HomeMy WebLinkAbout572720 GREEN RIDE CO INC - INSURANCE CERTIFICATE7TE (MM/D D/YYYY)
A� o® CERTIFICATE OF LIABILITY INSURANCE
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 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).
PRODUCER CONTACT Heidi Mink
NAME:
Flood and Peterson PHA N (970) 356-0123 F'a No: (970)330-1867
E-MPO Box 578 ADDRIESS:HMink@floodpeterson.com
Greeley
INSURED
CO 80632
Green Ride CO, Inc. dba Go Green Ride
and Green Ride Colorado
4414 E. Harmony Road, Suite 200
Fort Collins CO 80528
A/'CQ !`CDTIlcI1`AT1= IW lhArIPM47.1 R13121806 RFVISION Nt1MRFR--
INSURER(S) AFFORDING
INSURER A:National Interstat
INSURERB:Vanliner Insurance
INSURER C :
INSURER D :
NAIC #
32620
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
SUBR
POLICY NUMBER
POLICY EFF
MM/DD YYY
POLICY EXP
MM/DD YYY
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 5,000,000
A
CLAIMS -MADE I X I OCCUR
RENTE
PREMISES SESOEa occurrence
$ 250,000
MED EXP (Any one person)
$ 5,000
XPP 5758360 04
2/1/2018
2/1/2019
PERSONAL & ADV INJURY
$ 5,000,000
GEN'LAGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 5,000,000
PRODUCTS - COMP/OP AGG
$ 5,000,000
P
PRO- PRO JECT LOC
$
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ 5,000,000
BODILY INJURY (Per person)
$
A
X ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
X g NON -OWNED
HIRED AUTOS _ AUTOS
XPP 5758360 04
2/1/2018
2/1/2019
BODILY INJURY (Per accident)
$
PPReOPPEcRdT accident)
$
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAR
CLAIMS -MADE
DED RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE
X SPER OTH-
TATUTE ER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
OFFICER/MEMBER EXCLUDED? ❑
B (Mandatory in NH)
N/A
XWC 5758360 04
2/1/2018
2/1/2019
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
B
Stop Gap Coverage
XWC 5758360 04
2/1/2018
2/1/2019
Limit $1,000,000
For Monopolistic States
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Certificate holder is additional insured with respect to General Liability and Automobile.
CERTIFICATE HOLDER %,ANL rLLA 1 IVIV
The City of Fort Collins
Purchasing Department
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.
AUTHORIZED REPRESENTATIVE
Heidi Mink/HMINK�-�
U 1988-2014 AGUHU GL)KVL) iA I IL)N. All rlgnis reservea.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
INS025 (201401)