Loading...
HomeMy WebLinkAbout129729 EXODUS MOVING AND STORAGE INC - INSURANCE CERTIFICATE (2)ACORO EXODU-1 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDlYYYY) 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 endorsements . PRODUCER 970-482-7747 CONTACT� Kiln E. Siwek, CPA Brown & Brown Inc PHONE 970 482-7747 FAl( 970-484-4165 4532 Boardwalk Dr, Suite 200 Aic, No, Eat: AIC, No: Fort Collins, CO 80525 E siwe CO Ora o.com Karen E. Siwek, CPA Pinnacol Assurance Comoanv 141190 INSURED Exodus Moving and Storage Inc INSURER 8:,runrn ArrterlGan 1 120 NE Frontage Rd Unit D Security National Fort Collins, CO 80524 n1suRERc: tY Wesco Insurance INSURER F: New Hampshire Insurance Co. 123841 rn�icoercc rrcoriciceTE NII IMIIZFa• RFVISIAN NIIMRFR- vTHIS•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 ADDL SU POLICY NUMBER POLICY EFF POLICY EXP LIMITS C X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I —XI OCCUR SPP1780347 00 09/01/2019 0910112020 EACH OCCURRENCE 1,0001000 AMAGE TO RENTED DPREMISES (Ea oc;cumsn 100,000 MED EXP onePerson) 5,000 PERSONAL &ADV INJURY 1,000,000 GEML AGGREGATE LIMIT APPLIES PER: X POLICY jpi� LOC nOTHER: GENERAL AGGREGATE 2,000,000 PRODUCTS - COMPIOP AGG 2,000,000 AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AURTEO�S ONLY AUOTNOpSV./ Ep AUTOS ONLY AUTOBONLY PP1832936 00 09/01/2019 09/01/2020 COMBINED SINGLE LIMB $ 1,000,000 BODILY INJURY Per $ BODILY INJURY Per accident $ P*rPEseude t AMAGE $ E UMBRELLA LJAB EXCESSLJAB X OCCUR CLAIMS -MADE 56WO143800 09/01/2019 09/01/2020 EACH OCCURRENCE 5,000,000 X AGGREGATE 51000,000 DED X RETENTION$ N/A A B WORKERS COMPENSATION AND EMPLOYERS LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE '�FFICER/MEMBER EXCLUDED? (Mend tory in NH) if yes, describe under DESCRIPTION OF OPERATIONS below NfA 9414505 C 3029593-00 09/01I2019 09/01/2019 09/01/2020 09/01/2020 X PER OTH- E.LEACH ACCIDENT $ 1,000,o00 1,000,000 $ 1,000,000 E.L. DISEASE - EA EMPLOYEE DISEASE -POLICY LIMIT F ICargo F Warehouse 012418706-0 012418706-0 09/01/2019 09/01/2019 09/01/2020 09/01/2020 Limit Limit 500,000 See Notes DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be atitached 0more space is required) CITYDIV 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 Purchasing Division RE Attn: David Carrey 5ren KE. REPRESENTATIVE PO Box 580 Karen Siwek, CPA ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD