The URL can be used to link to this page

Home My WebLink AboutPIPERS GREASE MONKEY INC - INSURANCE CERTIFICATE,4` oRo® CERTIFICATE OF LIABILITY INSURANCE DATE(NIRUDDI19 osr2612D1s 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 terns 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 FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 CONTACT NAME: CLIENT CONTACT CENTER PAOC, No Ezt : 888-333-4949 Fait No): 507446-4664 ADDRESS: CLIENTCONTACTCENTER FEDINS.COM OWATONNA, MN 55060 INSURERS) AFFORDING COVERAGE NAIC # INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 317-254-1 INSURER B: FEDERATED SERVICE INSURANCE COMPANY 28304 PIPERS GREASE MONKEY INC INSURER C: 6318 CATTAIL CT INSURER D: FORT COLLINS, CO 80525-9174 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1 REVISION NUMBER: 0 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 INSURANCE LTR ADDL INSR SUER WVD POLICY NUMBER POLICY EFF MMIDDIYVYV POLICY EXP MMIDDIYYYV LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR BUSINESS OWNER'S LIABILITY Y N 9190781 08/06/2019 08/06/2020 EACH OCCURRENCE $1,000,000 PREMISES (..ccGE TO urmncc $100,000 X MED EXP (Any one person) GEN'L X PERSONAL& ADV INJURY $1,000,000 AGGREGATE LIMIT APPLES PER: POLICY ❑ PRO ❑ LOC JECT OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMPIOP AGO $2,000,000 B AUTOMOBILE X LIABILITY ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOS HIRED AUTOS ONLY X NON -OWNED AUTOS ONLY N N 9190782 08/06/2019 08/06/2020 COMBINED SINGLE LIMIT Ea acclden $1,000,000 BODILY INJURY (Per person) BODILY INJURY (Per accident' PROPERTY DAMAGE Per adc dent UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE DED I I RETENTION B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED' F] (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A N 0733348 08/06/2019 08/06/2020 OTH- X PER STATUTE ER E.L. EACH ACCIDENT $100,000 E.L. DISEASE - EA EMPLOYEE $100,000 E.L DISEASE - POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) CITY OF FORT COLLINS IS LISTED AS ADDITIONAL INSURED ON BUSINESSOWNERS LIABILITY. CERTIFICATE HOLDER CANCELLATION 317-254-1 1 0 CITY OF FORT COLLINS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 215 N MASON ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN FORT COLLINS, CO 8D524-4402 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD