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Home My WebLink About459513 COLORADO CAB COMPANY DBA FORT COLLINS YELLO - INSURANCE CERTIFICATEA� le,06128 CERTIFICATE OF LIABILITY INSURANCE OATE(MMDO/YYYY) 12012 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 CONTACT NAME: *Marsh USA, Inc. PHONE FAX Two Logan Square AIc No): E-MAIL ADDRESS Philadelphia, PA 19103 Attn: veolia.certrequest@mamh.com 1212,948,5053 INSURERS AFFORDING COVERAGE NAIC k INSURER A: Old Republic Insurance Co 24147 390631-Buck3-Alkl2-13 I vs4 � INSURED T Colorado Cab Company, LLC, INSURER B: NIA N/A INSURER C : N/A N/A dba Fort Collins Yellow Cab INSURER D : 7500 East 41st Avenue Denver, CO 80126 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: CLE-003729882-05 REVISION NUMBER:2 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 TR TYPE OF INSURANCE ADOL SU9R POLICY NUMBER POLICY EFF MM/DDMYY POLICY EXP MM /DD/YYYY LIMITS A GENERAL LIABILITY MWZY59582 0710112012 07/0112013 EACH OCCURRENCE $ 500,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100,000 CLAIMS -MADE 1-q OCCUR MED EXP (Myone pera.) $ PERSONAL a ADV INJURY $ 500,000 GENERAL AGGREGATE $ 500,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 500,000 X POLICY PRO- LOC $ A AUTOMOBILE LIABILITY MVVTB21267 07/0112012 07/01/2013 COMBINED SINGLE LIMIT Ea accident 500,000 X BODILY INJURY (Per person) $ A ANY AUTO MWZX26684 07/0112012 07/01/2013 ALL OVMED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON-O MED HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS UAB CLAIMS -MADE DEO I I RETENTION$ $ A WORKERS COMPENSATION MWC11700400 07/0112012 07101013 X I WC STATU- CUR EMPLOYERS' LIABILITY Y / N OFFICER/MEMBER EXCLUDEDp ANY ECUTIVE � (Mandatory in NH) NIA E. L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYE $ 500,000 If yes. desttibe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 1D1, Additional Radiance Schedule, If more apace Is mqulmd) Re: Dial A Ride Service Contract The City of Fort Collins, its officers, agents, and employees are included as additional insured (except Yorkers' compensation) where required by written Contract. City of Fort Collins Attn: James O'Neil 215 Mason Street, 2nd Floor 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 of Marsh USA Inc. Manashi Mukherlee ,i*La� 1988-2010 ACORD CORPORATION_ All rinhta rasarvad ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD