HomeMy WebLinkAboutGALLEGOS SANITATION - INSURANCE CERTIFICATECORD„ CERTIFICATE OF LIABILITY INSURANCE OR
PRODUCER THIS CERTIFICATE IS ISSUED AS,
Omnivest Insurance Group ONLY AND CONFERS NO RIGHTS
dba Peliton Insurance HOLDER. THIS CERTIFICATE DOE;
4600 S. Ulster St. #1400 ALTER THE COVERAGE AFFORDE
Denver CO 80237
Phone: 303-771-1800 Fax:303-290-0884 INSURERS AFFORDING COVERAGE
INSURER A:
NSURER B:
GalleccTTwsuRERc
Cis Sanitation, Inc
Mark Glorioso _
1941 Heath Parkwayy INSURER p;
Fort Collins CO 80524 ------
DATE (MWDDIYYYY)
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.
LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDOIYY
POLICY EXPIRATION
DATE MMIDDIYY
"-
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$
COMMERCIAL GENERAL LIABILITY
GE70RF7NT2U _
PREMISES (Ea owurenc.)
$
CLAIMS MADE OCCUR
MED EXP (Any one person)
$
PERSONAL 8 ADV INJURY
5
GENERALAGGREGATE_
$
EGATE
GEMLAGGRLIMIT APPLIES PER'.
PRODUCTS - COMP/OP AGO
$
POLICY PRO OC JECT
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$
ANY AUTO
(Ea accident)
ALL OWNED AUTOS
-
BODILY INJURY
$
SCHEDULED AUTOS
(Per person)
HIRED AUTOS
—
BODILY INJURY
$
NONAW NED AUTOS
(Per accident)
PROPERTY DAMAGE
--
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN EA ACC
$
S
AUTO ONLY: AGO
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
S
OCCUR CLAIMS MADE
AGGREGATE
$
DEDUCTIBLE
S
RETENTION $
_
S
WORKERS COMPENSATION AND
X TORY LIMITS ER
A
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNEWEXECUTIVE
ACC00061291
06/01/08
06/01/09
-. ._
E.L. EACHACCIDENT
$500,000
OFFICER/MEMBEREXCLUDED9
_
E.L. DISEASE - EA EMPLOYE
SSOO,000
If yes, describe under
- —_.
E.L. DISEASE -POLICY LIMIT
$ 500 r 000
SIUNS below
777
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
City of Fort Collins
215 N Mason St
Fort Collins CO 80522
CITYFTC I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO
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
,G
This insurance is excess over:'v
(1) Any of the other insurance, whether primary, excess, contingent or on any other basis:
(a) That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your work";
(b) That is Fire insurance for premises rented to you or temporarily occupied by you with permission of -
the owner;
(c) That is insurance purchased by you to cover your liability as a tenant for "property damage" to
premises rented to you or temporarily occupied by you with permission of the owner; or
(d) If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not
subject to Exclusion g. of Section i - Coverage A - Bodily Injury And Property Damage Liability.
(2) Any other primary insurance available to you covering liability for damages arising out of the premises or
operations for which you have been added as an additional insured by attachment of an endorsement.
When this insurance is excess, we will have no duty under Coverage A or B to defend any claim or "suit" that
any other insurer has a duty to defend any party against that "suit". If no other insurer defends, we will
undertake to do so, but we will be entitled to any party's rights against all those other insurers.
When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if
any, that exceeds the sum of:
(1) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and
(2) The total of all deductible and self -insured amounts under all that other insurance.
We will share the remaining loss, if any, with any other insurance that is not described in this Excess
Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the
Declarations of this Coverage Part,
c. Method of Sharing
If all of the other insurance permits contribution by equal shares, we will follow this method also. Under this
approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of
the loss remains, whichever comes first.
If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under
this method, each insurers share is based on the ratio of its. applicable limit of insurance to the total applicable
limits of insurance of all insurers.
5. Premium Audit
a. We will compute all premiums for this Coverage Part in accordance with our rules and rates.
b. Premium shown in this Coverage Part as advance premium is a deposit premium only. At the close of each
audit period we will compute the earned premium for that period and send notice to the first Named Insured.
The due date for audit and retrospective premiums is the date shown as the due date on the bill. If the sum of
the advance and audit premiums paid for the policy term is greater than the earned premium, we will return
the excess to the first Named Insured.
c. The first Named Insured must keep records of the information we need for premium computation, and send us
copies at such times as we may request.
6. Representations
By accepting this policy, you agree:
a. The statements in the Declarations are accurate and complete;
b. Those statements are based upon representations you made to us; and
c. We have issued this policy in reliance upon your representations.
7. Separation of Insureds
Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Part
to the first Named'Insured, this insurance applies:
a. As if each Named Insured were the only Named Insured; and
b. Separately to each insured against whom claim is made or "suit" is brought.
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