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HomeMy WebLinkAbout277398 CHOICE TOWING LLC - INSURANCE CERTIFICATE (3)A`OR"* CERTIFICATE OF LIABILITY INSURANCE DAT 01(/29/212912D/YYYY) 013 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 CERTICATE 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 YOuZOOm Insurance Services Inc. 7045 College Blvd., 4lh Floor CONTACT NAME: Arrowhead Automotive Akermarket Service Center as No. EXT: 888-240-8803 F� (No): 877-835-1833 Overland Park, KS 66211 Fax:877-835-1833; PH: 888-240-8803, Option 1 E-MAIL s: AMServiceCenter@arrowheadgrp.com INSURERS AFFORDING COVERAGE NAIC # INSURED 0143467-00 Q INSURERA: Universal Underwriters Insurance Company 41181 INSURER B: Universal Underwriters of Texas Ins. Co. 40843 CHOICE TOWING, LLC �'� I INSURER Q 1605 E. LINCOLN e1sU RER D: FORT COLLINS, CO 80524 INSURER E: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 TYPE OF INSURANCE DD'L INSRO 3UBS k POLICY NUMBER POLICY EFF MM/DDIYYYY) POLICY EXP MMIDDIYYYY LIMITS A GENERAL LIABILITY ® COMMERICAL GENERAL LIABILITY ❑❑ CLAIMS MADE ® OCCUR ❑ — ❑ — El ❑ 314055 0311612013 03/16/2014 EACH OCCURENCE s300,000 DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL BAOV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: ❑ POLICY ❑ PROJECT ❑ LOC PRODUCTS - COMP/OP AGO $ A AUTOMOBILE MANY LIABILITY AUTO ❑ ❑ COMBINED SINGLE LIMIT (Ea AcciAccident)$300,000 BODILY INJURY (Per person) $ ❑ALL OWNED AUTOS BODILY INJURY (Per accident) $ ® ® SCHEDULED AUTOS HIREDAUTOS 314055 0311612013 03/16/2014 PROPERTY DAMAGE Per acddent $ $ ® NON -OWNED AUTOS A ® ❑EXCESS UMBRELLA LIAR ® OCCUR LIAR ❑ CLAIMS -MADE ❑ ❑ 314055 03/16/2013 03/16/2014 EACH OCCURRENCE $2,000,000 AGGREGATE $ 1 1 DEDUCTIBLE PRODUCTS -COMP/OP AGG s 6,000,000 ® RETENTION $ O $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETORIPARTNERIEXECUTIVE YIN OFFICERMEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under N/A ❑ ❑ WE STATO- LI TORY MITS ❑ OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ E.L. DISEASE- POLICY LIMIT DESCRIPTION OF OPERATIONS below A GARAGE LIABILITY F� ANY AUTO ❑ ❑ 314055 03/16/2013 03/16/2014 OTHER THAN AUTO ONLY EACH ACC: $ 300,000* A CUSTOMER AUTO -DIRECT PRIMARY ❑ ❑ 314055 1 03/16/2013 03116/2014 $450,000 Limit DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Reason for Certificate: GENERAL LIABILITY. See Additional Remarks Schedule Attached CERTIFICATE HOLDER CANCELLATION THE CITY OF FT. COLLINS PURCHASING DIVISION 215 NORTH MASON STREET, 2ND FLOOR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. FORT COLLINS, CT 80522 Attn: AUTHORIZED REPRESENTATIVE Fax: YouZoonn Insurance Services Inc. ©1988-2010 ACORD CORPORATION, All rights reserved ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 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. © 1988-2010 ACORD CORPORATION, All rights reserved ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 0143467-00 LOC #: `� Rp ADDITIONAL REMARKS SCHEDULE Page_3_of_3_ AGENCY NAMED INSURED YouZoom Insurance Services Inc. CHOICE TOWING, LLC. 1605 E. LINCOLN FORT COLLINS, CO 80524 POLICY NUMBER 314055 CARRIER NAIC CODE " EFFECTNE DATE: 03/16/2013 Universal Underwriters Insurance Company 41181 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: —Completed Operations Aggregate 089-Umbrella Limit Inclusive applies. Holder is named as an Additional Insured. to ACORD 101 (2008101) © 2008 ACORD CORPORATION, All rights reserved. The ACORD name and logo are registered marks of ACORD