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HomeMy WebLinkAbout122004 SHAMROCK YELLOW CAB (DIAL-A-RIDE) - INSURANCE CERTIFICATEA� v® CERTIFICATE OF LIABILITY INSURANCE �1r2011 ""Y' 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: N the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. N 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 Marsh USN Inc TWO LOGAN SQUARE COWACT NAME NE A�iC, No FAX Mal: EaIAIL ADDRESS: PHILADELPHIA, PA 19103-2797 INSU 11AFFORDING COVERAGE NAICO INSURER A: Old Republic Insurance Co 24147 390631-VT-01W-11-12 zoA— Ck INSURED ""'Colorado Cab Company, LLC, INSURER B: dba Fort CXdlim Yellow Cab INSURER c INSURER D: 76M Fast 41sl AVmue Denver, CO 80126 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: CLE-003729882-01 REVISION NUMBER:1 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. INSR LTRJIM TYPE OF INSURANCE POLICY NUMBER POLICY ID EFF MPOLICYDYY Users A GENERAL LIABILITY MWZY59146 071012011 071012012 EACH OCCURRENCE S 500,WO X COMMERCIALGENERAL LIABILITY PREMISES Eaoov.. It 100,000 CLAIMS -MADE OCCUR HIED EXP(My ore Panne( $ PERSONAL A ADV INJURY S 500'000 GENERAL AGGREGATE f 500,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG S 500,000 X POLICY PRO' LOC I f A AUTOMOBILE LIABILITY MINTB 21267 07/012011 07101/2012 COMBINED SINGLE UNIT Ea acidwd $ 500,000 X BODILY INJURY (Par person) f A ANY AUTO MWZX2%84 071012011 07ID12012 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per artiderV) $ PROPERTY DAMAGE nP.ecuiderd f NO"MED HIREDAUTOS AUTOS S UMBRELLA UAS EACH OCCURRENCE S AGGREGATE $ EXCESS UAB 4MOCCUR CLAIMSADE DED RETENTIONS S A YJORMERSCOMPENSATION MWC11700100 07/012011 07/012012 X I V.0 STATU- OTH- AND EMPLOYERS' WIBILITY YIN ANY PROPRIETOR/PARTNEMEXECUTIVE� OFRCERA.IEMBER EXCLUDED'! (Mandatary In NH) NIA E.L. EACH ACCIDENT f 100,000 E.L. DISEASE -EA EMPLOYEE $ 500,000 H yes, dasai0a under DESCRIPTION OF OPERATIONS W.ELDISEASE -POLICY LIMIT S 100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Add0 1 Remarks S Ule, N more pace Is f"wrad) Dal A Ride Service Contrad The City of Fort Collins, Its officers, agents, and employees are included as a0itimal insured (except Workers' Compensation) where required by written contract City of Fort Collins Aftn: James ONal 215 Mason Street, 2nd Floor Fort Collins, CO MM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORED REPRESENTATIVE of Marsh USA Inc. Masashi Mukhertee _P'Lauaol.: ,J4A A,-a.,4a 01988-2010 ACORD CORPORATION. All rights I ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD