HomeMy WebLinkAbout277398 CHOICE TOWING LLC - INSURANCE CERTIFICATE (5)Policy Number'. Date Entered: 2/28/2014
CERTIFICATE OF LIABILITY INSURANCE I
DAM(MWDDIYYYY)
11 2/28/2014
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 CONTACT
P and G Insurance Professionals, LLC NAME:
PHONE .(303)478-4582 AIII
tp;(888)791-4038
PO Sox 2CO 8 E-MAIL shavn.gerdes@pandgip.com
Denver, CO 80222 ADDRESS:
INSURER(S)AFFORDINO COVERAGE � NAILS
INSURERA:KBK Insurance Group, Inc
INSURED Choice Tolling, LLC -ss R INSURERS:
2`1131 �+ INSURERC -- —
1605 E Lincoln Ave INSURERD:
Fort Collins, CO 80524 INSURERS:
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.
ILTRR TYPE OF INSURANCE ADDLISUSR POLICY NUMBER
MM1OVOD EFF POLICY EXP LIMITS
GENERAL LUISILITY
I EACH OCCURRENCE
$1, 000, 000
A XCOMMERCIALGENERALULIABILITY
PTOWK0054D$-00
03/16/2014 03/16/2015 °AMAGETORENTED
PREMISES (Eedcarmnl
_
CLAIMS•IMDE OCCUR
HIED EXPL& awperl
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$3, 000, 000
II�JTII -
I
INJURY—
PERSONALb ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMPADP AGG
.._ - _
-
$2,000,000
GENL AGGREGATE LIMIT APPLIES PER:
$2,000, 000
$
--, POLICY_. PR4 LOC
AECT 1-1
AUTOMOBILE LIABILITY
(Ea ewdem)IN L LI
1,000, 000
_
S
A ANY AUTO
PTOWK005405-00 03/16/2014 03/16/2015 BODILY IMURY(Perpenan)
ALL OWNED SCHEDULED
AlJr05 AUTOS
BODILY I14JURY(Peraddden0
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NON -OWNED
� PROPERTY DAMATE--
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HIRED AUTOS AUTOS
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A
UMMRELLA LIAS OCCUR
EACH OCCURRENCE
$1,000,000
EXCESS UAB
_ CLAIMS -MADE PTOWKOOS4OS-OO
03/16/2014 03/16/2015 AGGREGATE
1 000 000
$r r
DED F7 RETENTION 6
b
WORKERS COMPENSATION
WC STATLL ,H•
TORYLIMI.T.S_L_
AND EMPLOYERS' LABILITY YIN
_
ANY PROPRIETORNARTNERIEXECUTIVE
E L. EACH ACCIDENT
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OFFICERIMEMBER EXCWOED? ❑ NIA
-
(MandatorylnNH)
E.L DISEASE EA EMPLOYEE
f
U yyees,describeunder
DESCRIPTIONOFOPERATIONSbelow I
EL DISEASE POLICY LIMIT
s
A
Garagekeepers PTOWK005405-00
03/16/2014 03/16/2015 i
450,000
A
On Hook and Cargo PTOWK005405-00
03/16/2014 63/16/2015 j
100,000
DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (Anach ACORD 101, Additional Remarks Schedule, If more space is nuiulmd)
tort holder listed as additional insured
LWAitlI]keL
City of Fort Collins
Purchasing Division
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 SM
1988-2010 ACORD CORPORATION. All riohts reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
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