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HomeMy WebLinkAbout122004 SHAMROCK TAXI OF FORT COLLINS - INSURANCE CERTIFICATEACOR," CERTIFICATE OF LIABILITY INSURANCE DATE 2012 YYYY) osrze/zolz 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 CONTACT NAME: 'Marsh USA, Inc. PHONE FAX Two Logan Square No: E-MAIL ADDRESS: Philadelphia, PA 19103 AM: veolia.certrequest@mmh.com 1212.948.5053 INSURERS AFFORDING COVERAGE NAIC p INSURER A: Old Republic Insurance Cc 24147 390631-Buck3-All-I2-13 '\ �'ZO.� lL INSURED Shamrock Taxi of Fort Collins, Inc. INSURER B: NIA WA INSURER C: N/A NIA 4414 East Harmony#200 INSURER D Pon Collins, CO 80528 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: CLE-003705662-07 REVISION NUMBER:3 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED'.'^ 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 AODI-TYPEOFINSURANCE INS&SUER POLICY NUMBER MM POLICY EFF /DDYYYYI POLICY EXP (MMUDD/YYYYJ UNITS GENERAL LIABILITY EACH OCCURRENCE $ DAMA T RENT D COMMERCIAL GENERAL LIABILITY PREMISES Ea oo msmcc $ CLAIMS -MADE OCCUR MED EXP (My one person) $ PERSONAL a ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1-1 POLICY PRO- LCC IFCT $ A AUTOMOBILE LIABILITY MWTB21267 07/01/2012 07/0112013 COMBINED SINGLE LIMIT Ea accident 500,000 X BODILY INJURY (Per person) $ A ANY AUTO MWZX26684 0710112012 0710112013 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per aocWent $ NON -OWNED HIRED AUTOS AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS MADE DIED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN WC STATU- I OTH- offyiMITS ER E.L. EACH ACCIDENT $ ANY PROPRIETORIPARTNERIEXECUTIVE❑ OFFICERIMEMBER EXCLUDED? N/A (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101. Additional Remarks Schedule, If mom apace Is required) Location Code: CCC GLeJalgaLl Dial -A -Ride 6570 Fortner Or Ft. Collins, CO 80525 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 Mann USA Inc. Manashi Mukherjee _%LauQow 1988-2010 ACORD CORPORATION- All rights reserved ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD