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HomeMy WebLinkAbout525796 FOX TUTTLE TRANSPORTATION GROUP - INSURANCE CERTIFICATE (4)Client#: 1087306 FOXTUT ACORDTv CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD;YYYY) 10/06/2017 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER USI Colorado, LLC Prof Liab P.O. Box 7050A/c Englewood, CO 80155 CONTACT NAME: PHONE, oExt : 800 873-8560 No): E-MAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAIC # 800 873-8500 INSURER A: Hartford Casualty Insurance Company 29424 INSURED Fox Tuttle Hernandez INSURER B : Hartford Ins Co of the Midwest - '37478 INSURER C ; Travelers Casualty & Surety Co. of Amer 31194 Transportation Group, LLC INSURER D : P.O. Box 19768 INSURERE: Boulder, CO 80308 INSURER F : -- IY V rYrp Gfl. 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 CONTRACTOR 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 ADDLISUBR INSR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY POLICY EXP MM/DD/YYY LIMITS A X COMMERCIAL GENERAL LIABILITY x x 34SBWPE8709 10/10/2017 10/10/201 EACHOCCURRENCE $1 000 000 CLAIMS -MADE � OCCUR urrence $1 000 000 person) $10 000 AINJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- x = GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $2,000,000 POLICY JECT LOC OTHER: X X 34SBWPE8709 0/10/2017 10/10/201 COMBINED -SINGLE LIMIT 1,000,000 A AUTOMOBILE LIABILITY ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY PROPERTY DAMAGE Per accident $ A X, UMBRELLA LIAB X OCCUR X X 34SBWPE8709 10/10/2017 10/10/201 EACH OCCURRENCE $3,000 000 EXCESS LIAB CLAIMS -MADE AGGREGATE s3,000,000 DIED I X RETENTION $10000 B WORKERS COMPENSATION X 34WEGRE5170 0/10/2017' 10/10/201 PEAT OTH- $ AND EMPLOYERS' LIABILITY YIN X FR E.L. EACH ACCIDENT $1 OOO OOO ANY PROPRIETOR/PARTNER/EXECUTIVE'' OFFICER/MEMBER EXCLUDED? N/A Mandatory in N (fes, describe under Iy DESCRIPTION E.L. DISEASE - EA EMPLOYEE _ $1 000 000 E.L. DISEASE -POLICY LIMIT $1,000,000 $1,000,000 per claim OF OPERATIONS below C Professional x x 105354784 10/10/2017 10/10/201 Liability $2,000,000 annl aggr. Claims Made DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) As required by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The Certificate. Holder and owner are included as Automatic Additional Insured's for ongoing and completed operations under General Liability; Designated Insured under Automobile Liability; and Additional Insureds under Umbrella / Excess Liability but only with respect to liability arising out of the Named Insured work performed on behalf of (See Attached Descriptions) City of Fort Collins Purchasing Department; Attn: John Stephen CPPO, LEED AP, Senior Buyer P.O. Box 280 Fort Collins„ CO 80522-0000 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) 1 of 2 #S21671459/M21671269 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AXYZP DESCRIPTIONS (Continued from Page 1) the certificate holder and owner. The General Liability, Automobile Liability, Umbrella/Excess insurance applies on a primary and noncontributory basis. A Blanket Waiver of Subrogation applies for General Liability, Automobile Liability, Umbrella/Excess Liability and Workers Compensation. The Umbrella / Excess Liability policy provides excess coverage over the General Liability, Automobile Liability and Employers Liability. Please note Additional insured status does not apply to Workers' Compensation or Professional Liability REF: 7548 Midtown College Avenue Corridor Plan Additional Insured: City of Fort Collins, its officers and employees SAGITTA 25.3 (2016/03) 2 of 2 #S21671459/M21671269