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HomeMy WebLinkAboutRAND-SCOT INC & MOBILITY LTD - INSURANCE CERTIFICATE (2)RANDS-1 OP ID: JD ,a►�oizo CERTIFICATE OF LIABILITY INSURANCE DAT04101DIYYYY) a/o1/1a 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(les) 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 Brown & Brown Inc 4532 Boardwalk Dr, Suite 200 Fort Collins, CO 80525 Fax: Co of INSURED nano-bcot Inc 3 MOOIHTY Lt0 INSURER B: Federal Insurance Company 20281 Saratoga Access S Fitness and Resource Medical Systems, INSURER C : Hartford Underteriters Ins CO 30104 Inc' INSURER D : 401 Linden Center Drive Ft Collins, CO 80524 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. ILTIR NSR TYPE OF INSURANCE POLICY NUMBER EFF MMIPOLICY DDYIYYri LIMIT GENERAL LIABILITY EACH OCCURRENCE $ 11000,00 B X COMME0.GALGENERAL tIAeIUTr CWMS�AADE OCCUR 5818332WCE 03117/14 03/17/15 PREMISES �ma S 1,000,00 NEED EXP(Any Mls person) S 10,00 PERSONAL S ADV INJURY S 1,000,00 GENERAL AGGREGATE S 2,000,00 GENLAGGREGATE LIMIT APPLIES PER PRODUCTS-COMPA)PAGG E EXCIud POLICY AECPRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLELIMIT (Ea accident) 1,000,00 X BODILY INJURY (Per Pelson) $ C ANY AUTO 34UECTZ5427 01/17/14 01/17115 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Px accident) E NONOWNED HIRED AUTOS AUTOS Per PEDAMAGE S S X UMBRELLA LIAS UMBRELLA LIAR X OCCUR EACH OCCURRENCE S 1,000,00 � AGGREGATE E 1,000,00 $ EXCESS LIAR CWEt3•MADE 79s39892 03f1TM4 03/17/15 DIED I X I RETENTIONS 0 S A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER ECUTNE YIN OFFICERMIEMBER EXCLUDED? ❑ (Mandatory In NH) NIA 13109321 04101/14 04101/15 X I WC STATU- ?H- E.L. EACH ACCIDENT E 1,000,00 E.L. DISEASE -EA EMPLOYEE $ 1,000,00 It yes, describe under DESCRIPTION OF OPERATIONSboloW E.L. DISEASE - POLICY LIMIT E 1,000,00 B Products Liability 35818333WCE 03117/14 03/17/15 Per Occur 2,000,00 Retro 1117/04 CLAIMS MADE Aggregate 2,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (Aaach ACORD 101. Additional Remarks Schedule, If more space Is Mulned) Certificate holder included as additonal inured for general liability per form 80-02-2056 11/09. CITYFC8 City of Fort Collins 300 LaPorte Ave Fort Collins, CO 80521 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 �-~ wad © 1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD