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HomeMy WebLinkAbout277398 CHOICE TOWING LLC - INSURANCE CERTIFICATE (7)® Policy Number: Date Entered: 3/01/2015 AFO RCERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 2/28/2014 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 endorsement(s). PRODUCER P and G Insurance Professionals, LLC NAME�v PO Box 22724 PHONEo . (303) 478-4582 (888) 791-4038 FAX Alc No): E-MAIL shawn.gerdes@pandgip.com Denver, CO 80222 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # _ INSURERA:Westfield Insurance Company INSURED Choice Towing, LLC --- - - -_ INSURER B 1605 E Lincoln Ave INSURER C --- Fort Collins, CO 80524 INSURER D: INSURER E INSURER F 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 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM DDlYYYY MM DDfYYYY LIMITS A COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1, 000, 000 CLAIMS -MADE OCCUR /� CSP 3707142 3/16/2016 3/16/2017 DAMAGETO RENTED PREMISES Ea occurrence MED EXP (Anyone person) $ $ GEN'L AGGREGATE LIMIT APPLIES PER POLICY ❑PRO ❑ JECT LOC OTHER: PERSONAL & ADV INJURY $ 1, 000, 000: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED NON -OWNED AUTOS AUTOS X CSP 3707142 3/16/2016 3/16/2017 COMBINED SINGLE LIMIT Ea accident $ 1, 000, 000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ A UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE CSP 3707142 3/16/2016 3/16/2017 EACH OCCURRENCE $2,000,000 DED RETENTION $ AGGREGATE $2,000,000 $ A I A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Gara ekee ers g p On Hook and Cargo I N / A CSP 3707142 CSP 3707142 03/16/2016 03/16/2016 103/16/2017 03/16/2017 1 11,000 PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ deductibl 450,000 200,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) cert holder listed as additional insured with respects to general and automobile liability CERTIFICATE HOLDER CANCELLATION City of Fort Collins Purchasing Division SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 215 N Mason St, 2nd Floor THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Produced using Forms Boss Plus software. www.FormsBoss.com, Impressive Publishing 800-208-1977