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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)