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HomeMy WebLinkAboutRAND-SCOT INC & MOBILITY LTD - INSURANCE CERTIFICATERANDS-1 OP ID: DA ,411I CERTIFICATE OF LIABILITY INSURANCE DATD/YYYY) 02/07 02/07113 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 endorsements . PRODUCER Phone: 970.482-7747 CONTACT NAME Brown & Brown Inc 4532 Boardwalk Dr, Suite 200 Fax: 970-484-4185 Fort Collins, CO 80525 Tyler B. Allen PHONE Ac FAX No Eat): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAICIN INSURER A: Republic Indemnity Co of CA 43753 INSURED -4> Rand -Scot Inc & Mobility Ltd INSURERS: Federal Insurance Company 20281 Saratoga Access & Fitness & Resource Medical Systems, Inc. INSURER C: Hartford Underwriters Ins Co 30104 401 Linden Center Drive INSURER D: INSURER E Ft Collins, CO 80524 INSURER F COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADOL SUER' POLICY EFF POLICY EXP LTR I POLICY NUMBER MM/DDIVVVYI (MM/DDIYYYYJ LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 B X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 7X OCCUR 35818332WCE 03117/13 03/17/14 PREMI ES Ea occurrence) PREMISES Ea occurrence E 1,000,00 MED EXP(Any one person) E 10,00 PERSONAL B ADV INJURY $ 1,000,00 GENERAL AGGREGATE IS 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ Exclude POLICY PRO- n LOC $ AUTOMOBILE LIABILITY COMBINED BINGLE LIMIT Ea a.r $ 1,000,00 X BODILY INJURY (Per person) $ C ANY AUTO 34UECTZ5427 01/17113 01117114 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accdent) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ IS X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,00 B EXCESS LIAB CLAIMS -MADE 79839892 03/17/13 03/17/14 DEC X RETENTION$ O $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITYIS ANY PROPRIETORIPARTI, EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? NIA 1310930119 04/01112 04101113 X I WC STATUS OTH- EL EACH ACCIDENT E 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 (Mandatory in NH) It yes, cosmos under DESCRIPTION OF OPERATIONS 0elow E.L. DISEASE - POLICY LIMIT 1 $ 1.000,00 B Products Liability 35818333WCE 03117/13 03/17114 Each Occu 2,000,00 Retro 1/17104 CLAIMS MADE Aggregate 2,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ANach ACORD 101, Addltlonal Remarks Schedule, It more space Is required) Certificate holder included as additonal insured for general liability. See Notes CITYFC8 City of Fort Collins 300 LaPorte Ave Fort Collins, CO 80521 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 ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD