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HomeMy WebLinkAbout480231 SECOND WAVE AUTOMOTIVE CARE LLC - INSURANCE CERTIFICATE (3)'�l� h® CERTIFICATE OF LIABILITY INSURANCE 10/10/2o�l 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 terns 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 NAME: rP CO Orate PNOE -9597 AX .() No,. (303) 688-8858 EMAIL .info@coxest. com INSURERS AFFORDING COVERAGE NAICB INSURERA:C'hlo Security 4082 INSURED Second Wave Automotive Care Llc S Endless 1921 S Alma School Rd Ste 110 400�2 0 J Mesa AZ 85210 INSURERB:COlorado Casualty 4074 INSURER C: INSURER D: INSURER E: INSURERF: COVERAGES CERTIFICATENUMBERMaster 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. INSm TYPE OF INSURANCE POLICY NUMBER POLICY EFF MMIDDIY POLICY EXP MIDDIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY 7 CLAIMS DE �x— OCCUR BKS555351BO /28/2013 O/01/2013 EACH OCCURRENCE $ 1,000,000 PREMISES acwnenoe $ 300,000 MED EXP we person) $ 15,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE X POLICY LIMIT APPLIES PER PIFCTRO LOC PRODUCTS � COMPIOP AGO $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X X NON -OWNED HIRED AUTOS AUTOS S55535180 /28/2013 0/01/2013 ( MBIEs cci n IN LE LIMIT 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Com GD $ 120 000 B X UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE S055535180 /28/2013 0/01/2013 EACH OCCURRENCE $ 1,000,00 00 AGGREGATE $ 1,000,000 DED X RETENTION$ 10,00 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITYYIN ANY OFFIC RIMEIMBER EXCLUDED? ECUTIVE (Mandatory In NH) If yes, desonloe under DESCRIPTION OF OPERATIONS Del. NIA VvG STATU- OTH- I 9 E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE- POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (Athch ACORD 101, Additional Remarks Schedule, Rmom space Is required) 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 PO Box 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE Madron/SLB S&Az� M rvl 1 -- (c119RR.2n1n ACORD CORPORATION. All rights reserver INS025 (201005).01 The ACORD name and logo are registered marks of ACORD