HomeMy WebLinkAbout129729 EXODUS MOVING & STORAGE INC - INSURANCE CERTIFICATE (5)ACORD CERTIFICATE OF LIABILITY INSURANCE I
DATE(MM/DD/YYYY)
M 08/31/2010
PRODUCER 970.679. 7355 FAX 866.237.2178 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Ewing -Leavitt Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
4025 St. Cloud Dr. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Suite 100
Loveland, CO 80538 INSURERS AFFORDING COVERAGE NAIC #
INSURED Exodus Moving and Storage Inc. INSURER& Vanliner Insurance- Company 21172
1730 E. Prospect Road INSURER B:
Fort Collins, CO 80553 INSURERC:
., 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
DD'
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MM/DD/YYYY
POLIATCY EXPIRATION
DE MM/DD/YYYY
LIMITS
GENERAL LIABILITY
GLV427280001
09/01/2010
09/01/2011
EACH OCCURRENCE
$ 1,000,000
X COMMERCIAL GENERAL LIABILITY
DAMAGE TO, RENTED
PREMISES (E. occurrence)
$ 100,000
CLAIMS MADE n OCCUR
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
A
X Bl kt Addtl Insured
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 2,000,000
X POLICY PRO LOC
JECT
AUTOMOBILE
LIABILITY
ANY AUTO
TRV427280201
09/01/2010
09/01/2011
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
X
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS_
NON -OWNED AUTOS
COMP DED $1,000
_.
X
BODILY INJURY
(Per accident)
X
Truckers
COLL DED $1,000
_
_
X.
PROPERTY DAMAGE_ - ._
(Per accident)
$ �_._ ...�_.. .. _.. _.....
,
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESS / UMBRELLA LIABILITY
UMV427280201
09/01/2010
09/01/2011
EACH OCCURRENCE
$ 1,000,000
X OCCUR CLAIMS MADE
AGGREGATE
$ 1,000,000
A
$
$
DEDUCTIBLE
X RETENTION $ 10 r 00
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE❑
OFFICER/MEMBER EXCLUDED?
TA U- H-
TORY LIMITS ER
E.L. EACH ACCIDENT
$
--
E.L. DISEASE - EA EMPLOYEE
—
$
(Mandatory in NH)
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
$
A
OTHER
argo Coverage
CGV427280201
09/01/2010
09/01/2011
Limit $300,000
Deductible $1,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
ertificate holder is named as Additional Insured on the General Liability policy.
CERTIFICATE HOLDER CANCELLATION
City of Fort Collins
Purchasing Department
P.O. Box 580
Fort Collins, CO 80522
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.
AUTHORIZED REPRESENTATIVE
Karole Peters/KAPETE
At,UKL) ZO (Zuua/uT) U 1988-2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
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
This Certificate of Insurance 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.
.4 .
ACORD 25 (2009/01)