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HomeMy WebLinkAboutED CARROLL MOTOR COMPANY INC - INSURANCE CERTIFICATEDATE (MM/DD/YYYY) ,A1CORD® 4CERTIFICATE OF GARAGE INSURANCE 1 01/18/2016 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 Sentry Customer Service NAME: NICOLE ELISE MARTI FNCNNo, Ezt : 800-447-0633 FA/C, No): 888-533-7627 EMAIL ADDRESS: spbusinesroducts_ssdoiaseMry.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: SENTRY SELECT INSURANCE COMPANY 21180 INSURED INSURER B : ED CARROLL MOTOR COMPANY INC INSURER C 3003 S COLLEGE AVE INSURER D : FT COLLINS, CO 60525 INSURER E : INSURER F : C-OVFRerF. PROD / CUSTOMER ID: CERTIFICATE #: 0002 REVISION #: 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 INSRD SUBR WVD POLICY NUMBER POLICY EFF (MM/)D/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS GARAGE LIABILITY AUTO ONLY (Ea accident) $ 500,000 A ALL OWNED X� HIRED AUTOS AUTOS ONLY NON -OWNED AUTOS USED IN GARAGE BUSINESS Ix 25-57028-04 03/01/2016 03/01/2017 OTHER THAN AUTO ONLY EA ACCIDENT $ 500,000 AGGREGATE $ 2,500,000 GARAGE KEEPERS LIABILITY CCTC P / LOC $ LEGAL LIABILITY PERILS ED LOC $ COLLISION LOC $ DIRECT BASIS PRIMARY EXCESS LOC $ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ POLICY ❑ PRO- ❑ LOC PRODUCTS -COMP/OP AGG $ $ OTHER X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 A X EXCESS LIAR CLAIMS -MADE 25-57026-04 03/01/2016 03/01/2017 AGGREGATE $15,000,000 DED RETENTION $ PRODUCTS - COMP/OP AGGOT $ 15,000,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ER I STATUTE ERH- E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE N / A OFFICER/MEMBER EXCLUDED? Y / N E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) ❑ 0 yes, describe under REMARKS below E.L. DISEASE - POLICY LIMIT $ REMARKS (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) Refer to attached CERTIFICATE HOLDER CANCELLATION CITY OF FORT COLLINS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE RISK MANAGEMENT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE PO BOX 580 WITH THE POLICY PROVISIONS. FORT COLLINS, CO 80522 AUTHORIZ SENTATIVE ACORD 30 (2014/01) 2557028 0002 2010, 2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 01/18/2016 1 00001 0000000280 16019 0 N 1FF927D1-1ED8-42F9-951D-3B9A3925E1FS AGENCY CUSTOMER ID: ACORO® LOG #: ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMEDINSURED NICOLE ELISE MART POLICY NUMBER 25-57028-04 CARRIER NAIC CODE EFFECTIVE DATE: 03/012015 ADDITIONAL REMARKS ACORD 101 (2008/01) OO 2008 ACORD CORPORATION. All rights reserved. 2557028 The ACORD name and logo are registered marks of ACORD 01 /18/2016