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