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HomeMy WebLinkAbout132191 MOUNTAIN PARKING EQUIPMENT - INSURANCE CERTIFICATE (6)Cert ID 30341 ACORDTM CERTIFICATE OF' LIABILITY INSURANCE °ATE(MM,°°/YYYY) 2/2/2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Hub International Southwest ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4925 North Union Blvd. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Colorado Springs CO 80918 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (719) 593-7016 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: Secura Insurance Mountain Parking Equipment INSURER B: EMC Insurance 2009 S Cherokee INSURERC: Denver CO 80223 INSURERD: - 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 DD'L D TYPEPOLICY NUMBER POLICY EFFECTIVE DATE MM DD POLICY EXPIRATION DATE MM DD Y LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A MMERCIAL GENERAL LIABILITY CP3134504 1/26/2009 1/26/2010 DAMAGE TO TE PREMISES (Ea olccurence $ 100,000 CLAIMS MADE � OCCUR tX_C0500 IVIED EXP (Any one person) $ 10,000 PERSONAL&ADVINJURY $ 1,000,000 PD Ded/Claim GENERAL AGGREGATE $ 2,000,000 GENI AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PRO LOC A AUTOMOBILE LIABILITY ANY AUTO A3134505 1/26/2009 _1/26/2010 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY '(Per person) $ . ALL OWNED AUTOS SCHEDULED AUTOS - X BODILY INJURY - (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 51000,000 A X OCCUR El CLAIMS MADE CU3134506 1/26/2009 1/26/2010 AGGREGATE $ 5,000,000 $ DEDUCTIBLE $ - X RETENTION $ 10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- I JOTH- T RY LIMITS I I ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE - POLICY LIMIT I $ SPECIAL PROVISIONS below B OTHER Blanket Employee T230553 12/4/2008 12/4/2009 $10,000 Limit Dishonesty Bond DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS City of Fort Collins is named as an Additional Insured with respects to General Liability. li Cr%I Ir RIM 1 C nULUCIC 6,ANL,CLLA I IVN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN City of Fort Collins Purchasing NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL At tn: John Stephens IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 215 N. Mason REPRESENTATIVES. Ft. Collins CO 80524 AUTHORIZED REPRESENTATIVE r It^ AGURD 25 (2001/08) Page 1 of 1 © ACORD CORPORATION 1988 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. 2/2/2009 HI.UKU LJ (LUUI/U6) Page 2 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY 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: 1. This insurance does not apply to "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a. 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" occurring 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 arises 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 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. ILE 10 37 Includes copyrighted material of Insurance Services Office, with its permission Page 1 of 3 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 organization's status as an additional insured under this endorsement will not apply beyond the lesser of: a. The period of time 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 noncontributory. 4. 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 requiring 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. a. Amendment —. Aggregate Limits of Insurance (Per Project) ILE 10 37 Includes copyrighted material of Insurance Services Office, with its permission Page 2 of 3 0505 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 3 of 3 0505 Cert ID 30341 ACORDTM CERTIFICATE OF LIABILITY INSURANCE °ATE(MMI°DIYYYY) 2/2/2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Hub International Southwest ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4925 North Union Blvd. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Colorado Springs CO 80918 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (719) 593-7016 INSURERS AFFORDING COVERAGE NAIC # INSURED - _ INSURER A: SEClira Insurance Mountain Parking Equipment INSURERS: EMC Insurance 2009 S, Cherokee INSURER C: - Denver CO 80223 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 DDT FIN A POLICY NUMBER POLICY EFFECTIVE DATE MM DD Y POLICY EXPIRATION DATE MMIDD Y LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CP3134504 1/26/2009 1/26/2010 DAMAGE TO RENTED PREMISES Eaoccurence $ 100,000 CLAIMS MADE FXI OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 X $500 PD Ded/Claim GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PROJEC LOC A AUTOMOBILE LIABILITY ANY AUTO A3134505 1/26/2009 1/26/2010 COMBINED SINGLE LIMIT (Ea accident) $ _ 1,000,000 X BODILY INJURY (Per person) $ ALL OWNEDAUTOS - SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 51000,000 AGGREGATE $ 5,000,000 A X OCCUR CLAIMS MADE CU3134506 1/26/2009 1/26/2010 $ DEDUCTIBLE $ X RETENTION $ _ 10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- OTH- T L MI ER _ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ OFFICER/MEMBER EXCLUDED? If yes, describe under . E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below B OTHER Blanket Employee T230553 12/4/2008 12/4/2009 $10,000 Limit Dishonesty Bond DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ,rn.mI LAIN r_I_LAIKJIV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins Attn: John 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 300 Laporte Avenue IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESEATIVES. Fort Collins CO 80522 AUTHORIZEDNTREPRESENTATIVE AwKU Lb (ZUUI/US) Page 1 of 1 © ACORD CORPORATION 1988 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. z/2/2009 M%,vr%U ca %4VV irvol Page 2 of 1