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Home My WebLink AboutRAND-SCOT INC & MOBILITY LTD - INSURANCE CERTIFICATE (3)RANDS-1 OP ID: JD ,a►coRo' CERTIFICATE OF LIABILITY INSURANCE DATE 03/17120117/2015 5 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 endorsement(s). PRODUCER CONTNAME:— ACT Tyler B. Allen Brown & Brown Inc PHONE g70-462'7747 FAX 4532 Boardwalk Dr, Suite 200 tXIC. No. Extl: IA C, Not: 97048"165 Fort Collins, CO 80525 ADDRE Tvler B. Allen SS: tallen@bbcolorado.com INSURER A: Republic Indemnity Co of CA 43753 INSURED Rand -scot Inc & Mobility Ltd INSURERS: Federal Insurance Company 20281 Saratoga Access & Fitness and Resource Medical Systems, INSURERC: Inc. INSURER D: 401 Linden Center Drive — - -- -- Ft Collins, CO 80524 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 CONIRACT 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 IUDDL INSD SUER WVD I POLICY NUMBER POLICY EFF WDONYYY POLICY EXP MM/DD/YYYY LIMITS B X COMMERCIAL GENERAL uABILm' CLAIMS-AWDE OCCUR 35818332WCE 03117/2015 03/1712016 EACH OCCURRENCE $ 1,000,00 PREMIS�Eaaocamence $ 1,000,00 MED EXP (Any one person) $ 10,00 PERSONAL 3 ADV INJURY $ 1,000,00 GENL AGGREGATE LIMIT APPLIES PER POLICY F—IJPERCOT- LOc OTHER: GENERAL AGGREGATE $ 2,000,00 PRODUCTS -COMP/OPAGG $ Exclude $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per acc lent $ B J( UMBRELLA LIAR EXCESS LIAO X OCCUR CLAIMS -MADE 79839892 03117/2015 03/17/2016 EACH OCCURRENCE $ 1,000,00 AGGREGATE $ 1,000,00 DIED X 1 RETENTION$ 0 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ (Mandatory In NH) If Yes. describe under DESCRIPTION OF OPERATIONS below NM 13109322 04/0112015 04/01/2016 XPER STATUTE ER E.L. EACH ACCIDENT § 1,000,00 E.L. DISEASE - EA EMPLOYE § 1,000,00 E.L. DISEASE -POLICY LIMR $ 1,000,00 B JlProducts Liabikiy Claims Made 35818333WCE 03/17/2015 031/7/2016 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Certificate holder included as additonal insured for general liability per form 80-02-2056 11/09. CERTIFICATE HOLDER CANCELLATION CITYFC8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 300 LaPorte Ave AUTHORIZED REPRESENTATIVE Fort Collins, CO 80521 Wa� O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD