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HomeMy WebLinkAbout340571 MAX FIRE APPARATUS INC - INSURANCE CERTIFICATE (12)MAXFI-1 OP ID: CLM ,acoRa° CERTIFICATE OF LIABILITY INSURANCE DATE 11/1212//2015Y) 015 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 CRS Insurance Brokerage Commercial Risk Solutions DBA ONT NAMEACT Sherry A. McGann PHONE FAX A/c Nc Ell: 303-996-7801 A/C No): 303-757-7719 6600 E. Hampden Ave. Denver, CO 80224 E-MAIL ADDRESS: Sherry A. McGann INSURERS AFFORDING COVERAGE NAIC # INSURER A: Hartford Insurance Company 22357 INSURED Max Fire Apparatus, Inc. P.O. Box 1658 INSURERB: Castle Rock, CO 80104 INSURER C : 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 LTR TYPE OF INSURANCE ADOL UB POLICY NUMBER MM/DDPOLICY/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fil OCCUR X 34UUNQ08093 11/01/2015 11/01/2016 EACH OCCURRENCE $ 1,000,00 DAMA E T ERENTED PREMISES a occurrence $ 300,00 MED EXP (Any one person) $ 10,00 PERSONAL & ADV INJURY $ 1,000,00 GENT AGGREGATE LIMIT APPLIES PER: POLICY PRO JECT LOC OTHER: GENERAL AGGREGATE $ 2,000,00 X PRODUCTS - COMP/OP AGG $ 2,000,00 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X NON -OWNED HIREDAUTOS AUTOS 34UUNQ08093 11/01/2015 11/01/2016 EO aBINEDISINGLE LIMIT $ 1,000,00 X BODILYINJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Paraccident $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 34HH0008094 11/01/2015 11/01/2016 EACH OCCURRENCE $ 1,000,00 AGGREGATE $ 1,000,00 DIED X ; RETENTION $ 10,000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Y (Mandatory in NH) If yes, describe antler DESCRIPTION OF OPERATIONS below N/A NO COVERAGE THROUGH CRS PER OTH- STATUTE ER $ E.L. EACH ACCIDENT E L. DISEASE - EA EMPLOYEE - $ E L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Fleet Maintenance. City of Fort Collins is included as additional insured on the General Liability with respect to ongoing operations of the named insured for the certificate holder as required by written contract. All policy terms, conditions and exclusions apply. It:A I t MULUtK CIFORTC 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 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD