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HomeMy WebLinkAbout523946 CALE AMERICA INC - INSURANCE CERTIFICATE (2)CALEA-1 OP ID: SK acoiro CERTIFICATE OF LIABILITY INSURANCE DA 01/291D015 01/29/2015 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 INSURERISI, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, Me 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 endorsements. SRODUDER Phone: $13-818-5300 tahl B Associates Insurance mFax: 813-818-639 3939 Tapa Road Oldsmar, FL U677 Michael Pagano, "I rum"° Susan Kem E NNa, A�Se;s INSUM AFFOMINOCOVEAAOE RAIC0 INSURER A: Valley Forge Insurance Company 20608 somere Cale America, Inc Ken Beattie 13808 Monroe's Business Park INSURER 9: Continental Casualty Company INSURERC:Trens ortation Insurance Co INSURER 0 American Cas Co of Reading PA Tampa, FL 33635 INBURERE: INSURER COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED PROVE 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 CIAIMS. INBR ME OF INSURANCE POLICY N.P.M. POLMYE DLalx OENERALUMILITY FACH OCCURRENCE S 1,000,00 Pp a 300,00 B X COMMERCIALOENERALLIAMUTY CUIU!"ACE �X OCCUR X GL5088231308 01/30/2015 01/3012016 MEDEXP(M aepae,m $ 5,00 PESONALSAOYINJURY s 1,000,0 X G1.608823'1308 01/30/2015 01/30/2016 GENERALAOGREGKTE $ 2,000,00 FER: PROWLT$-COMppPgW a . 2,Doo,00 I'LAGOREGATELIMITApPLIE6 POLICY X PR6 Loc AU.ILELIANUTY a5iffs Ee EmAe 1100010D X MDRYmRIRY(RepMKRI a D ANY AUTO X BUASH0882150 01130/2016 01/30/2016 ALLOVr "O AUTOS Anr0sclIEOULED 3 NON S ED XUE°AUTOS AUTOS "ODILV IwuRr(PM 6IfMIB11U $ PR DAMAGE S $ X UMBMW LIAR X CCCUR EACHOCCURRENCE S 6,000,00 AGGREGATE a 4,I)EI0,0011 B EXCESS ME CLNMS.MADE CUPS090882178 0113012015 0113012016 LET I X I q TEMI 100DD a WORREa3 COMPEN3ATIXi X WC aTATLL TH- A C AND EMPLOYERS 'LIMURY ANY PNO1AI NIPAFmERXXECUTYEY® uenaemnE. enj Excwoeov NIA WC 9=213 CEPTGLIE WC090882181 - CALIF ONLY 01/3012015 OV3012015 01130/2016 01130/2016 EL. EACH ACODENT a 1.00 D,0D EL_USEA18-Ea EMPLOYE a 1,100,00 OESCRIP ON OF OPERATIONS LMov EL. UNEASE-MUCY LIMIT a 1,00Dr0D B Professional EEO GL6088231308 01/3012015 011MI2016 Each Loan 2,000,00 D Imrallate Floater ADVW90882195 01130INIS 011MI2016 [net Fitt 25,00 DESCRIPTION OF OPEMTION31-QG ONSIVEHICLES(ANLon ACCUM 101, AWWone Re,N,As SCllatlule,Nmonepu N MIunAl The City of sort Collins are included ae Additional Insured as respects General Liability and Auto Liability Policies, subject to the terms, conditions and exclusions of the Policies. FTCOLLI City of Fort Collins Director of Purchasing and Risk Managment PO Box 580 Fort Collins, CO 80552 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DAIS THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOMED R�EP�REySE,NTATIVE Q / @1988-2010 ACORD CORPORATION. All ACORD 25 (2010M) The ACORD name and logo are registered marks of ACORD