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HomeMy WebLinkAbout119080 ROCKY MOUNTAIN BATTERY SERVICE OF FC - INSURANCE CERTIFICATEi ,4c R CERTIFICATE OF LIABILITY INSURANCE D"�`M'"'°°"'"Y' 10/04/2012 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 BELOWi 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(km) must be endorsed. If SUBROGATION IS WAIVED, subject to the ternie and conditions of the policy, certain poilcles may require an endorsement. A staternsnt on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Stansfield Insurance Agency 6126 S College Ave, Suite 13 Fort Collins, CO 80525 nh.97'0-204.0020 fX-970-204-0305 INSURED Rocky Mountain Battery Service Of Fort Collins Inc. 1476 N College Avenue Fort Collins Co 80524 ocinn,nu u,runco. COVERAGES THIS INDICATED. CERTIFICATE EXCLUSIONS t:hxIII-IVAlC IS 7O CERTIFY THAT THE POLICIES NOTWITHSTANUING ANY REQUIREMENT, MAY BE ISSUED OR MAY PERTAIN, AND CONDITIONS OF SUCH TYPHOFINSURANCE OF INSURANCE POLICIES. ryt,mOGr[: LISTED BELOW HAVE BEEN TERM OR CONDITION OF ANY THE INSURANCE AFFORDED BY LIMITS SHOWN MAY HAVE BEEN REDUCED POLICYNUMBER ISSUED TO CONTRACT THE POLICIES BY POLICYEFF M THE INSURED OR OTHER DOCUMENT DESCRIBED PAID CLAIMS. POLICYEXP _.._._._ _____.___ NAMED ABOVE FOR THE POLICY PERIOD WITH RESPECT TO WHICH THIS HEREIN IS SUBJECT TO ALL THE TERMS, LIMITS ILSR B A GENE11ALL1ABILITY X LIOMMERCIALGENERALLIABILITY CLAIMS44ADE A I OCCUR X -Comp Ops LBA11135800 603271522 10/031201210/0312013 5/08/x01005/09/2011 6109/11 5/09/12 06/09/12 D5/09113 EACH OCCURRENCE a1 ODOD00 EMISES Eao_QWMce S1 DDDDOD MED EXP (Arty one Person)—. S 6,000 PERSONAL8ADVINJURY $1 00D 000 GENERALAGGREGATE s2,000,000 X _Prod Broad FormPA PRODUCTS-COMPlOPAGG ;2000DOO GEN'I!AGGREGATELIMrrAPPUESPER= rx-1 pOLIGY LOC AU70MDOLELIABILITY X ANY AUTO X ALLOWNPDAUTOS $CHEOULED ros Fire Legal (COMacideentSiNGLELIMIT S 10D 000 $1,000,000 SODILYINJURY (Per person) $ BODILYINJURY(Peraccid-t) S PROPERTY DAMAGE (Per accident) $ HIRED AUTOS $ NON-0WNED AUTOS $ UMBRELLA LU16 OCCUR EXCESS LIAR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE $ $ N ! A DEDUCTIBLE RETENTION WORKERS COMPENSATION AND OMPLOYERS' LIABILITY YIN ANY PROPRIEfORIPARTNER/EXECUTIVEQ (OMICES BER EXCLUDED? attyyeess,, DESEdescr under RATIONS below RiprnpN OF I WCSTATU- OTH• LIMITS S E.L.EACH ACCIDENT S E.L. DISEASE - EA EMPLOYE S E.LOISEASE-POLICY LIMIT S I DESCRIPTION OP OPERATIONS i LOCATIONS / VEI ICLES (Attach ACORD 101, Additional Remarks Schadale, if more space is required) Battery gealerlRecycling Services New Belgium Brewing Co. is listed as additional insured. Waiver of Subrogation has been ordered from Farmers and Landmark American Insurance Company. City of Fort Collins Is listed as Additional Insured. City of Fort Collins PO Boz 580 Fort CJIIIns CO 80622 phone#970.221 -D775 fax#970-221.6707 Attn: E Bonnette f ACORD`25 (2009109) SHOULD ANY OP THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREDF, NOTICE VOLL BE DELIVERED IN ACCORDANCE VATH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE ©1988.2009 ACORD CORPORATION. All fights reserved. The ACORD name and logo are registered marks of ACORD NO = 4f ARM E !� FINANCIAL SERVICES STANSFIELD INSURANCE & FINANCIAL SERVICES C. David ShartsfieId, LTFCF 5125 S_ College Ave- #Belp F;: Collins, CA i�25 s office: 97o-204-ooao Fax 970-204-0305 A P Emad: dswnsfWd@rwmarsagentcom FACSYMME TRANSMrrTAL SHEET ,Ed (env Cow-mNY: I�.j7RGENT ©FORREVIEW ❑ PT_EASE COMMENT PLEASE REPLY AC nTRE RECYC'E Tm*OIEVCO2DEN£5. ACO,hRJi7® CERTIFICATE OF LIABILITY INSURANCE loos/20 2 n 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 ceRificata holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. N 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 PRODUCER Stanfield Insurance Agency 6126 S College Ave, Suite B Fort Collins, CO 80625 oh470-204-0020 fx'970-204-0305 INSURED Rocky Mountain Battery Service Of Fort Collins Inc. 1476 N College Avenue Fort Collins Co 80524 �3TILIWa CUVbKAUCbTHIS 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 POUCYINT POUCYEXP LIMITS TYPEOFINSURANCE POLICY NUYeEA M GENERALLIAmLITY LBA111356DO 10103120121010312013 EACH OCCURRENCE $1000000 B X COMMERCIAL GENERAL LIABILITY EMISES Ea ecw M E1000000 ''. CLAIMS41ADF Fx—I OCCUR MED E](P (Any. Pmsan) $ 6,000 X Prod -Comp On PERSONALSADVIWURY $1.000,000 X Broad Form PD GENERALAGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG s2000000 X POLICY PRO- Loc Fire Legal E 100.000 A AUTOMOBILE Lu" ' (COMA IS. �Nf'NOISINGLE LIMIT $1,000,000 ANY AUTO ALL OWNED AUTOS 603271522 0510912010 5109111 05/091M I I 06/09/12 j( BODILY INJURY (Per ;—) f X BODILY INXIRY (Per aoftlenU $ SCHEDULEDAUTOS 5/08/12 05/09/13 PROPERTY DAMAGE (Pe<acddNM) f HIRED AUTOS f NON -OWNED AUTOS S UMBRELLA LMB OCCUR EACH OCCURRENCE E EXCESS UAB CLAIMS -MADE AGGREGATE f f DEDUCTIBLE RETENTION E WORk6b3 COMPENBAiIIXi W>; 3TATU- DTH- E E.L. EACH ACCIDEM' $ AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOWPARTNER/ ECUTIVE❑ FFI OMantulwy EXCLUDED? NIA E.L. DISEASE - EA EMPLOYE E DFSGRIaP OWN RATIONS below EL DISEASE-POUCY LIMIT E DESCPoPTN]N OF OPERATIDNS/LOCATNNISI VEHICLES (Aswa ACORD teL AtleiaonalRe,paHa Scl,sduN,'rf more spa�ep regehed) Battery LjealeaRecycling Services New Belgium Brewing Co. is listed as additional insured. Waiver of Subrogation has been ordered from Farltss and Landmark American Insurance Company. City of Fort Collins Is listed as Additional insured. City Of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO Box 580 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Fort Collins CO 80622 ACCORDANCE WITH THE POLICY PROVISIONS, phone#970-221.8775 fax#970-221.6707 AUTHORIZED REPRESENTATIVE Attn: Ed Bonnette f/®, 1988.2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD