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HomeMy WebLinkAboutCHOICE CITY TOWING - INSURANCE CERTIFICATEACORDTm CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 05/01/2009 PRODUCER Zurich, ASM Account Service Center 7045 College Blvd.- 9 Overland .Park; KS 66211' Fax: 888-734-6776` Ph:'877-225-5276 opt. 1 THIS CERTIFICATE IS ISSUED AS A MATTER" OF INFORMATION ONLY AND CONFERS NO RIGHTS, UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC'# ` INstiRED0128e67-00' CHOICE TOWING, LLC 1605 LINCOLN AVENUE FORT COLLINS, CO 80524 INSURER A: Universal Underwriters Insurance Company 41181 INSURER B: Universal Underwriters of Texas Ins. Co. 40843 INSURER C: 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 ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DDIYY) POLICY EXPIRATION DATE MMIDD/YY) LIMITS A GENERAL LIABILITY EACH OCCURRENCE $ 300,000 X COMMERCIAL GENERAL LIABILITY I I E RENTED ISESEa occurrence PREMPREM o $ CLAIMS MADE � OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 286827 04/01 /09 04/01/10 GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO- LOC JECT A ' AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 300,000 BODILY INJURY (Per person) $ '-ALL OWNED AUTOS • SCHEDULED AUTOS 286827 .04/01/09 04/01/10 X. BODILY INJURY $ HIRED AUTOS NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) A GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ 300 000 ANY AUTO 286827 04/01 /09 04/01/10 OTHER THAN EA ACC $ $ AUTO ONLY: AGG A EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 5,000,000 X ❑ AGGREGATE $ 286827 04/01 /09 04/01/10 PRODUCTS- COMP/OP AGG $ $ DEDUCTIBLE _ - - X RETENTION $ 0 F $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATUTORY OTHER LIMITS E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER Customer's Auto -Direct Primary 286827 04/01/09 04/01/10 $ 450,000 Limit Includes On Hook Coverage DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS End.089-Umbrella Limit Inclusive applies Customer Auto Legal Liability for Natural Disasters. Reason` For: Auto Repair Work & Towing Agreement. 30 day notice of cancellation applies, except for cancellation due to non payment of premium. CERTIFICATE HOLDER CANCELLATION CITY OF FT. COLLINS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO BOX 580 THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY FT. COLLINS, CO 80522 OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE JAMES B O'NEIL II ACORD 25 (2001108) © 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. ACORD 25 (2001/08)