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HomeMy WebLinkAboutCOLLEGE PEDI-CAB TOURS LLC DBA TADPOLE PEDICABS - INSURANCE CERTIFICATElcr� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/24/2t)17 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 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 rights to the certificate holder in lieu of such endorsements . PRODUCER Nielsen Insurance Agency 12587 SW 68th Ave Tigard, OR 97223 CONTACT Brenda Clark PHONE (503)684-6598 FAX .(503)244-6881 E-MAIL brenTa@niagency.com INSURERS AFFORDING COVERAGE NAIC# INSURFRA Atain Specialty Ins. Co. INSURED College Pedi—Cab Tours LLC dba Tadpole Pedicabs 606 W Alpert Ct. Fort Collins, CO 80525 INSURERS: INSURER D: 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. LTR TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000, 000 CLAIMS -MADE � --• OCCUR $ 100 000 MED EXP (Anyoneperson) $ 51 000 PERSONAL &ADV INJURY $ 1,000,000 A Y CIP248673002 07/23/1707/23/18 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2, 000,000 POLICY E] PRO- LOC X tttt J ECT ���llll PRODUCTS - COMP/OP AGG $ 2, 0 0 0, 0 0 0 Deductible $ 1,000 OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMITa. $ BODILY INJURY (Per person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ UMBRELLA LAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESS LIAR N I WORKERS COMPENSATION PER UTE OTH- ISTAT ER AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFI CERIMEMBER EXCLUDED? NIA E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) Ifyes, describe under ION OF OPERATIONS below A Inland Marine CIP248673002 07/23/1707/23/18Scheduled $12,000 IM Deductible $500 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Certificate holder is named as Additional Insured. Pedicab Serial #: CP1249-16 & CP1227-16 City of Fort Collins 215 North Mason Street Fort Collins, CO 80524 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 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD25 (2016/03) The ACORD name and logo are registered marks of ACORD