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HomeMy WebLinkAbout480231 SECOND WAVE AUTOMOTIVE CARE LLC - INSURANCE CERTIFICATE (4)'`� �® CERTIFICATE OF LIABILITY INSURANCE 7/11/2013YY) 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 CO West Insurance Group PO Box 910 Castle Rock CO 80104 CONTACT COWest Corporate NAME: rP PHONE h. (303)688-9597 AX No:(303)6BB-B858 EMAI AbDRLESS.info@cowest.com INSURERS AFFORDING COVERAGE NAIC# INSURERA Ohio Security 4082 INSURED 1;-go 7/3) Second Wave Automotive Care Llc S Endless 1921 S Alma School Rd Ste 110 Mesa AZ 85210 INSURER B-Colorado CasualtV 24074 INSURER C: INSURER D: INSURER E : 1 INSURER F: COVERAGES CERTIFICATE NUMBER:Master 13/14 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 LTR TYPE OF INSURANCE ADDL SUBIR POLICY NUMBER POLICY EFF [MMIDDNYYY1 POLICY EXP IMMIDDNYYYILIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PREMISES Eao.mance $ 300,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR BKS55535180 /28/2013 /28/2014 MED EXP(Any one Person) $ 15,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO- IFCT LOC $ AUTOMOBILE LIABILITY COMBINED DI SINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 555535180 /28/2013 /28/2014 BODILY INJURY (Per accident) $ XPERTYN HIRED AUTOS AUUTOS -OWNED DAMAGE Per,accitl nt $$ Com GD $ 120,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 B EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ 10,00 $ S05553518O 7/20/2013 /28/2014 WORKERS COMPENSATION I WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? N / A E.L. DISEASE - EA EMPLOYE $ (Mandatary in Ni If yes, describe under DESCRIPTION OF OPERATIONS haloes E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Fort Collins PO Box 580 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 ACORD 25 Leeanne Madrori see� M M © 1988-2010 ACORD CORPORATION. All rights reserved. INS025 (201005).01 The ACORD name and logo are registered marks of ACORD