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Home My WebLink About523946 CALE AMERICA INC - INSURANCE CERTIFICATEDocuSign Envelope ID: F558C8D7-FDB04D94-9454-4F2B877E991E CALEA-1 OP ID: PP - CERTIFICATE OF LIABILITY INSURANCE 081261201zol°YY, oa/za 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 endorsements . PRODUCER Phone: 727-784-8554 Stahl 8 Associates Insurance Fax: 727-789-2823 3939 Tampa Road Oldsmar, FL 34677 CONTACT Sue Goodman PHONE 813-818-5350 FUNGI No: 813.818-5396 AIC No Ezt EMAIL ADDRESS: sue.goodman@stahlinsurance.com Michael Pagano, AAI INSURE S AFFORDING COVERAGE NAIC If INSURERA:Valley Forge Insurance Company 20508 INSURED Cale America, Inc INSURER B: Continental CasualtyCompany Ken Beattie 13808 Monroe's Business Park Tampa, FL 33635 INSURER C: Transportation Insurance Co INSURER°: American Cas Co of Reading PA 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TR OF INSURANCE ADDILTYPE lNSR UB POLICY NUMBER POLICY IDD/YYYY POLICY EXP MM/DDnrYYYJ LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 300,00 A X COMMERCIAL GENERAL LIABILITY X GL5088231308 0113012014 01130/2015 MED EXP(Anycneperson) 1 5,00 CLAIMS -MADE Fx-1 OCCUR PERSONAL S ADV INJURY $ 1,000,00 X Stop Gap -WA GL5088231308 01/3012014 01130/2015 GENERAL AGGREGATE $ 2,000,00 GENIAGGREGATE LIMITAPPLIES PER: PRODUCTS - COMPIOP AGG 8 2,000,00 g POLICY X PRO- LOC LIABILITY , COMBIAUTOMOBILE (Edami ent) LE LIMIT " Ea accident 1,000,00 BODILY INJURY (Per person) $ D X ANY AUTO X BUA5090882150 0113012014 01/30/2015 BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS HIREDAUTOS ALaQsWNED PPROsPeddTntDAMAGE $ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,00 AGGREGATE $ 4,000,00 B EXCESS LIAR CwIMS-MADE CUP5090882178 01/3012014 01/3012015 DELI I X I RETENTIONS 10,000 $ WORKERS COMPENSATION X WCSTATULMT- I OTH- W C AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERNEMandatory in NHj EXCLUDED? ❑N NIA WC50N882184-EXCEPT CALIF WC5090882181 - CALIF ONLY 01/30/2014 01/3012014 0113012015 01130/2015 E. I. EACH ACCIDENT $ 1,000,000 E.L DISEASE - EA EMPLOYEES 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,00 If yes, describe under DESCRIPTION OF OPERATIONSbelox A Professional E80 GL5088231308 0113012014 01/3012015 Each Loss 2,000,000 D Installatn Fit ADV5090882195 01/30/2014 0113012015 Inst Fltr 25,00 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES IAttach ACORD 101, Additional Remarks Schedule, It care apace Is required) The City of Fort Collins are included as Additional Insured as respects General Liability and Auto Liability Policies, subject to the terms, conditions and exclusions of the policies. CERTIFICATE HOLDER CANCELLATION FTCOLLI 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 Director of Purchasing and Risk Managment AUTHORQED REPRESENTATIVE PO Box 580 -eW� Afax� Fort Collins CO 80552 0� ACORD 25 (2010/05) ID 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD