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Home My WebLink AboutCOLLEGE TIRES & COLLEGE OIL & LUBE - INSURANCE CERTIFICATE2011/08/12 15:04:15 2 /2 Al oe CERTIFICATE OF LIABILITY INSURANCE 8�12/12011» THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER)S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy)les) must be endorsed. 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). PRODUCER Security First Insurance Agency 7851 S. Elati Street Suite 100 Littleton CO 80120 CONTACT Stephanie Huber PNONE (303) 730-2327 AAA No: (303)730-2930 .shuber@securityfirstia.com INSURERS AFFORDINGCOVERAGE NAICI INSURERA AMCO 19100 INSURED COLLEGE TIRES INC 6 COLLEGE OIL 6 LUBE INC 1506 N COLLEGE AVE FT COLLINS CO 80524-1218 INSURERBEHn to ers Insurance Group INSURERC: INSURERO: INSURERS: INSURER F: COVERAGES CERTIFICATE NUM BE R:L:L11B12U2494 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSIR LTR TYPE OF INSURANCE POLICY NUMBER MMIOC�W MMIDDIYYVY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,005 A X COMMERCIAL GENERAL LIABILITY CLAMS -MADE OOCCUR X CPBPA7571619660 /1/2011 /1/2012 PA My n g 300,000 MED EXP(Any one person) $ 5,000 PERSONAL b ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMPIOP AGG $ 4,000,000 X POLICY RI LOC $ AUTOMOBILE UABILNY COMISNED SING1_rL-9iII ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per acciderl) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE P rrrc $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LWB CLAIMS -MADE DELI I I RETENTION$ $ B WORRERS COMPENSATION ANDEMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIE%ECUTIVE OFFICERANE.IBER EXCLUDED? (Mmdatory In NH) UP yyes, dasaibe antler DCRIPTION OF OPERATIONS below NIA N 0330075-7 /1/2011 /1 /2012 WC STATT. OTH- X T RY IMITS FIR EL EACH ACCIDENT $ 500 000 EL DISEASE - EA EMPLOYE $ 500,000 E L DISEASE- POLICY LIMIT S 500 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach. ACORD 101, Additional RennI Schedule, II more apace Ia re9ulred) Certificate Holder is an additional insured as respects General Liability only, with regards to work performed by named insured as required by written contract. *30 day cancel notice except for 10 days for non payment. nvA (970)221-6707 City of Fort Collins Purchasing Division PO Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Huber/STEPH � A'---!— U � G_- 01988-2010 ACORD CORPORATION. All richts reserved. INS075 mmnns, In Th. Arnan namo n.,I lnan....onlaroroH rnarlra of Arnwn 2011/08/12 15:04:15 1 /2 7851 S. Elati St. Suite 100 Littleton CO 80120 Name: Stephanie Huber Phone: Fax: 303-730-2930 E-mail: shuber@secudtyfirstia.com Comments: Thank you, -Stephanie SECURITY FIRST Business • Auto • Home • Life • Health Name: Fax 9702216707 Sent 8112/11 at 3 14 13 PM 2 s•s•(s) (including su Stephanie Huber Account Representative Security First Insurance Agency 7a51 S. Elati St., Ste 100, Littleton CO 80120 2: 303.730.2327 1 A: 303.730, 2930 CONFIDENTIALITY NOTICE: This a it transmisslon, and any documents, files or prevbus e-rraal messages attached to IS may contaln cordlderdlal Information that Is privileged. It you are not the intanded reciplank or a person responsible for dellvedng itto the Intended reciplent you are hereby nodfled that any dlsdosure, copying, distribution or use of the Infomra Lon contained In or attached to this message Is STRICTLY PROHIBITED. If you have recalved this transmission in error, please immediately ncdfy us by reply a -mall at oeon®SeeurihF'rstia-com or by telephone at t303) 730-2327. and destroy the original transmission and its attachments without reading them or saving them to disk Thank you.