HomeMy WebLinkAbout340571 MAX FIRE APPARATUS INC - INSURANCE CERTIFICATE (11)AC " CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDiYYYY)
`�_ 3/15/2019
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
Commercial Risk Solutions NAME: -__Amber Hernandez _
6600 E Hampden Ave Ste 200 PHONE Ext). 303-996-7861 Fax No:303.757-7719
Denver CO 80224 nn A ass: Ahernandez crsdenver.com
INSURER(S) AFFORDINO COVERAGE NAIC #
._._-----_------_._--
INSURED MAXF I-1
Max Fire Apparatus, Inc.
dba NMC
INSURER_B
INSURERC_
P.O. Box 1658
INSURERD:
Castle Rock CO 80104
INSURER E :
INSURER F
18988
:VVtHAGtS GEHTIFICATE NUMBEH:606358935 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.
ISR' _.____.__ .__ ]bbL sONAT -POLICY EFF +POLICY EXP -' -"--. - _.__ _.__. --_
TR TYPE OF INSURANCE IM D WvD POLICY NUMBER MMODIYYYY MM/DD/YYYY LIMITS `
A X COMM ERCIAL GENERAL LIABILITY Y 74126517 3/14/2019 3/14/2020 EACH OCCURRENCE $1,000,000
CLAIMS -MADE E I OCCUR
PR�MI$�S (E,p__o� I�rreneel
$ 300,000
MED EXP�Any one -person)
$10,000
i
i
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS -COMP/OP AGG
--�-
$1.000,000
r'L AGGREGATE LIMIT APPLIES PER:
POLICY I PRO-
JECT LOC
OTHER:
$2,000,000
$ 2,000,000
--..._
$
A
AUTOMOBILE LIABILITY
X I ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
WNED
X HIRED X NON-OWNEDROPERTYDAMAGE
AUTOS ONLY AUTOS ONLY4$
4960687101
3/17R019
3/17/2020
COMBINED SINGLE LIMIT
$1,000,000
BODILY INJURY (Per person)
$
I BODILY INJURY (Per accident)
lP— -
_
$
$
UMBRELLA LIAB ! I OCCUR
EXCESS LIABi� CLAIMS -MADE
I AGGREGATE I S
WORKERS COMPENSATION I
PTR T i ERH— .
AND EMPLOYERS' LIABILITY NO COVERAGE_
Y N — -
ANYPROPRIETOWPARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? N / A E:L. EACH ACCIDENT $
(Mandatory In NH) I E.L. DISEASE - EA EMPLOYEE $
It yes, describe under -- --
DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $
A Garage & Dealers 4980687100 3/14/2019 3/14/2020 Each Accident 1,000.000
Aggregate 2.000,000
Med Pay 10,000
DESCRIPTION OF OPERATIONS 1 LOCATIONS i VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
Re: Fleet Maintenance. City of Fort Collins is included as additional insured on the General Liability with respect to ongoing operations of the named insured for
the certificate holder as required by written contract. All policy terms, conditions and exclusions apply.
Utrc I It-IUA I t HVLUtH CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Fort Collins
P.O. Box 580 AUT ORIZED REPRESENTATIVE
Fort Collins CO 80522 � k%v�
U 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
2 of 2 4980