HomeMy WebLinkAboutVENDING SERVICES OF COLORADO - INSURANCE CERTIFICATE (6)VENDIA OP ID: P5
,4t4CoR15CERTIFICATE OF LIABILITY INSURANCE
DATE 1211 ODIYYYY)
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THIS CERTIFICATE IS ISSUED AS AI 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: 970-082-7747
Brown & Brown Inc Fax: 970-484.4165
4532 Boardwalk Dr, Suite 200
CONTACT
NAME:
PHONE FAX
A/c No J: (AAC, No):
E-MAIL
ADDRESS:
Fort Collins, CO 80525
House Account
INSURERS AFFORDING COVERAGE
NAIC If
INSURER A: DepositorsInsurance Company
42587
INSURED Vending Services of Colorado
Inc.
5442 Boeing Dr
INSURER B:
NSURERC:
Loveland, CO 80538
INSURER 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,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
INSR
TR
TYPE OF INSURANCE
A
SUBR
POLICY NUMBER
MMIODIYYYY
MM IODNM
LIMITS
A
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE FRI OCCUR
X Business Owners
ACP7534279024
12/19/14
12/19N5
EACH OCCURRENCE
$ 1,000,00
AMA ET RENTED
PREMISES RENT hence
E 300,00
MED EXP (Any one person)
$ 5,00
PERSONAL SADVINJURY
$ 1,000,00
GENERAL AGGREGATE
$ 2,000,00
GEN'L AGGREGATE LIMIT APPLIES PER
POLICY PRO LOC
PRODUCTS - COMP/OP AGO
$ 2,000,00
$
A
AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
HIRED AUTOS AUTOS
ACP7544279024
12119/13
-
12119/14
COMBINED SINGLE LIMIT
Ea ecutlent
$ 1,000,00
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
E
PROPERTY DAMAGE
Persocldenl
E
$
UMBRELLA LIAR
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DED RETENTION$
I $
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y/
ANY PROPRIETORIPARTNER/ ECUTIVE ❑N
OFFICERIMEMBER EXCLUDED?
(Mandatory In NH)
If yea, Ceectlb. under
DE SCRIPTION OF OPERATIONS below
NIA
I
WE STATU- OTH-
LIMITSTORY
E. I. EACH ACCIDENT
$
E. L. DISEASE -EA EMPLOYEE
1
E
E.L. DISEA$E- POLICY LIMIT
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required)
970-224-6134
CITYF10
City of Fort Collins
215 N. Mason St.
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
House Account
1988-2010 ACORD CORPORATION_ All rinhts rasarvad
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD