No preview available
HomeMy WebLinkAboutED CARROLL MOTOR COMPANY INC - INSURANCE CERTIFICATE (3)A. �' CERTIFICATE OF GARAGE INSURANCE DAo 0/201D7/Y r 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 Sentry Insurance Company 1800 North Point Drive CONTACT SentryCustomer Service NAME: A/C, No, Ext : 800-473-6679 FA%C, No : 888-533-7827 Stevens Pant, WI 54481 EMAIL ADDRESS: businessproducts_ssdotesentry.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: SENTRY SELECT INSURANCE COMPANY 21180 INSURED INSURER B : ED CARROLL MOTOR COMPANY INC 3003 S COLLEGE AVE INSURER C : INSURER D : FT COLLINS, CO 80525 INSURER E : INSURER F : COVERAGES PROD / CUSTOMER ID: CERTIFICATE k: 0002 REVISION li: 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 INSRD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EX:) (MM/DD/YYYY) LIMITS A GARAGE LIABILITY ALLOWNED [_EX]HIR D AUTOS AUTOS NON -OWNED AUTOS USED IN GARAGE BUSINESS IX 25-57028-04 03/01/2017 03/01/2018 AUTO ONLY (Ea accident) $ 500,000 OTHER THAN AUTO ONLY Y EA ACCIDENT $500,000 AGGREGATE $ 2,500,000 GARAGE KEEPERS LIABILITY LEGAL LIABILITY DIRECT BASIS PRIMARY F EXCESS COMP / OTC LOC SPECIFIED LOC $ $ COLLISION LOC LOC $ $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES a occurrence $ GENT MED EXP (Any one person) $ PERSONAL & ADV INJURY $ AGGREGATE LIMIT APPLIES PER: POLICY ❑PRO- El LOC JECT OTHER GENERAL AGGREGATE $ PRODUCTS -COMP/OP AGG $ $ A X UMBRELLA LIAR X EXCESS LIAR X OCCUR CLAIMS -MADE 25-57028-04 03/01/2017 03/01/2018 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 15,000,000 DED I I RETENTION $ PRODUCTS - COMP/OP AGG $ 15,000,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PRO PRIETOR/PARTNER'EXECUTNE OFFICER/MEMBER EXCLUDED? Y / N (Mandatory in NH) ❑ If yes, describe under REMARKS below N / A PER STATUTE E.L. EACH ACCIDENT $ E.L. DISEASE - FA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ REMARKS (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) Refer to attached CERTIFICATE HOLDER CANCELLATION CITY OF FORT COLLINS RISK MANAGEMENT PO 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. N ACORD 30 (2014/01) 2557028 0002 Page 1 of 2 © 2010, 2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1 00001 0000000278 17021 0 N 7D406FAC-A407-414D-81 5E-33CD2FA91 E9E 01/20/2017