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277398 CHOICE TOWING - INSURANCE CERTIFICATE (4)
(MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MW2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF. INFORMATION ONLY AND Zurich, ASM Account Service Center CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE 7045 College Blvd. DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE g POLICIES BELOW. Overland Park;;KS 66211: Fax: 888' 734-6776.::Ph: 877-225-5276: opt. 1 INSURED 0128587-00 CHOICE TOWING, LLC 1605 LINCOLN AVENUE FORT COLLINS, CO 80524 COVERAGES INSURERS AFFORDING COVERAGE NAIC # SURER A: Universal Underwriters Insurance Company 41181 SURER B: Universal Underwriters of Texas Ins. Co. 40843 SURER C: SURER D: SURER E: 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 MMIDD/YY POLICY EXPIRATION DATE MMIDD/YY LIMITS A r GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITYM CLAIMS MADE � OCCUR EACH OCCURRENCE $ 300,000 ) D PREMISES Ea occurrence $ 286827 04/01 /09 04/01 /10 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PE LOC CT A ' AUTOMOBILE LIABILITY . ANY AUTO I i' ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS ' NON -OWNED AUTOS r 286827 04/01 /09 04/01 /10 COMBINED SINGLE LIMIT (Ea accident) $' 300,000 BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ • PROPERTY DAMAGE (Per accident) $ A GARAGE LIABILITY ANY AUTO 286827 04/01 /09 04/01 /10 AUTO ONLY - EA ACCIDENT $ 300,000 OTHER THAN EA ACC AUTO ONLY: AGG $ $ A EXCESSIUMBRELLA LIABILITY X ❑ DEDUCTIBLE .. FxRETENTION $ 0 286827 04/01 /09 04/01 /10 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ PRODUCTS- COMP/OP AGG $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below WC S ATUT RY OTHER LIMITS E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ OTHER Customer's Auto -Direct Primary Includes On Hook Coverage 286827 04/01/09 04/01/10 $ 450,000 Limit 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 FORT COLLINS POLICE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 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 OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. PO BOX 580 FT. COLLINS, CO 80522 AUTHORIZED REPRESENTATIVE 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)