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Home My WebLink About126796 HARMONY GREASE MONKEY & CAR WASH - INSURANCE CERTIFICATEOP ID: SC A11% R CERTIFICATE OF LIABILITY INSURANCE DA 04102DIYVYY) 1afozrla 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 pollcy(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 endomement(s). PRODUCER 970-223-1804 NAME: Front Range Insurance Group 1100 Haxlon Drive Suite 100 PHONE- Na EXII N N0 PRODUCE. Fort Collins, CO 80525 David A. Wooldridge LUTCFAAI PRODUCER CuSTOe iDf: PROAL14 WW AFFORDING COVERAGE NAx: f INSURED Pro Auto Lube & Wash Inc. 1 Wfu�RA:Cincinnati Insurance Companies 10677 12r �r y;a dba rmony Grease Monkey & I b `�.� Car Was WW Re; Pinnacol Assurance 41190 1036 Oa kridge INSURER C : Fort Collins, CO 80525 INS D 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. TR TYPE OF INSURANCE POLICY NUMBER MMNDIYYYY) (NIMIDDIYYYY1 LIMITS A GENERAL LUU14JY X COMMERCIALGENERALUABIUTY CLMMS.MADEOCCUR X ECP0190528 04/30114 04130115 EACH OCCURRENCE f 1,000,000 PREMISES Me occurrerul S 100,000 MEDM (My one rson) E 10, 000 PERSONAL & ADV INJURY S 1,000, GENERAL AGGREGATE f 2,0001 GENT AGGREGATE X POLICY LIMIT APPLIES PER. PRO- LOC PRODUCTS- COMPIOP AGG f 2+000r f A A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Garage Keepers C-CP0190528 ECP0190528 ECP0190528 W30/14 04/30h14 04/30/14 04/30/15 04/30/15 04/30/15 COMBINED SINGLE LIMIT En ecadent) S 1 000, BODILY INJURY (Par person) f f BODILY INJURY (Per ecddent) PROPERTY DAMAGE (Per acadenn f X X .Gar Keepers f 50,00iJ X 11 f A X UMBRELLAUAS EXCESS LIAS X OCCUR CLAINIS-MADE ECP0190528 04J30/14 W/30N5 EACH OCCURRENCE S 1,000,00 AGGREGATE AGGREGATE f 1,0, X DEDUCTIBLE RETENTION $ 10000 If S B WORKERS COMPENSATIONI- AND EMPLOYERS' LIABS.rTY YIN ANY PROPRIETORRARTNERfiDECU11VE OFFICEPNEMBER EXCLUDED? (MandMery In NH) Ives, tlescri0e under C�ESC RIPTION OF OPERATIONS pelon NIA 155441 05101114 05J01115 1+ E L. EACH ACCIDENT f 500,00 EL DISEASE -EA EMPLOYEE f 500,101 EL. DISEASE -POLICY LIMn f 500,00 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (AS.ch ACORD 101, Addi fartW Remark. SchedWe, If mere specs Is r"Wred) City of Fort Collins Purchasing is named as Additional Insured with respects to General Liability policy. CERTIFICATE HOLDER CANCELLATION CITY OF 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 Financial Services AUTHORIZED REPRESENTATIVE 215 N Mason St, 2nd Floor PO Box 580 Fort Collins CO 80522 ACORD 25 (2009109) O 1968.2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD OP ID: SC AFRO CERTIFICATE OF LIABILITY INSURANCE DAT0410214 ) oa/ozna THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERIS), 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 970-223-1804 NUAEAC Front Range Insurance Group 1100 Haxton Drive Suite 100 -PHONE JACNo: ADDRESS' Fort Collins, CO 80525 David A. Wooldridge LUTCFAAI CUSTOMER ID r: PROAU-1 NSU AFFORDING COVERAGE NAIC0 INSURED Pro Auto Lube & Wash Inc. NunERA:Cincinnati Insurance Companies 11OB77 dba Harmony Grease Monkey & Car Wash INSURERB: Pinnacol Assurance 41190 1036 Oa kridg a INSURER C Fort Collins, CO 80525 INSURER D: NSLRER 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, NOTWITHSTANDEJG 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. IM TYPE OF INSURANCE IM&O Wm POLICY NUAABER M LIMITS A GENERAL LMBLITY X COMMERCIALGENERALUA&UTY CLAMS -MADE 7X OCCUR X ECP0190528 04130/10 04/30/15 EACH OCCURRENCE s 1,000,000 PREMISES FJottercena B 100,00 MEDEXP(M Wepamna) s 10,ODC PERSONAL& ADV INJURY S 1,000,00( GENERAL AGGREGATE $ ZODDIODC GEN'L AGGREGATE ,-X7 POLICY LIMIT APPLIES PER PRO- OC PRODUCTS - COMP/OP AGG $ 2,000, S A A AMONOWLE UABOLITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Garage Keepers ECP0190528 ECP0190528 ECP0190528 04/30N4 04/30/14 04/30/14 04/30/15 04130115 04/30115 COMBINED SINGLE LIMIT IEe xadmoo S 1,0006 BODILY INJURY (Per person) S BODILY INJURY (Per ecndom) S PROPERTY DAMAGE (Peracamm) s X X Gar Keepers s 50, X s A X UMaRELLA LIAO EXCESS We X OCCUR CLAMS -MADE ECP0190528 04130H4 04130/15 EACH OCCURRENCE S 1,000, AGGREGATE S 1,000,000 X DEDUCTIBLE RETENTION loam S s B WORKERS COMPENSATIONWC AND EMPLOYERS' LMSILIT' ANY PROPRIETORNARTNERIDECUTIVE YIN OFFICERIEMSER EXCLUDED? (MAsdatarYNNiN) Ryes, d"Wbe undw DESCRIPTION OF OPERATIONS below NIA 155441 05AMM4 05101/15 STATIL X OTH- IT E.L. EACH ACCIDENT E 500,WO E.L pSEAGE-EA EMPLOYEES 500, 000 E.L gSEASE- PCUCY LIMB S 500, DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEMCLES (Adach ACORD 101, Addleonal Remarks SCNudWe, N mom apeee Is m Wnd) City of Fort Collins Purchasing is named as Additional Insured with respects to General Liability policy. CERTIFICATE HOLDER CANCELLATION CITY OF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. Financial Services AUrHORIZED REPRESENTATNE 215 N Mason St, 2nd Floor PBox 580 [Fort Collins C080522 ACORD 25 (2009/09) Oa 1988-2009 ACORO CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD