HomeMy WebLinkAboutPARKING SENSE USA INC - INSURANCE CERTIFICATE (2)Client#: 1264024
PARKISEN
ACORD, CERTIFICATE OF LIABILITY INSURANCE DATE(MMDD YYYY)
10/01 /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 pollcy(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 CONTACT i NAME: Pam Rush
USI Insurance Services NW CL1 PHONE 503-265-5411
825 NE Multnomah, Suite 1500 MAIL Est): ac rt°: 610-537-2282
Portland, OR 97232 ADDRESS: pam.rushCa usl.Com
503 224-8390 INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A: Trawls. Pwiwrry Ca.. Co. W America 125674
INSURED
Parking Sense USA, Inc
37535 IH 10 West, Building 2, Suite 1
Boerne, TX 78006
INSURER B : Trnelera Indamnlry Comparlf W Cr
INSURER C : Trawler lndDmnlly COmParry
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
L
_TR
TYPE OF INSURANCE
ADDL
R R
WVDSUBR
POLICY NUMBER
POLICY EFF POLICY EXP
MM/DD/YYYY)_ _(MMfDDNYM
LIYITs
A
�J
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE O OCCUR
ZPL51 M382421915
9/15/2019
09115/202C
OCCURRENCE
$1 000 000
pEAACCHH
PREMISES i och currDenca)
$1 000 000
MED EXP (Any one person)
$1 O 000
PERSONAL & ADV INJURY
$1 000 000
GEN'L
�
AGGREGATE LIMIT APPLIES PER:
POLICY ECT LOC
OTHER:
GENERAL AGGREGATE
s2,000,000
PRODUCTS - COMP/OP AGG
s2 00O 000
$
A
AUTOMOBILE LIABILITY
X ANY AUTO
UT OWNED
_ _ AUTOS_ SCHEDULED
HIRED NON -OWNED
X AUTOS ONLY X AUTOS ONLY
_
BA5N3419461915G
9/15/2019
09/15/20
COMBINED a aSINGLE LIMIT ccidentl
1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
B
UMBRELLA LIAB
X EXCESS LIAR
OCCUR
CLAIMS -MADE
CUP91K16455A1915
D9/115/20119�119111512021
EACH OCCURRENCE
$5 000 000
J(
AGGREGATE
$5 000 000
DED I X RETENTION 10000
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTNE �IY y/ N�
OFFICER/MEMBER EXCLUDED? � �
(Mandatory in Ni
II yes describe under
DESCRIPTION OF OPERATIONS below
N I A
UB4J2053311915G
9/15/2019
09/15/2020
X IsPTEARTuTE OTH-
E.L.EACH ACCIDENT
$1' OOO OOO
E.L. DISEASE - EA EMPLOYEE
$1000 000
E.L. DISEASE - POLICY LIMIT
$1 000 000
DESCRIPTION OF OPERATIONS LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
** Workers Comp Information **
Pro prietors,%Partners; Executive Officers/Members Excluded:
Parking Sense Ltd, Based in New Zealand
(See Attached Descriptions)
City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
P.O. BOX 580 ACCORDANCE WITH THE POLICY PROVISIONS.
Fort Collins, CO 80522
AUTHORIZED REPRESENTATIVE
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) 1 of 2 The ACORD name and logo are registered marks of ACORD
#S26764939/M26550942 S1BZP