HomeMy WebLinkAbout488920 TEXAS SCENIC COMPANY INC - INSURANCE CERTIFICATE (4)TXSCE-2 OP ID: TO
CERTIFICATE OF LIABILITY INSURANCE
DAT10/25DYVYY)
10/25/13
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 endomemen s .
PRODUCER Phone: 210-220-6420
CONTACT Sandra Gendron
Frost Insurance - San Antonio Fax: 210-220-6460
3611 Paesanos Pkwy, Suite 100
San Antonio, TX 78231
Stanley J Pisano Jr. CIC, CRIS
PHONo ,c;210-220-6426 ac No: 210-220-6460
nooREss: s endron frostinsurance.com
INSURE S AFFORDING COVERAGE
NAICM
INSURER A: Continental Insurance Company
35289
INSURED Texas Scenic Company Inc �� ^2
5423 Jackwood Dr I7 o
San Antonio, TX 78238
INSURER B: Admiral Insurance Company
INSURER C: Continental Casual
20443
INSURER D:Valley Forge Ins Co
INSURER E :
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
JULa
POLICY NUMBER
MMIODIYYYY
MMIDDIVYVV
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE Fx_1 OCCUR
508858769
10/27113
10127114
EACH OCCURRENCE
$ 1,000,00
PREMISES Ee occurrence
If 100,00
MED EXP IAny oneperson)
$ 6,00
PERSONAL B ADV INJURY
$ 1,000,00
GENERAL AGGREGATE
$ 2,000,00
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY X PFQ.TRO' Loc
PRODUCTS - COMP/OP AGG
$ 2,000,00
Emp Ben.
$ 1,000,00
D
AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED SCHEDULED
X HIRED AUTOS
X NON OWNED
AUTOS
6088587886
10127/13
10/27114
COMBINED SINGLE LIMIT
Ea accident
1,000,00
BODILY INJURY (Per person)
$
BODILY INJURY (Peraccident)
$
PROPERTY DAMAGE
Per accident
$
C
X
UMBRELLA LIAB
EXCESS LUIB
X
OCCUR
CLAIMS -MADE
5088587872
10127113
10127114
EACH OCCURRENCE
$ 10,000,00
AGGREGATE -
$ 10,000,00
DED I X I RETENTION$ 10000
1
1$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y I N
ANY PROPRIETORIPARTNER/ ECUTIVE
OFFICERAIEMBER EXCLUDED?
(Mandatory In NH)
H yea, describe under
DESCRIPTION OF OPERATIONS below
NIA
I
WC STATdU OTH-
LIM
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE -POLICY LIMIT
$
B
Professional Liab
E0000000662.21
10127/13
10/27/14
EachClaim 1,000,00
Aggregate 2,000,00
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES lARaeh ACORD 101, Additional Samaria; Schedule, If more space Is required)
Re: Fort Collins Lincoln Center
CERTIFICATE HOLDER CANCELLATION
------- --- --- -----
CTYFTCO
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Fort Collins, Colorado
P.O. Box 280
AUTHORIZED REPRESENTATIVE
Fort Collins, CO 80522
01988-2010 ACORD CORPORATION. All rights reserved.
ACORD 26 (2010105) The ACORD name and logo are registered marks of ACORD
TXSCE-2 PAGE 2
NOTEPAD
INSURED'SNAME Texas Scenic Company Inc OP ID: TO DATE 10/25/13
Professional:
Deductible: $2,500 Each Claim Include Expenses
GL Endorsements: CGL Coverage Form CG0001 12/2007
CG2404 05/09 Waiver -Transfer Rights Recovery Against Others To Us -Any
Person or Organization for whom you are have agreed un writing in a
contract or agreement to waive any right of recovery against such
arson or organization, but only if the contract or agreement: 1. Is
in effect or become effective during the term of thispolicy; and 2. was
executed prior to loss.
CG2503 05/09 Designated Construction Project(s) - General Aggregate
G140331D 01/13 Blanket Additional Insured - Owner, Lessees or
Contractors -with Products -Completed Operations Coverage
CG0205 12/04 TX Changes -Amendment of Cancellation Provisions or Coverage
Change-30 Day Written Notice per schedule on file with Company.
Auto Endorsements:
Auto Coverage Form #CA0001 03/2010
CA2048 02/99 Designated Insured - Any Person or Organization which is
required to be Named as a result of a Written Contract with you.
G300660A 06/08 Changes -Notice of Cancellation or Material Change - 30 day
Written Notice Per Schedule on File with Company
CA0444 03/10 Waiver of Transfer of Rights of Recovery Against Others to us
(Waiver of Subrogation - Any Person or Organization for whom or which you
are required by written contract or agreement to obtain this waiver from
us. You must agree to that requirement prior to loss.
Umbrella policy provides coverage excess the scheduled GL, AL, and EL
policies subject to its (the umbrella policy) terms and conditions.