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HomeMy WebLinkAboutMAX FIRE APPARATUS INC - INSURANCE CERTIFICATEA4C"R" CERTIFICATE OF LIABILITY INSURANCE `64� DATE (MM/DD/YYYY) 1 3/ 16/2018 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 endorsements . PRODUCER Commercial Risk Solutions 6600 E Hampden Ave Ste 200 Denver CO 80224 CONTACT NAME: Valerie Brown PHONE o Ext : 303-996-7847 ac No): 303-757-7719 A'C No. E-MAIL VBrown@crsdenver.com D R ASS: INSUREfl S AFFORDING COVERAGE NAIC # INSURER A: Auto -Owners Insurance 18988 _ i— INSURED MAXFI-1 Max Fire Apparatus, Inc. dba NMC INsuRERs: INSURERC: INSURER D : P.O. BOX 1658 Castle Rock CO 80104 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 1304140814 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 ADDL U POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y 74126517 3114/2018 3/14/2019 EACH OCCURRENCE $1,000.000 CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea oa:urrence $ 300.000 MED EXP (Any oneperson) $10.000 PERSONAL & ADV INJURY $1,0o0,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2.000,000 POLICY ❑ PRO ❑ LOG [X11 JFC7 PRODUCTS - COMP/0P AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY 4960687101 3/17/2018 3117/2019 COMBINED SINGLE LIMIT Ee accidents $ Q00,000 X —__ BOOR Y INJURY (Per person) _1, $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY $ 1 UMBRELLALIAB OCCUR i EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y 1 N PER OTH- STATUTE I NO COVERAGE ANYPROPRIETOR/PARTNERiEXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? a NIA E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ A Garage & Dealers 4960687100 3114/2018 3114/2019 Each Accident 1,000,000 Aggregate 2,000,000 Med Pay I 10,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Fleet Maintenance. City of Fart 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. CERTIFICATE HOLDER CANCELLATION 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. REPRESENTATIVE 6/vx, © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD