HomeMy WebLinkAbout277398 CHOICE TOWING LLC - INSURANCE CERTIFICATE (6)Policy Number:
Date Entered: 3/01/2015
CERTIFICATE OF LIABILITY INSURANCE
z�21B/2014YY)
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
P and G Insurance Professionals, LLC
PO Box 22724
Denver, CO 60222
CONTACT
NAME
PNCN; .(303)478-4582 acNO, (888)791-4038
=,,:shawn.gerdes@pandgip.com
INSURERS AFFORDING COVERAGE
NAIC p
INSURER A Westfield Insurance Company
_
INSURED Choice Towing, LLC
INSURER B:
INSURER C :
INSURER D:
1605 E Lincoln Ave
INSURERE:
Fort Collins, CO 80524
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
LTR
TYPE OF INSURANCE
ADL
SUER
POLICY NUMBER
MN DD/YYYY
MM/DD/YYYY
LETS
A
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
§ 1, 000 , 000
CLAIMS -MADE ®OCCUR
X
CSP 3707142
/16/2015
/16/2016
DAMAGE T RENTED
PREMISES(Ea occurrence
§
MED EXP (Any one person)
§
PERSONAL § ADV INJURY
§ 1., 000 , 000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
§2,000,000
PRO -
POLICY LOC
POLICY El
PRODUCTS - COMP/OP AGG
§ 2 , OOO , OOO
§
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident
E 1 00O 000
r r
A
ANY AUTO
X
CSP 3707142
/16/2015
/16/2016
BODILY INJURY (Per person)
§
BODILY INJURY (Per accident)
§
ALL OWNED SCHEDULED
AUTOS AUT
NON -OWNED
Peaccident) Or PERTDAMAGE
S
HIREDAUTOS AUTOS
§
A
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
§ 2, 000 , 000
AGGREGATE
§2,000,000
EXCESS LIAR
CLAIMS -MADE
CSP 3707142
/16/2015
/16/2016
DED I I RETENTION §
§
WORKERS COMPENSATION
PER OTH-
STATUTE ER
AND EMPLOYERS' LIABILITY Y
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT
§
OFFICER/MEMBER EXCLUDED? ❑
NIA
(Mandatory In NH)
E.L. DISEASE - EA EMPLOYEE
S
E.L. DISEASE - POLICY LIMIT
§
If yes, describe under
DESCRIPTION OF OPERATIONS below
A
Garagekeepers
CSP 3707142
3/16/2015
3/16/2016
450,000
A
On Hook and Cargo
CSP 3707142
3/16/2015
3/16/2016
1,000 deductibl 200,000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
cert holder listed as additional insured with respects to general and automobile liability
Ia1.1aPl41
City of Fort Collins
Purchasing Division
PO Box 580
Fort Collins, CO 80522
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 :�; G vV�'
V TBBtt-ZU14 ACUHU wKt'UKAI IUN. An ngnts reservea.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
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