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HomeMy WebLinkAboutCOLLEGE PEDI-CAB TOURS LLC - INSURANCE CERTIFICATE (3)-tcl?F CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/24/2017 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 rights to the certificate holder in lieu of such endorsements . PRODUCER Nielsen Insurance Agency 12587 SW 68th Ave Tigard, OR 97223 CONTACT Brenda Clark PHONE fi (503)684-6598 FAX (503)244-6881 E-MAIL ren a@niagency.com INSURERS AFFORDING COVERAGE NAIC# Atain Specialty Ins. Co. INSURED College Pedi-Cab Tours LLC dba Tadpole Pedicabs 606 W Alpert Ct. Fort Collins, CO 80525 INSURERB. INSURERD. CC1\/FRA(:FC C`FRTIFICATF NI IMRFR- RF\/v;inN Ni IMRFR. 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. LTR TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000, 000 CLAIMS -MADE D OCCUR $ 100 000 MED EXP (Anyoneperson) $ 5 000 PERSONAL &ADV INJURY $ 1, 000, 000 A Y CIP248673002 07/23/1707/23/18 GEN'L AGGREGATE LIMIT APPLIES PER. X POLICY D PRO- JECT ILUJJ LOC GENERAL AGGREGATE $ 2, 000, 000 PRODUCTS - COMP/OP AGG s 2, 000, 000 Deductible $ 11000 AUTOMOBILE LIABILITY COMBINEDSIN LE LIMIT $ BODI LY I NJ U RY(Per person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ UMBRELLA LAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB RETENTION WORKERS COMPENSATION PERTUT, OTH- A I ER AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) Ifyes, describe unde OPERATIONSnP;.1r.RIPTinN OF A Inland Marine CIP248673002 07/23/1707/23/18Scheduled $12,000 IM Deductible $500 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attachedif more space is required) Certificate holder is named as Additional Insured. Pedicab Serial #: CP1249-16 & CP1227-16 ('F-PTIFIC'ATF wni IIFR (`AN(.FI I ATIC)N City of Fort Collins 215 North Mason Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Fort Collins, CO $0524 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD