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HomeMy WebLinkAbout340571 MAX FIRE APPARATUS INC - INSURANCE CERTIFICATE (10)AC-�Ra00 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) F3/15/2019 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 have ADDITIONAL INSURED provisions or 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 CONTACT NAME: Amber Hernandez Commercial Risk Solutions 6600 E Hampden Ave Ste 200 __ PHONE FAX — • 303-996-7861 A/ Nn:303-757-7719 ADORe s: Ahernandez@crsdenver.com Denver CO 80224 INSURERS) AFFORDING COVERAGE NAIC 4 INSURER A: AUTO-OVVNERS 18988 INSURED MAXFI-1 INSURER B ------- Max Fire Apparatus, Inc. dba NMC INSURERC__--- INSURER D : P.O. Box 1658 Castle Rock CO 80104 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER:1277082026 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 TYPE OF INSURANCEADD _._..___... _ — —.- POLICCY EFF POLICY EXP LIMBS TR POLICY NUMBER MMIDD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY — CLAIMS -MADE XI OCCUR_.tE Y I 14126511 3114121119 'I 3/14/2020 (EACH OCCURRENCE DAMAG"ETC�F� NiFD_r PREMI- ES-. a oeG�rren � $1,000,000 _. $ 300 000 MED EXP,(Any one person— $10,D00 _� _ PERSONAL & ADV INJURY_ $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:v _.�__ GENERAL AGGREGATE $ 2,000,000 X_I POLICY PRO- 77 _ , JECT LOC ti._ PRODUCTS - COMP/OP AGG $ 2,000,000 _- v _ � $ OTHER: A AUTOMOBILE LIABILITY Y 49M87101 3/17/2019 3/17/2020 COMBINED IN E LIMIT $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) I PRO'PEATYDAIv1ACdEW-_ __ (pgr e(cp�li gnj) _ $ � I $� t $ j UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ I DED ! I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A PER OTH- f STATUTE R _ ^NO COVERAGE__ _ E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE — $ (Mandatory In NH) If yes, describe under' -- DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Garage & Dealers l 49e0687100 3/14/2019 3/14/2020 Each Accident Aggregate Med Pay 1000,000 2:000,000 10,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: 7563 PFA Fire Apparatus- Pumper. City of Fort Collins is included as additional insured for ongoing operations on the General Liability and included as additional insured on the Auto Liability with respect to operations of the named insured for the certificate holder as required by written contract. All policy terms, conditions and exclusions apply. kor-K I II-IIiA I t MULutri City of Fort Collins Purchasing Department P.O. 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. REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2 of 2 4981