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HomeMy WebLinkAbout340571 MAX FIRE APPARATUS INC - INSURANCE CERTIFICATEMAXFI-1 OP ID: DL 4�co�Ezo CERTIFICATE OF LIABILITY INSURANCE OAT11/17DIYYYY) 11 /17/11 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 holderlis an ADDITIONAL INSURED, the policy(ies) 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 ; -- certificates holder in,lieu of such endorsements). -- — - - ---- - - "`--- "- -' PRODUCER -' 1_J 303-996-7801 CRS Insurance Brokerage ''"= Commercial Risk Solutions DBA --- 303-757-7719 CONTACT NAME:' PHONE UAIc No. _Ex ), IaG. Nol: E-MAIL ADUREss: - - 6600 E. Hampden Ave. - --- -- I Denver, CO 80224 _ Sherry A. McGann INSURERS AFFORDING COVERAGE NAIC p INSURER A: Hartford Insurance Company 122357 - - _ INSURED Max Fire Apparatus, Inc. Max Fire Apparatus, LLC. P.O. Box 1658 INSURER B: Plnna COl Assurance - INSURER C: Castle Rock, CO 80104 INSURER D: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 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. INSR TYPE OF INSURANCE ADDL�SDBRi POLICY EFF POLICY E%P LTR I POLICY NUMBER MM/DDNYYY MMIDDIYVVV LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY �. CLAIMS -MADE r—X1 OCCUR X 34UUNQ08093 11/01/11 11/01/12 PREMISES IE. i $ 300,000 MED E%P(Any one person) $ - 10,000 PERSONAL B ADV INJURY 3 1,000,000 l GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOP AGG $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: u l X POLICY-� PRO- n LOC $ I AUTOMOBILE LIABILITY,.. .. -. I L;:` - L - COMBINED SINGLE LIMIT (Ea accident) 8 t,000,000 A''XX ANY AUTO -ALL O� AUTOS SCHEDULED" AUUTOSS � HIRED AUTOS NON 34UUNQ08093 11/01/11 11/01/12 BODILY INJURY (Per person) .L$ - BODILY INJURY (per accident) $ P8OPPERI DAMAGE $ UMBRELLALIAB y OCCUR EACH OCCURRENCE $ 1,000,000 'EACH $ 1,000,000 A E%CESS LIAB ICLAINIS-MADE 34HH0008094 11/01/11 11/01/12 DED I X I RETENTIONS 10,000 S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOROARTNER/EXECUTIVE YIN OFFICERIMEMSER EXCLUDED' (Mandatory in NH) If yes. describe under DESCRIPTION OF OPERATIONS below I NIA I 4077375 02/01/11 02/01/12 X WD STATU- OTH-I t R E.LEACMACCIDENT $ 100,000 E.L. DISEASE -EA EI,IPLOYEE $ 10D,000 E.L. DISEASE -POLICY LIMIT S 500,000 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Re: Fleet Maintenance. City of Fort Collins is included as additional insured on the General Liability with respect to ongoing operations of the named insured for the certificate holder as required by written contract. All policy terms, conditions and exclusions apply. City of Fort Collins P.O. Box 580 Fort Collins, CO 80522 CIFORTC 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 ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD