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HomeMy WebLinkAbout340571 MAX FIRE APPARATUS INC - INSURANCE CERTIFICATE (3)MAXFI-1 OP ID: SEA CERTIFICATE OF LIABILITY INSURANCE DAT01126D/2 F 01/26/12 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 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 endorsements . PRODUCER 303-996-7801 CRSInsurance Brokerage Commercial Risk Solutions DBA 303-757-7719 CONTACT NAME: HOE FAX PA/c NN0 EXI : ac No): E-MAIL ss: 6600 E. Hampden Ave. Denver, CO 80224 Sherry A. McGann INSURERS AFFORDING COVERAGE NAIC N wsURERA:Hartford Insurance Company 22357 INSURED Max Fire Apparatus, Inc. INSURER B:Plnnacol Assurance Max Fire Apparatus, LLC. P.O. Box 1658 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 LTR TYPE OFINSURANCE A DL SUSR POLICY NUMBER MM/DDY/YYYY MM/DD Exp LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,06 _9A9=0 RENTED PREMISES Ea occurrence $ 300,00 A X COMMERCIAL GENERAL LIABILITY X 34UUNQ08093 11/01/11 11/01/12 CLAIMS -MADE F-xl OCCUR MED EXP (Any one person) $ 10,00 PERSONAL B ADV INJURY $ 1,000,06 GENERALAGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGG $ 2,000,00 X POLICY PRO-JECT LOC - $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,00 BODILY INJURY (Per person) $ A X ANYAUTO 34UUNQ08093 11/01/11 11/01/12 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS X UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 1,000,00 AGGREGATE $ 1,000,00 A EXCESSLIAe CLAIMS -MADE 34HH0008094 11/01/11 11/01/12 DIED X I RETENTION$ 10000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? a (Mandatory in NH) NIA 4077375 02I01N2 02I01113 X WC STATU- OTH- E.L. EACH ACCIDENT $ 100,00 E.L. DISEASE - EA EMPLOYEEI $ 100,00 - If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace 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. CIFORTC City of Fort Collins 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 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD