HomeMy WebLinkAbout132191 MOUNTAIN PARKING EQUIPMENT - INSURANCE CERTIFICATE (11)ACORD.
DATE
CERTIFICATE
OF LIABILITY INSURANCE
OS/3/7014 0/2014
PRODUCER
1-303-793-3388
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Associates Insurance Group
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND,
EXTEND OR
8400 E. Practice Avanue
ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
Suits 300
Greeawood Village, CO 80111
.Tustin coaan
INSURERS AFFORDING COVERAGE
NAIC#
INSURED
Souder Corporation dba
INSURER A: CHARTER DAM PIRB INS CO
75615
INSURERS: TRAVELERS CAS INS CO OF AMER
19046
Mountain Parking Equipment
2009 S. Cherokee St.
INSURERC: TRAVELERS IND CO
25658
INSURER D: PINNACOL ASSUR
41190
Denver, CO 80223
NSURERE
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSRADD'L
LTR
INSRO TYPEOFINSURANCE
POUCYNUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
A
X
GENERAL LIABILITY
6608759X948
06/01/14
06/01/15
EACH OCCURRENCE
$1,000,000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE lxl OCCUR
Ea RENTED—
PREMISESe.ce
S 100,000
MEDEXP(AnywePewr;)
$5,000
PERSONALS ADV INJURY
S 1,000,000
GENERALAGGREGATE
S2,000,000
GEN'L AGGREGATE LIMIT APPLIES
PER:
PRODUCTS- COMP/OPAGG
$2,000,000
X POLICY PRO-
RECT
LOC
S
AUTOMOBILE
X
LIABILITY
ANY AUTO
RAB769X536
06/01/14
06/01/15
COMBINED SINGLE LIMIT
(Ea axitlenl)
$1, 000, 000
ALLOWNEDAUTOS
SCHEDULED AUTOS
BODILYY
(Per personemon))
$
X
X
BODILY derfl)INJU
(Peracctitlent)
$
HIREDAUTOS
NON-OWNEDAUTOS
PROPERTY DAMAGE
(Perawitlent)
$
-7
GARAGE LIABILITY
AUTOONLY-EAACCIDENT
S
OTHERTHAN FA ACC
$
ANY AUTO
S
AUTOONLY: AGO
C
EXCESSNMBRELLA UABILm
X OCCUR CLAIMSMADE
CDP87721Q52-14
06/01/14
06/01/15
EACHOCCURRENCE
S 5.000,000
AGGREGATE
$5,000,000
S
S
DEDUCTIBLE
X RETENTION $ 5,000
S
D
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE
4011572
06/01/14
06/01/15
% WCS MIT ER
E.L. EACH ACGDENT
S1,000,000
E.L. DISEASE -EA EMPLOYEE
$1, 000, 000
OFFICEFeMEMBEfl EXCLUDED'
SYea, tl L PRU under
SPECIAL PROVISIONS WIDW
E.L. DISEASE -POLICY LIMIT
$1,000.000
OTHER
A
Installation Floater
6608759X948
06/01/14
06/01/15
y One Location 90,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
If required by written agreement, City Of Port Collins is named Additional Insured as respects General Liability.
""" �^ � ��✓� • �,MIYe,CLLN 11UlY a QePC lV Day DOCKS IOr nOn Payment
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City Of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL
215 N. Mason IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
Fort Collins, CO 80524 AUTHORIZED REPRESENTATIVE
USA
ACORD 25 (2001/08) nreynolds-Johnson ® ACORD CORPORATION 1988
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