 000 000 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS COMP/OP AGG $ 2 000 000 POLICY FX7PRO LOC A AUTOMOBILE X LIABILITY ANY AUTO A3134505 1/26/2008 1/26/2009 COMBINED SINGLE LIMIT (Ea accident)$ 1 000 000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY accdert) (Per acntleny $ HIREDAUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GAR AGE LIABILITY AUTOONLY EAACCIDENT $ OTHEEA ACC THAN $ ANY AUTO $ AUTO ON AUTO ONLY qGG A EXCESSIUMBRELLA LIABILITY R OCCUR CLAIMS MADE CU3134506 1/26/2008 1/26/2009 EACH OCCURRENCE $ 5 000 000 AGGREGATE $ 5 000 000 S 8 DEDUCTIBLE $ X RETENTION $ 10 000 WORKERS COMPENSATION AND WC STATU OTH ITS '' EMPLOYERS LIABILITY EL EACH ACCIDENT $ ANY PROPRIETOR/PARTNERIEXECUTIVE EL DISEASE EA EMPLOYE $ OFFICERIMEMBER EXCLUDED? If yes describe under SPECIAL PROVISIONS below EL DISEASE POLICY LIMIT $ OTHER $10 000 Limit A Blanket Employee T230553 12/4/2007 12/4/2008 Dishonesty Bond DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS City of Fort Collins Attn John 300 Laporte Avenue 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 Fort Collins CO 80522 AUTHORIZED REPRESENTATIVE 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 NV VRU za kzvu llvo)