Loading...
HomeMy WebLinkAbout572720 GREEN RIDE CO INC - INSURANCE CERTIFICATE (2)ACOR" IIICERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 1/30/2017 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 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 NAME: Brianne Danielson, CISR Flood and Peterson PA/C No Ext: (970) 266-7118 aC No: (970)506-6846 E-MAILss:BDanielson@F1oodPeterson.com ADDRE Corporate Mailing Address: INSURERS AFFORDING COVERAGE NAIC # P.O. BOX 578 INSURERA:National Interstate Insurance Co. 32620 Greeley CO 80632 INSURED INSURERB:Vanliner Insurance Company 21172 INSURERC: Green Ride CO, Inc. dba Go Green Ride INSURERD: and Green Ride Colorado INSURER E: 4825 Earhart Road INSURERF: Loveland CO 80538 COVERAGES CERTIFICATE NUMBER:CL1713015980 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 I TYPE OF INSURANCE ADDL iNnn SUBR wyn POLICY NUMBER POLICY EFF MM/DDNYYY), POLICY EXP (MWDDNYYYILIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 5,000,000 A CLAIMS -MADE ❑X OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 250,000 MED EXP (Any one person) $ 5,000 XPP575836003 02/01/2017 02/01/2018 PERSONAL & ADV INJURY $ 5,000,000 GENI AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 51000,000 POLICY PRO ❑ LOC JECT PRODUCTS - COMP/OPAGG $ 5,000,000 BLWOS $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 5,000,000 X BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS XPP575836003 02/01/2017 02/01/2018 BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED AUTOS X NON -OWNED AUTOS UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DIED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N X PER OTH- STATUTE ER B ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? .(Mandatory in NH) N/A XWC575836003 02/01/2017 02/01/2018 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 11000,000 B Stop -Gap Coverage XWC575836003 02/01/2017 02/01/2018 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 CANCELLATION 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 ACORD 25 (2014/01) INS025 (201401) Danielson, CISR/BDA ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD