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HomeMy WebLinkAbout523946 CALE AMERICA INC - INSURANCE CERTIFICATE (4)A� o® CERTIFICATE OF LIABILITY INSURANCE DATE(MMDDYYYY) 1/28/2016 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 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 CONTACT Susan Kern AAI AINS CIC CPIW NAME: PHONFAX No): Nxtl, Stahl & Associates Insurance Inc. ADDRESS: Susan. kern@ stahlinsurance.com 3939 Tampa Road INSURERS AFFORDING COVERAGE NAIC p INSURER A:Trans ortation Insurance Cc 20478 Oldsmar FL 34677 INSURED INSURERB:Valley Forge 35289 INSURER C:COntinental Casualty 20443 Cale America, Inc INSURER American Casualty Co. of Reading PA 13808 Monroe's Business Park INSURER E: 1 INSURER F: Tampa FL 33635 COVERAGES CERTIFICATE NUMBER:2016 Master 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. INSR LTR TYPE OF INSURANCE ADDL SUER NUMBER POLICPOLICY MM DDYEFF IYYYY MM DDY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 C CLAIMS -MADE ❑X OCCUR PREM PREMISES oau m;. $ 300,000 MED EXP(Any one person) $ 5,000 5088231308 1/30/2016 1/30/2017 PERSONAL &ADV INJURY $ 1,000,000 GEHL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY D PEA LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ D ANY AUTO ALL OSCHEDULED AUTOS AUTOS 5090882150 1/30/2016 1/30/2017 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS X UMBRELLA LIAR x OCCUR EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 C EXCESS LIAR CLAIMS -MADE DED I X I RETENTION$ 10,000 $ 5090882178 1/30/2016 1/30/2017 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN x PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA WC5090882164 -Except CA 1/30/2016 1/30/2017 E.L. DISEASE - EA EMPLOYE $ 1,000,000 N Yes. tlescnbe under DESCRIPTION OF OPERATIONS below WC5090882161 - CA 1/30/2016 1/30/2017 E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Tech/Professional E&O 50BB231308 1/30/2016 1/30/2017 Each Loss $2,000,000 D Installation Floater ADV5090882195 1/30/20: 1/30/2017 Limit $25,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached 8 more space is required) The City of Fort Collins are included as Additional Insured as respects General Liability and Auto Liability Policies, subject to the terms, conditions and exclusions of the policies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Director of Purchasing and ACCORDANCE WITH THE POLICY PROVISIONS. Risk Managment AUTHORIZED REPRESENTATIVE PO BOX 580 Fort Collins, CO 80552 Mike Pagano, AAI/KERN ACORD 25 (2014101) INS025 (201401) ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD