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Home My WebLink About480231 SECOND WAVE AUTOMOTIVE CARE LLC - INSURANCE CERTIFICATEO CERTIFICATE OF LIABILITY INSURANCE 4.� D/l/2�DD012 31/22 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 endorsement(s). PRODUCER CO West Insurance Group PO BOX 910 Castle Rock CO 80104 CONTACNAME: T COWest Corporate PHONE (303) 688-9597 FAX . (303)688-8858 -MAIL E.in£o@cowest.com INSURERS AFFORDING COVERAGE NAICM INSURERA:Colorado Casualty Insurance CO 20621 INSURED Second Wave Automotive Care, LLC 6 Endless 1921 S Alma School Road Ste 110 Mesa AZ 85210 INSURERB:Peerless Indemnit 18333 INSURER C:Pinnacol Assurance 41190 INSURER D: INSURER E: 1 INSURER F: COVERAGES CERTIFICATE NUMBER:Master 12/13 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 OF INSURANCE ADDL SUaK POLICY NUMBER POLICY EFF MMIDD POLICY EXP M/ LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR CBP8706320 /28/2011 /28/2012 DAMAGE T R PREMISES Ea occurrencel $ 100,000 MED EXP(Any one person) $ 15,000 PERSONAL S ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PFrITRO- LOC1 1 $ AUTOMOBILE LIABILITY. COMBINED SINGLE LIMIT Ea awitlem 1,000,000 BODILY INJURY (Par person) $ AHANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BP8706320 /28/2011 /28/2012 BODILY INJURY(Par accident) $ NON -OWNED HIRED AUTOS N AUTOS PROPERTY DAMAGE Par aoddent $ X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE 8 1,000,000 B EXCESS LIAB CLAIMS -MADE DELI I X I RETENTION$ 10,OOC $ FU8706520 /28/2011 /28/2012 C WORKERS COMPENSATION AND EMPLOYERS' UABIUTY Y I N ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? O (Mandatory In NH) If yes tlascribe under DESCRIPTION OF OPERATIONS below NIA 4129995 /1,12012 /1/2013 x VrC STATU- OTH- E.L. EACH ACCIDENT $ 100,000 E. L. DISEASE -EJ EMPLOYEE $ 100,000 E.L. DISEASE -POLICY LIMIT $ 500 000 DESCRIPTION OF OPERATIONS I LOCATION$I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) City of Fort Collins 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 ACORD Madron/SLB (r. Mo-9-�- 01988-2010 ACORD CORPORATION. All rights reservpd_ IN5025 (201005).01 The ACORD name and logo are registered marks of ACORD