HomeMy WebLinkAboutSCOUT LEASING LLC - INSURANCE CERTIFICATE�•� SCOULEA-01 TBENNE
FACORO DATE (MM/DDNYYY)
CERTIFICATE OF LIABILITY INSURANCE 05/31/2018
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 endorsement(s).
CONTACT Tnnisha Bennett
PRODUCER
PFS Insurance Group
131 West Main Street
Sterling, CO 80751
cN.x888 (ANo►:(970) 521-9934a/oEt1: (970) 522JC
NAIC
INSURED
Scout Leasing, LLC
3116 Clyde St
Fort Collins, CO 80524
F:
rn11r0Ar_ll=c r^1=0TICI(-ATE 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
LTRINSD /YYYY MM/ Y
A
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE EX OCCUR
X
Z69430
04/14/2018
04/14/2019PREMISES
DAMAGE( RENTED
TO
Ea occurrence
210,000
$
MED EXP An one person)$
,000
PERSONAL & ADV INJURY
$ 1,0000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PR0 LOC
JECT
GENERAL AGGREGATE
$ 3,000,000
PRODUCTS - COMP/OP AGG
$ 3,000,000
$
OTHER:
AUTOMOBILE LIABILITY
(Ea accident) COMBINED SINGLE LIMIT
$
BODILY INJURY Perperson)
$
ANY AUTO
BODILY INJURY Per accident
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
WN
AUTOS ONLY AUOTOS ONL�
PROPERTY DAMAGE
Per accident
$
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED I I RETENTION $
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
ERT$
STA T ERRH-
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
OFFICER/MEMBER EXCLUDED? ❑
(Mandatory in NH)
NIA
$
E.L. DISEASE - POLICY LIMIT
If yes, describe under
DESCRIPTION OF OPERATIONS below
$
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
The City of Fort Collins
PO Box 2802
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
ACORD 25 (2016/03) U 1SUB-ZU15 At;UKU a;UKI VKAI IUN. tali rignis reserveu.
The ACORD name and logo are registered marks of ACORD