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Home My WebLink About129729 EXODUS MOVING & STORAGE INC - INSURANCE CERTIFICATE (7)Ht.vrcu CERTIFICATE OF LIABILITY INSURANCE 0910112011 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(ies) must be endorsed. If SUBROGATION 15 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 CONTACT NAME: Keri Armbruster HONroE.n:_970.679.7351 FAX,Nn),866.568.8751 fik Ewing -Leavitt Insurance Agency E-MAIL keri-armbruster@leavitt.com ADDRESS. 4025 St. Cloud Dr. PRODUCER CUSTOMER ID N: _ Suite 100 AFFORDING COVERAGE NAICp Loveland, CO 8053 ✓II INSURED I l I ant INSURERA: Vanlinar Insurance Company 21172 INSURER B: 5 Exodus Moving and torage Inc. 1730 E. Prospect Road INSURER C: Fort Collins, CO 80553 INSURER D: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 11-12 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. NSR LTR TYPE OF INSURANCE ADDL INSR SUBR MID POLICY NUMBER MM DDIYYYY MMLDOIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY _ CLAIMS -MADE a OCCUR X Blkt Addtl Insured GLV42728000209/01/2011 09/01/2012 EACH OCCURRENCE $ 1,000,000 DAMAGETORENTED PREMISES (Ed occurrence) $ 100,000 MED EXP (Any one person) $ 10,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMNAPPLIES PER X POLICY PRO n LOC JECT PRODUOrs- COMP/OP AGG $ 2,000,000 $ ASCHEDULED AUTOMOBILE LIABILITY ANYADro ALL OWNED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS Truckers TRV427280202 COMP DEDT $1,00 COLL DEDT $1000 09/01/2011 09/01/2012 COMBINED SINGLE LIMIT (Ea acodsm) $ 1,000,000 BODILY INJURY(Par person) $ IX BODILY INJURY(Per accident $ PROPERTVDAMAGE (Per accdent) $ X $ X $ A UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE UMV427280202 09/01/2011 09/01/2012 EACH OCCURRENCE s 1,000,000 AGGREGATE $ 1,000,000 - - DEDUCTIBLE RETENTION $ 10,00 $ XI $ WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? a (Mandatory in NH) If yes describe under DESCRIPTION OF OPERATIONS below NIA WC STATU- OTH- TO LIMITS- FIR E.L. EACH ACCIDENT $ ELDISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT 1 $ A Cargo Coverage CGV42728020209/01/2011 09/01/2012 $300,000 Per Truck Limit $1,000 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) ertificate holder is named as Additional Insured on the General Liability policy. 199Cu la Plf\ 1 "'1111 IN PPl i4a 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, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE All rights reserved ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD