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HomeMy WebLinkAbout132191 MOUNTAIN PARKING EQUIPMENT - INSURANCE CERTIFICATE (10)ACORDTM CERTIFICATE OF LIABILITY INSURANCE IDATE (MMIDDIYYYY) 06/01/2012 PRODUCER 1-303-793-3388 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Associates Insurance Group ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 8400 E. Prentice Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 300 Greenwood Village, CO 80111 Justin Cowan INSURERS AFFORDING COVERAGE NAIC# INSURED Souder Corporation dba I ' INSURERA: CHARTER OAK FIRE INS CO 25615 INSURER B: TRAVELERS CAS INS CO OF AMER 1904E Mountain Parking Equipment 2009 S. Cherokee St. INSURERC: TRAVELERS IND CO 25658 INSURERD: PINNACOL ASSUR 41190 Denver, CO 80223 INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR NSR POLICY NUMBER POLICYMFFECTWE POLICY EXPIRATION LIMRS A X GENERALUASILRY 6608759X948 06/01/12 06/01/13 EACH OCCURRENCE S1,000,000 X COMMERCIAL GENERALLIABILIN PREMISES Ea o¢arenoe $ 300, 000 MEDEXP (Anyone person) $5, 000 CIAIMS MADE aOCCUR PERSONALBADV INJURY g1,000,000 GENERALAGGREGATE $2,000,000 GENT AGGREGATE LIMITAPIPL�IEIS PER: PRODUCT,-COMP/OP AGG $2,000,000 X POLICY ;E T LOC B AUTOMOBILE X LIABILITY ANYAUTO BAS769XS36 06/01/12 06/01/13 COMBINED SINGLE LIMIT (Ea acritlenl) $1, 000, 000 BODILY INJURY (Per person) $ ALLOWNEDAUTOS SCHEDULED AUTOS X X HIREDAUTOS NON OWNEDAUTOS BODILY INJURY (Peramidenl) $ PROPERTY DAMAGE (Per amden0 $ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT S OTHERTHAN EA ACC $ ANYAUTO $ AUTO ONLY: AGO C EXCESSIUMBRELLA LIABILITY CUP8772X252 06/01/12 06/01/13 EACH OCCURRENCE $5,000,000 X OCCUR CLAIMSMADE AGGREGATE $5,000,000 $ DEDUCTIBLE $ RETENTION $ D WORKERS COMPENSATION AND EMPLOYERS'UASILRY ANY PROPRIETOR/PARTNER/EXECUTIVE 9011572 06/01/12 06/01/13 X WCSTATU- uER XITORY LIMITS ER CIA1111EIT $1, 000, 000 E.L. DISEASE - EAEMPLOVEE b1, 000, 000 OFFICERIMEMBER EXCLUDED? 5 ECI LPRO under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $1, 000, 000 OTHER A Installation Floater 6608759X948 06/01/12 06/01/13 Any One Location 90,000 DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS If required by written agreement, City of Fort Collins is named Additional Insured as respects General Liability. I ANLMLLAI IVN-aXCePt iU say notice for non-payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO $0 SHALL 215 N. Mason IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Fort Collins, CO 80524 AUTHORIZEDREPRESENTATNE /) USA ;\�/-/�/ C ACORD 25 (2001108) BJoneS ©ACORD CORPORATION 1988 27501221 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. nV VRV LJ 1LVV 1/Vol