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HomeMy WebLinkAboutPARKING SENSE USA INC - INSURANCE CERTIFICATEClient#: 1264024 PARKISEN ACORD, CERTIFICATE OF LIABILITY INSURANCE DATE(MM DDYYYY) 10/av2019 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTA NAME:CT Pam Rush USf Insurance Services NW CL1 PHONE 503-265-5411 610-537-2282 A/C No EId : AIC No 825 NE Multnomah, Suite 1500 E-MAIL am.rush@usi.com Portland, OR 97232 ADDRESS: p -- 503 224-8390 INSURER(S) AFFORDING COVERAGE NAIC e INSURER A : Trawlers Property Ces. Co. of Amedca 25674 INSURED INSURER B ; Trayelen Inea i Company of Cr 25682 Parking Sense USA, Inc Tn"ars[ndemnityCompany 25656 37535 IH 10 West, Building 2, Suite 1 INSURERC: Boerne, TX 78006 INSURER D: INSURER E: 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 CONTRACTOR 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 ADDL INSR SUB VVvD POLICY NUMBER ZPL51 M382421915 POLICY EFF POLICY EXP 1M/DD/YYY MM/DD/YY LIMBS A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 9/15/2019 09/1 5/202C EACH OCCURRENCE $1 000 000 f�_ D M GE PREMISES Ea o�u ence $1 000 000 MED EXP (Any one arson) $10 000 PERSONAL$ ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT LOC OTHER: GENERAL AGGREGATE s2 000,000 PRODUCTS •COMP/OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO A NED SCHEDULED OWONLY UTOS AUTOS X HIRED IR D ONLY X NON -OWNED AUTO$ ONLY BA5N3419461915G /15/2019 09/15/202 Ea eBINEDcciden SINGLE LIMIT 1,000,000 BODILY INJURY (Par pert _ $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per alxide S B UMBRELLA UAB EXCESS W1B OCCUR CLAIMS -MADE CUP9K16455A1915 9/15/2019 09/15/202 EACH OCCURRENCE $5 000,000 X X AGGREGATE $S 000 000 DED I X. RETENTION$10000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITYFR ANY PROPRIETOR/PARTNER/EXECUT VE nY / N OFFICER/MEMBER EXCLUDED? �J (Mandatory in NH) It yes. describe under DESCRIPTION OF OPERATIONS below N/A UB4J2053311915G 9/15/201909/15/ X RTJTE OTN- E.L. EACH ACCIDENT $1 000 OOO E.L DISEASE - EA EMPLOYEE $1 000 000 EL DISEASE - POLICY LIMIT $1 000,000 DESCRIPTION OF OPERATIONS; LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached it more space is required) " Workers Comp Information " Proprietors'Partners/Executive Officers/Members Excluded: Parking Sense Ltd, Based in New Zealand (See Attached Descriptions) UMN I Irl .A I C nULUMN %.A[N IZLLA I IVIV City of Fort Collins 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. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) 1 of 2 #S26764940/M26550942 © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD S1BZP