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HomeMy WebLinkAboutPROPERTYROOM.COM - INSURANCE CERTIFICATEA� o® CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDD/YYY() 012 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 endomement(s). PRODUCER SullivanCurtisMonroe Insurance Services 980 Montecito Drive, Suite 105 Corona , CA 92879 CONTACT NAME: PHONEINC,Ma: 951.4913399 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIL p INSURER A: The Burlington Insurance www.SullivanCurtisMonroe.com License 9 OE83670 INSURED PropertyRoom.com, Inc. 5257 Buckeystown Pike, #475 INSURER B: The Hartford INSURER C: National UnionFire P INSURERD: Frederick MD 21704 INSURER E : INSURER F : Cf1VFRArFR CERTIFICATE NUMRER: 197AdmS 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 AOOL SUBR POLICY NUMBERICY MMIDDY EFF EXP MMIDDIYYYY LIMITS A GENERAL LIABILITY ,i 263BW22087 4/2/2812 4/2/2013 EACH OCCURRENCE $ 1,000,000 DAMAGE TO ante $ 100,000 COMMERCIAL GENERAL LIABILITY MED EXP(Any one person) $ 5,000 CLAIMS -MADE �✓ OCCUR PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,060,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,000 $ POLICY PRO- LOC B AUTOMOBILE LIABILITY 72UENHY5766 4/2/2012 4/2/2013 Eeeoci EDtSINGLE LIMIT $ 1000ODB BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON OWNED HIRED AUTOS ✓ AUTOS BODILY INJURY(Peraccideou $ PROPERTY DAMAGE Per accident $ $ Comp Ded $1000 $ Coll Ded $1,000 C UMBRELLA LIAR '/ OCCUR BE013003870 4/2/2012 4/2/2013 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 EXCESS LIAR CLAIMS -MADE OED Ll RETENTION$ $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE❑ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) NIA STATU- ojpi TORWC YLIMITS E. L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS dcIDW E.L. DISEASE- POLICY LIMIT $ B Crime Coverage 72BDDAX0718 6/6/2012 6/6/2013 $250,000 limit with $25,000 deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Fort Collins, its officers, agents and employees are named additional insured per attached endowments. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 215 North Mason Street ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins CO 80522 AUTHORIZED REPRESENTATIVE ilw V Linda Johnson © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD CENT NO.: 12744075 CLIENT CODE: PROPECOM LaUra Bravo-Aguinaga 3/30/2012 5:32:05 PM Page 1 Of 5 PropertyRoom.com, Inc. COMMERCIAL AUTOMOBILE 72UENHY5766 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM To the extent that the provisions of this endorsement provide broader benefits to the "insured" than other provisions of the Coverage Form, the provisions of thi, endorsement apply. 1. BROAD FORM INSURED A. Subsidiaries and Newly Acquired or Formed Organizations The Named Insured shown in the Declarations is amended to include: (1) Any legally incorporated subsidiary in which you own more .than 50% of the voting stock on the effective date of the Coverage Form. However, the Named Insured does not include any subsidiary that is an "insured" under any other automobile policy or would be an "insured" under such a policy but for its termination or the exhaustion of its Limit oflnsurance. (2) Any organization that is acquired or formed by you and over which you maintain majority ownership. However, the Named Insured does not include any newly formed or acquired organization: (a) That is a partnership, joint venture or limited liability company (b) That is an "insured" under any other policy, (c) That has exhausted its Limit of Insurance under any other policy, or (d) 180 days or more after its acquisition or formation by you, unless you have given us notice of the acquisition or formation. Coverage does not apply to "bodily injury" or "property damage" that results from an "accident" that occurred before you formed or acquired the organization. B. Employees as Insureds Paragraph A.I. - WHO IS AN INSURED - of SECTION II - LIABILITY COVERAGE is amended to add: d. Any "employee" of yours while using a covered "auto" you don't own, hire or borrow in your business or your personal affairs. C. Lessors as Insureds Paragraph A.I. - WHO IS AN INSURED - of Section II - Liability Coverage is amended to add: e. The lessor of a covered "auto" while the "auto' is leased to you under a written agreement if: (1) The agreement requires you to provide direct primary insurance for the lessor and (2) The "auto" is leased without a driver. Such a leased "auto" will be considered a covered "auto" you awn and not a covered "auto" you hire. 2. AUTOS RENTED BY EMPLOYEES Any "auto" hired or rented by your "employee" on your behalf and at your direction will be considered an "auto" you hire. The OTHER INSURANCE Condition is amended by adding the following: If an "employee's" personal insurance also applies on an excess basis to a covered "auto" hired or rented by your "employee" on your behalf and at your direction, this insurance will be primary to the "employee's" personal insurance. Form HA 99 16 07 06 Page 1 of 3 ® 2006, The Hartford (Includes copyrighted material of ISO Properties, Inc., with its permission.) CERT NO.: 12744075 CLIENT CODE: PROPECOM Laura Eravo-Agulnaga 3/30/2012 5:32:05 PM Page 2 of 5 3. AMENDED FELLOW EMPLOYEE EXCLUSION EXCLUSION 5. - FELLOW EMPLOYEE - of SECTION II - LIABILITY COVERAGE does not apply if you have workers' compensation insurance in -force covering all of your "employees". Coverage is excess over any other collectible insurance. 4. HIRED AUTO PHYSICAL DAMAGE COVERAGE If hired "autos" are covered "autos" for Liability Coverage and if Comprehensive, Specified Causes of Loss, or Collision coverages are provided under this Coverage Form for any "auto" you own, then the Physical Damage Coverages provided are extended to "autos" you hire or borrow, subject to the following limit. The most we will pay for "loss" to any hired i "auto" is: (1) $50,000; (2) The actual cash value of the damaged or stolen property at the time of the "loss"; or (3) The cost of repairing or replacing the damaged or stolen property, whichever is smallest, minus a deductible. The deductible will be equal to the largest deductible applicable to any owned "auto" for that coverage. No deductible applies to "loss" caused by fire or lightning. Hired Auto Physical Damage coverage is excess over any other collectible insurance. Subject to the above limit, deductible and excess provisions, we will provide coverage equal to the broadest coverage applicable to any covered "auto" you own. We will also cover loss of use of the hired "auto" if it results from an "accident", you are legally liable and the lessor incurs an actual financial loss, subject to a maximum of $1000 per "accident". This extension of coverage does not apply to any "auto" you hire or borrow from any of your "employees", partners (if you are a partnership), members (if you are a limited liability company), or members of their households. S. PHYSICAL DAMAGE -ADDITIONAL TEMPORARY TRANSPORTATION EXPENSE COVERAGE Paragraph AA.a. of SECTION III - PHYSICAL DAMAGE COVERAGE is amended to provided a limit of $50 per day and a maximum limit of $1,000. Form HA 99 16 07 06 6. LEASE GAP COVERAGE Under SECTION III - PHYSICAL DAMAGE COVERAGE, if a long-term leased "auto" is a covered "auto" and the lessor is named in the policy as a Loss Payee, we will pay in the event of a total "loss" your additional legal obligation to the lessor for any difference between the actual cash value of the "auto" at the time of the "loss" and the "outstanding balance" of the lease. "Outstanding balance" means the amount you owe on the lease at the time of "loss" less any amounts representing taxes; overdue payments; penalties, interest or charges resulting from overdue payments; additional mileage charges; excess wear and tear charges; lease termination fees. 7. AIRBAG COVERAGE Under Paragraph B. EXCLUSIONS - of SECTION III - PHYSICAL DAMAGE COVERAGE, the following is added: The exclusion relating to mechanical breakdown does not apply to the accidental discharge of an airbag. 8. ELECTRONIC EQUIPMENT -BROADENED COVERAGE The exceptions to Paragraphs B.4 - EXCLUSIONS - of SECTION III - PHYSICAL DAMAGE COVERAGE are replaced by the following: Exclusions 4.c. and 4.d. do not apply to: a. Equipment designed solely for the reproduction of sound and accessories used with such equipment, provided such equipment is permanently installed in the covered "auto" at the time of the "loss" or such equipment is removable from a housing unit which is permanently installed in the covered "auto" at the time of the "loss", and such equipment is designed to be solely operated by use of the power from the "auto's" electrical system, in or upon the covered "auto'; or b. Electronic equipment that is necessary for the normal operation of the covered "auto" or the monitoring of the covered "auto's" operating system; or c. Electronic equipment that is an integral part of the same unit housing any sound reproducing equipment described in Paragraph a. above and permanently installed in the opening of the dash or console of the covered "auto" normally used by the manufacturer for installation of a radio. Page 2 of 3 CENT NO.: 12744075 CLIENT CODE: PROPECOM La"[a BzavO-Aqu Naga 3/30/2012 5:32:05 PM Page 3 of 5 d. Any other electronic equipment that receives (2) A partner, if you are a partnership; or transmits audio, visual or data signals if (3) A member, if you are a limited liability such equipment: company; or (1) is permanently installed in a covered (4) An executive officer or insurance manager, if "auto" at the time of the "loss"; and you are a corporation. (2) is designed to be solely operated by use 13. UNINTENTIONAL FAILURE TO DISCLOSE of the power from the "auto's" electrical HAZARDS system, in or upon the covered "auto"; If you unintentionally fail to disclose any hazards and existing at the inception date of your policy, we (3) was initially installed or is a replacement will not deny coverage under this Coverage of equipment that was initially installed Form because of such failure. by the auto manufacturer or dealer 14. HIRED AUTO - COVERAGE TERRITORY before the covered "auto" was delivered to the original purchaser; and paragraph e. of GENERAL CONDITIONS 7. - o POLICY PERIOD, COVERAGE TERRITORY - of (4) the value of the equipment was included SECTION IV - BUSINESS AUTO CONDITIONS is in the retail cost the original purchaser replaced by the following: paid for the covered "auto". 9. EXTRA EXPENSE - BROADENED e. For short-term hired "autos", the coverage m territory with respect to Liability Coverage is COVERAGE anywhere in the world provided that if the Under Paragraph A. - COVERAGE - of SECTION "insured's" responsibility to pay damages for III - PHYSICAL DAMAGE COVERAGE, we will "bodily injury" or "property damage" is opay for the expense of returning a stolen covered determined in a "suit," the "suit" is brought in o "auto" to you. the United States of America, the territories N 10. GLASS REPAIR - WAIVER OF DEDUCTIBLE and possessions of the United States of * Under Paragraph D. - DEDUCTIBLE - of SECTION America, Puerto Rico or Canada or in a III - PHYSICAL DAMAGE COVERAGE, the settlement we agree to. following is added: 15. WAIVER OF SUBROGATION No deductible applies to glass damage if the TRANSFER OF RIGHTS OF RECOVERY glass is repaired rather than replaced. AGAINST OTHERS TO US - of SECTION IV - �_ 11. TWO OR MORE DEDUCTIBLES BUSINESS AUTO CONDITIONS is amended by Under Paragraph D. - DEDUCTIBLE - of SECTION adding the following: _ III - PHYSICAL DAMAGE COVERAGE, the We waive any right of recovery we may have following is added: against any person or organization with whom If another Hartford Financial Services Group, you have a written contract that requires such Inc. company policy or coverage form that is not waiver because of payments we make for an automobile policy or coverage form applies to damages under this Coverage Form. the same "accident", the following applies: 16. RESULTANT MENTAL ANGUISH COVERAGE (1) If the deductible under this Business Auto The definition of "bodily injury" in SECTION V- Coverage Form is the smaller (or smallest) DEFINITIONS is replaced by the following: deductibles, it will be waived; "BodilyL injury" means bodily injury, sickness or (2) If the deductible under this Business Auto disease sustained by any person, including Coverage Form is not the smaller (or mental anguish or death resulting from any of smallest) deductible, it will be reduced by these. the amount of the smaller (or smallest) 17. EXTENDED CANCELLATION CONDITION deductible. Paragraph 2. of the COMMON POLICY 12. AMENDED DUTIES IN THE EVENT OF CONDITIONS - CANCELLATION - applies except ACCIDENT, CLAIM, SUITOR LOSS as follows: The requirement in LOSS CONDITIONS 2.a. - If we cancel for any reason other than DUTIES IN THE EVENT OF ACCIDENT, nonpayment of premium, we will mail or deliver CLAIM, SUIT OR LOSS - of SECTION IV - to the first Named Insured written notice of _= BUSINESS AUTO CONDITIONS that you must cancellation at least 60 days before the effective notify us of an "accident" applies only when the date of cancellation. "accident" is known to: (1) You, if you are an individual; Form HA 9916 07 06 Page 3 of 3 CERT NO.: 12744075 CLIENT C000: PROPBCOM Laura Bravo-Aguinaga 3/30/2012 5:32:05 PM Page 4 of 5 PropertyRoom.com, Inc. 3/30/2012 263BW22087 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTOMATIC ADDITIONAL INSUREDS BY WRITTEN CONTRACT, WRITTEN AGREEMENT OR PERMIT This endorsement modifies insurance provided under the,following: COMMERCIAL GENERAL LIABILITY' COVERAGE PART A. Section II - Who Is, An Insured is amended to 3. To ;any engineer, architect' or surveyor if include as an additional insured any person(s) the. "bodily injury", "property damage" or or organization(s) with whom you agreed, "personal and advertising injury" arises out because of a' written contract, written of the rendering of or the failure to render agreement or permit, to provide insurance any professional services by or for you, such as is afforded, under this Coverage Part, including; but only: a. The preparing; approving, or failing to 1. With respect to liability. for "bodily injury'., prepare or approve maps, drawings, "property damage" or "personal and opinions, reports, ,surveys, change advertising injury" caused by "your work" or orders, designs or specifications; or maintenance, operation or use of facilities owned or used by you; and b. Supervisory, inspection or engineering services: 2. When such written contract, written agree- ment or permit is fully executed prior to an 4. To any: "occurrence" `in which coverage is sought under this policy. a. Owners or other interests from whom land `has 'been leased; or B. With respect to the insurance afforded these additional insureds, the following additional b. Managers or lessors of premises if: exclusions apply: (1) The "occurrence'' takes place after This insurance does not apply: you cease to be a tenant in that premises; or 1. To any person or organization included as an insured by an endorsement issued by (2) The, "bodily injury", "property us and made part of this Coverage Part. damage" or "personal and advertising injury" arises out of 2. To any lessor of equipment if: structural alterations, new construction or demolition a. The "occurrence" takes place.after the operations performed by or on equipment lease expires; or behalff of the manager or lessor. b. The "bodily injury", "property damage' 5. T,o:any 'person or organization included as or "personal and advertising injury" an insured under Paragraph3. of Section arises out of the sole negligence of the If - Who. Is;An Insured. lessor. GSG-G-010 08 09 Includes copyrighted material of' Page 1 of 1 ISO Properties, Inc., with its permission. CERT NO.: 12744075 CLIENT CODE: PROPECOM Laura Bravo-Aguinaga 3/30/2012 5:32:05 PM Page 5 of 5