HomeMy WebLinkAboutRAND BOOT INC MOBILITY LIMITED - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OP D
DATE (MMI7/
PRODUCER
RANDS-1
03 17 09
09
Brown & Brown Inc
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
125 3 Howes, 5th Floor
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
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
__ _. ._._.__ _._._ ..._.__-
I --- _...
I
INSURERA Republic Indemnity Co of Amer. 22179
INSURERS Federal _Insurance Company 20281
Rand -Scot Inc & Mobility Ltd
401 Linden Center Drive
INsuRERc Hartford Underwriters ma Co 30104
- _--"- - -- -
Ft Collins CO 80524
INSURER
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.
INSRADD'
LTR NSF TYPE OF INSURANCE POLICY NUMBER
: POLICY EFFECTIVE'POLICYEXPIRArtON'-----
DATE MM/DD/YY DATE MM/DD/YY J LIMITS
GENERAL LIABILITY
1
IEACH OCCURRENCE
$1,000,000
B
X COMMERCIAL GENERAL LIABILITY
35818332DEN
03/17/09
03/17/10
DAMAGETO RENTTtiD'ce)__
I$1,000,000
CLAIMSMADE X! OCCUR
-
I MED EXP (Any one person)
$ 10,000
...__ _— _—..
PERSONAL&ADV
-jj
$1,000,000
GENERAL AGGREGATE
F
$2, 000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
ROT
1
PRODUCTS COMP/OP AGG
I $Excluded
POLICY LOC
--'
AUTOMOBILE
LIABILITY
C
I
I
I .
X,IANYquro
34UECTZ5427
I 01/17/09
01/17/10
COMBINED SINGLE LIMIT
(Eaacudenq
$1,000,000
ALL OWNED AUTOS
I
_.1
SCHEDULEDAUTOS
BODILY INJURY
(Per person)
$
HIRED AUTOS
-I-" --
"_
NON-0WNED AUTOS
BODILY INJURY
(Per accltlenq
$
PROPERTY DAMAGE
I $
(Per accident)
GARAGE
LIABILITY
AUTO ONLY - EA ACCIDENT
$
-_-__
ANY AUTO
--__ __..__.__
OTHER THAN EA ACC
$
AUTO ONLY: AGG
$
EXCESSIUMBRELLALIABILITY
XOCCUR
I
EACH OCCURRENCE _
$ 1000000
7983WU
/17/09
TCLAIMSMADE
RE9892C
AGGREGATE
$ 5000000
I
I
DEDUCTIBLE-
X RETENTION $ Q
I
_YI'
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
X
I 1 TURV LIMITS J ) Eft
AI, ANY PROPRIETOR/PARTNER/EXECUTIVE 131093016 I
Q4/Q1/Q9 04/O1/1O�ELEACHACCIDENT
describe OFFICER/MEEXCLUDED?
If es, underunder I
SPECIAL PROVISIONS below
_-$1,000,QQQ
SEA
EL DISEASE EMPLOYEE
$ 1 OOO, 0OO
OTHER
E.L. DISEASE - POLICY LIMIT
$ 1 000 OOO
B iProducts Liabiity 35818333DEN 1
03/17/09i 03/17/101
Each Occr
1,000,000
Aggregate
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
1,000 000
Certificate holder included as additonal insured for general liability.
r PI0TI=1r ATC UnI INCo
CITYFC8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO
DATE THEREOF, THE ISSUING INSURER WALL 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
300 LaPorte Ave IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Fort Collins CO 90521 REPRESENTATIVES.
[ZED REPRESE
4 NSA_
ACORD 25 (2001/0B) ACORD CORPORATION 198R