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HomeMy WebLinkAboutVENDING SERVICES - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MM(DDNYYV) vENDI-1 11 12 08 PRODUCER Brown & Brown Inc THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 125 S Howes, 5th Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O Box 2226 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Fort Collins CO 80522-2226 Phone:970-482-7747 Fax:970-484-4165 INSURERS AFFORDING COVERAGE NAIC# INSURED � INSURER Pinnacol.-Assurance Company 41190 Vending Services of Colorado INSURER American Casualty, of Reading, 20427 Inc. INSURER Continental Casualty Cowany 2Q443 5442 Boein Dr Loveland CO 80538 INSURER D _ V YGM1/1V CJ 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'ADD' _._.__ __ _._ ..__... ____. LTR INSR TYPE OF INSURANCE I POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATiDN i LIMITS DATE MMIDD/YY DATE MM/DD/YY GENERAL LIABILITY I EACH OCCURRENCE I $ 1000000 COMMERCIAL GENERAL LIABILITY B1035108151 TO RENTED DAMPREMISES $300000 CLAIMS MADE X OCCUR (Ea cep i f MEDEXP(Any one person ) $ 10000 B X �Buslneas owners 12/19/08 12/19/09 PERSONAL&ADVINJURY $ 1000OQQ ! _ GENERAL AGGREGATE $2000000 GEN'L AGGREGATE LIMIT APPLIES PER: _-• __. PRODUCTS-COMP/OP AGO - $ 2000000 PRO- ! POLICY I I JECT LOC .-... ._.. iAUTOMOBILE LIABILITY C X I ANY AUTO B1035108165 12/19/081 COMBINED SINGLE LIMIT 12/19/09 (Ed acciderrl) $1, 000,000 ALL OWNED AUTOS ' BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS ! -- I - BODILY INJURY ! I NON -OWNED AUTOS I I I (Per accident) $ -'-'_-'----- ------ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY ...I ANYAUTO AUTO ONLY -EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR L.. CLAIMS MADE /AGGREGATE E $ DEDUCTIBLE ( $ RETENTION $ $ - $ I, WORKERS COMPENSATION AND Xi TORV LIMITS ER A I EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE 4104O2j lO/Ol/OB , 10/Oj/O9 EL EACH ACCIDENT-- I $ jQQQQQ OFFICER/MEMBER EXCLUDED? I E.L.ISEASE EA EMPLOVEE� $ 100000 If yes, describe under SPECIAL PROVISIONS below , E.L. DISEASE -POLICY LIMIT ; $ 500000 OTHER I i ill I DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS Vending Service - Food & Soft Drinks CITYFIO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOb DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN City of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Purchasing Department 215 N. Mason St. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fort Collins CO 80521 REPRESENTATIVES. 25 2001/08) © ACCORD CORPORATION 19B8 MU 10 03 07 06 For complete explanation of covered Autos Designation Symbols refer to Motor Carrier Coverage Form (CA 00 20) Symbol Description Of Covered Autos Designation Symbols 64 Owned Commercial "Autos" Only 67 Specifically Described "autos" 68 Hired "Autos" Only 69 "Trailers" In Your Possession Under A Written Trailer Or Equipment Interchange Agreement 70 Your "Trailers" In The Possession Of Anyone Else Under A Written Trailer Interchange Agreement 71 Nonowned "Autos" Only MU 10 03 07 06 Page 2 of 2 R