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Home My WebLink AboutROCKY MOUNTAIN BATTERY SERVICE OF FORT COLLINS INC - INSURANCE CERTIFICATE 2019-2021CERTIFICATE OF LIABILITY INSURANCE °p'�,MM��"""' 10/09/2020 TNIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOL�ER. TMIS 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 6ETWEEN THE ISSUING INSURER(S), AUTHORI2ED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAI INSURED, the policy(ies) must 6e entlowaa. rc sueKu�Aiiun i� wrwveu, suo�nc�.o the terms and condWons of the policy, certain policies may require an andorsement. A sfatement on this cert'fiicate does not confer rights to the rnooucea Stansfleld Insurance Agency 5126 S Gollege Ave, Suite B Port Collins, CO 80525 ph-970-204-0020 fx-970-204-0305 INSURED Rocky Mountsin Battery Service of Fort Collins, Inc. 1475 N College Avenue FoR Collins Co 80624 THIS IS TO CERTIFV THAT THE POLICIES OF INSURANCE LISTE� BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTMTHSTANDING ANV RE�UIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUE� OR MAY PERTAIN, THE INSURANCE AFFORDED 8Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AlL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. �.w ._________ ____ AO�LSOBR _______..____ POLICVEFF POLICYE%P .....______.. ,....� ............. LIMI15 B GENERALLIPBILITY X COMMERCIALGENERALLIABIIJTV CL4IMSMA�E X❑ OCCUR X Prod-Comp Ops X Broad Form PD GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRa LOC A Al1TOMOBILELIABIIJTY X ANYAlJrO X ALLOWNEDAUTQS SCHEOIILEDAUTOS HIREDAUT0.S NON-0WNEDAUT0.5 ❑MBRELIALIAB p�CUR EXCESS LI/ B CLAIMSlMDE DEDUCTIBLE RETEMION 5 WORKERSCOMPENSPTION NNOEMPLOVERS'LIABILITY YIN ANY PROPRIETOR/PARTNERIEXEGUTIVE ❑ OFFIGER/MEMBER EXCLUOEDi X I X I MP0043002003062 I10/08/209 X IX s1,000,000 BOOILVINJURY(Perperson) $ BODILY INJURV (Peraaitlanl) $ PROPERTY �AMAGE OESCRIPTION OF OPEMTIONS I LOCAl10N51 VEHICLES (AMeeM1 AGORU 101, Pdtlitionel Rematks ScM1edule, if mare epece is reqWreE) Battery Dealer/Recyeling Services CERTIFICATE HOLDER CANCELLATION City of Fort Collins SHOULO ANY OF TNE ABOVE OESCRIBED PoLICIES HE CANCELLED BEFORE PO BOX 580 7F{E E%PIRA710N UATE THEREOF, NOTICE WILL BE DELIVERED IN FOR COIIIf18 CO 80522 ACCORDANCE WITH TME POLJCY PROVISIONS. phone#970-221-6775 faxll870-221$707 Ar�TM�OR�IZ�ED REPRESENTAPVE Attn: Ed 8onnette �L rJ! �� J'rt� OO 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registeretl marks of ACORD POLICY NUMBER: MP0043002003062 COMMERCIAL GENERAL LIABILITY CG 20 10 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsemeM modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Location(s) Of Covered Operations Or Or anization s : CITY OF FORT COLLINS PO BO% 580 FOR2'�COLLINS, COLORADO 80522 Information re uired to com Iete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11 — Who 1s An Insured is amended ro include as an additional insured the person(s) or organization(s) shown in the Schedule, but only witfi respect tq lia6ility for "bodily injury", "property damage"� or "personal and advertising injury" caused, in whole or in part, by- �1.. Vouracts�oromissions;or 2. The acts or omissions of those acting on your bahalf; in the performance of your ongoing operations for the �additionai insured(s) at the location(s) dasignated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2_ IPcoverage provided to the additional insured is required by a contract or agreement, the insursnce afforded to. such additional insured will not be broader than that which you are repuired by the contract or agreement to provitle for such adtlitional insured. B. With respectto the insurance afforded.to these additional insureds, the following additional exclusions apply: This insurance dces not apply to "6odily injury" or "property damage" occurring aker.. 1. All work, including materials, parts or equipment Turnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured{s) at the Iocation of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intendad use by any person or organizadon other than another contractor or subcontraotor engaged in perForming operations for a principal as a part of the same project. CG 2010 Q4 13 � Insurance Services Office, Inc., 2012 Pdge 1 Of 2 Znaured Copy C. With respec[ to the insurance afforded to these 2. Availabie under the appiicsble Limits of eddilional Fnsureds, the following is added to insurance shown in the DeGarations: Seetion III — Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shail not increase the applicable cequ4red by a contract or agreement, the most We Limitsof insurance shown in the�DeciaraUons. will pay on behaif of�the addifional insured is the amount of insurance: L. Required by the contract or agreament; or CG 2010 0413 � Insurance Services Office, Inc., 2012 Page.2 Of.2. POUCY NUMBER:n�o043002003062 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAI�/ER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCfAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Pereon Or Organization: CITY OF FORT COLLINS PO HOE 580 FQRT COLLINS, COLORADO 80522 Information required to complete this Schetlule, if not shown a6ove, will be shown in the Deciaratlons. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Agalnst Ofhers To Us of Sec- tiun N—Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above�� because of payments we make for injury or danlage arising out of your ongoing operations or "your work" done under a contract wiih that person or organization and inciuded in the "products-com- pletetl operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 o Insurance Services office, Ina, 2008 Page 1 of 1 Insured Copy �CORP� CERTIFICATE OF LIABILITY INSURANCE �ATE(MMI�OITTYY� `,� osio2izo2� THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLV AND CONFERS NO RIGHTS UPON THE CERTIF�CATE 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. IMPOR7ANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain polieies may require an endorsement. A statement on this certificate does not confer rights to the PROOUCER Stans£eld Insuranee Agency 5125 S College Ave, Suite B Fort Collins, CO 80525 pN-970-204-0020 fx-970-204A305 INSURED Rocky Mountain Battery Service of Fort Collins, Inc. 1475 N College Avenue Fort Collins Co 80524 MP0043002003062 REVISION 21652 __ 36838 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICV PEF21cJU INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TD ALL THE TERMS, EXCLUSIONS AND CON�ITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR IIOOLSIIBR POLILYEiF POLIGYEXP LTR TYPEOFINSORANCE INSR WVD POLILVNOMBER �MMIDU/YYVY) (MM/DDM'YY� 4MR5 B GENERALLIABILITV X x MP0043002002666 70/OS//19 �Q��S�2� ��CHOCCURRENCE IS�,��,��0 � CLAIMS-MAOE LA � OCCUR Prod-Comp Ops Broad Form PD 'L AGGREGATE LIMIT APPLIES PER: R POLIGV A AUTOMOBILE LIABILITY X ANV AUTO ��:�Ia\��iTT��7ilqPb9 SGHEW LEO AlIT05 HIRED AIITOS NON-OWNED AUTOS UMBRELLALIAB OCCUR E%CE53 LIAB ri eu�c. DEDUCTIBLE X I X 1603271522 : MESA Underwriters Specialty : Scottsdale Insurance Co 0/08/21 COMP/OP COMBMED SINGLE LIMIT (Ea acGtlent) BODILY INJURY (Per pers� BO�ILY INJl1RV (Per accic PROPERTV DAMFGE (Per2ccitlenl) s2,000 000 a2.000 000 $ 100.000 $ � �0�0�00� $ _ $ — _ $ _ y_ . . . _ ---- 5 WORKERS LOMPENSATION ANOEMPLOYERS'LIA6ILITY ,.�H ANV PROPRIETOR/PAftTNER/EXECUTIVE ❑ OFFICER/MEMBER E%CLUDED. N f A IMandatory In NHl EL EACH ACCIDENT E.L. �ISEASE - EA EM OESCRIPTION OF OPERATION51 LOCATIONS / VEHICLES (Apach ACORO 101. Atltlilional Remarks Schedule, it more space Is requiretl) Battery Dealer/Recycling Serviees City of Fort Collins PO Box 580 Fort Collins CO 80522 phone#970-221-6775 fax#970-221-6707 Attn: Ed Bonnette SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION �ATE THEREOF, NOTICE WILL BE DEIIVERED IN ACCORUANCE WITH THE POLICV PROVISIONS. AUTHORIZED REPRESENTATIVE � �'� O 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of AGORD CERTIFICATE OF LIABILITY INSURANCE onre�rnMmorcrrv� os,onzoz, THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFER5 NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR AITER TNE COVERAGE AFFORDED 6Y THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN TNE 133UING INSURER�S�, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the cert�wte holder is an A[ the terms and conditions of the policy, certain eertiflcate holder in lieu of such entlorsementG rRooucea Stansfleld Insurence Agency 6126 S College Ave, Suite B Fort Collins, CO 80525 ph-970-204-0020fx-970-204-0306 1L INSURED, the policy(ies) must be entlorsed. If SUBROGATION IS WAIVED, su6ject to may require an entlorsement A sfatament on this certificate does not conter rights to the WSURED Rocky Mountain Battery Service of Fort Collins, Inc. 1475 N College Avenue Fort Collins Co 80524 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSIIED TO THE INSURED NAME� ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUEO OR MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. ��Tp NPEOFINSURINLE ODLSUBR pOLICYNUMBER MMIODYttYVY MMOCD � LIMITS B GENERALLJABILITV X X MP0043002002666 10I08/N9 10/08/20 EncHoccuaaeNce s1000000 X COMMERCIALGENERAILJABILITY MPD043002003062 iO/OH/ZO iO/OH/2i PREMSET�EaEo¢urrence 5 iOOOOO CIAIM&MADE �OCCUR ME�EXP(Anyoneperson) 8 $Q0� X Prod-Comp Ops PERSONNlBAOV INJl1RV Si �� Q�� X Broad Form PD GENERALAGGREGATE 52 OOO OOO GEMLAGGREGATELIMITAPPLIESPER: PROOUCTS-COMP/OPAGG $ZOODOOO X POLICV PRo- �oc Fire Le al 5 100 000 (� Al1TOMOBILELIABILITY X X 603271622 5/09/20 05/09@1 COM6MEOSINGLELIMIT b,�'000r000 (Ea acdtlent) X ANYAUTO 05/09/21 �rJ��9�Z2 gODILVINJURY�Pe�person) S X ALLOVJNEOAOTOS BOOILVINJURY(Pe�eccidenl) 5 SCHED�LEDAUTOS PROPERTY�AMAGE 5 HIREDAUTQS (PeraaiJenq S NON-0NMED AUTQS E UMBRELLALIAB pCCUR FACHOCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE 5 DE�UCTIBLE g RETENTION 5 S WORKERSCOMPENSATION WCSTATU- OTH- AN�EMPLOVERS'LJABILITY Y/N ANY PROPRIETORIPARTNER/EXECUTIVE ❑ N�p E.L. EACH ACCIOENT $ OFFICER/MEMBER E%GLUDEO? �MenOabrylnNH) E.LDISEASE-EAEMPLOVE S H yes, Eeusibe untler DESCRIPTIONOFOPERATIONS�etow E.LD�SEASE-POLICVLIMIT S OESCRIPTIONOFOPERATONS/LOCA110N5/VEHICLES (AttachPCORD101,Atldi4onalRema�ksScM1edule,'rfmarespaceisrequiretl) Battery Dealer/Recyeling Services City of Fort Collins PO Box 560 Fort Collins CO 80522 phone#970-22�-6775 fax#970-221-6707 Attn: Ed Bonnette SNOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELIED BEFORE THE EXPIRATION DATE THEREOF, NOTCE WILL BE DELIVERE� IN ACCORDANCE WI7H TXE POLICY PROVISIONS. n..u��TM--��owzeo �� 1988-2009 ACORD CORPORATION. All ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD �`�p �� CERTIFICATE OF LIABILITY INSURANCE °"'�`M"'°°"""'' L...-�-� osio�noz, THIS CERTIFICATE IS ISSUEU AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER TNIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATNELY 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 certiflcate holder is an ADDITIONAL INSURED, the policy(ies) must ba endorsed. If SUBROGATION IS WAIVED, subJect to the terms and conditions of the policy, car[ain policies may require an endorsement. A statement on this certificate does not confer rights to the tartifiwte holder in lieu of such endorsemenys�. arsooucea cor�rncr NqME: StansfeldlnsurenceAgeney a�"x �,g70-204-0020 acr�o:970-204-0305 5125 S College Ave, Suite B E-MAIL aoorsess: Fort Collins, CO 80525 PRODUCER cu r Meaiox: ph-970-204-0020fX-970-204•0305 INSURE 5 AFFORDINOCOVERACaE NAICf iNsuaeo ixsuaersa: Farmers Insurance 27652 Rocky Mountain Battery Service of Fort Collins, Inc. �r,suaeae: MESA Underwriters S eeiaf 36838 '1475 N College Avenue iHsuaeac: Scottsdale Insurence Co Fort Collins Co 80524 INSURERD: iusuaEa e : INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE 9EEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICV PERIOD INDICATED. NOTMTHSTANOING ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDEO 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. INeR rypEOFINSIIRANCE AOOLSl19R POLICYEFF POLICVE%P IJMITS LTR POLICYNUM6Eft MMIOOIVYYY MMIOOM'YV B GENERALLIABILITY X X MP0043002002666 i0��8��9 10�08�2� EAGHOGGURRENGE 51��00�� X GOMMERGIALGENERAWABILITY MP0043002003D62 'IO/OBIYO iO�OSIY'I PREMSES ESEoaaurence $ �OOOOO CL41MS-MAOE �OCCUR ME�EXP(Myopeperson) $ SOOO X Prod-CompOps PERSONALSADVINJURV Si��00�� X Broad Form PD GENERAIAGGREGATE SZ OOO OOO GEN'IAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG SYOOOOOO X Poucv PR�- LOC Fire Le al S 100 000 A AIITOMOBILELIABILITY �( X fi03271522 Q§/Q9/ZQ ��j/�9/Q� COMBINEOSINGLELIMIT $�'00o'QOO X ANYAi1T0 OSI09/21 p$fOQ/'j2 (Eaaccitlen�) BODILYINJURY(Pe�pe�mn) § X ALLOWNE�AUTOS BO�ILYINJURY(Perarcitlent) § SCHEDl1LED AIITOS --- PROPERTYDAMAGE S MIREDAOTQS (PefeCptl¢0�) NON-0WNEDAIfTOS 5 5 UMBRELLAUAB p�CUR �CHOCCIIRRENCE 5 EXCESS LIAB CLAIMSMADE AGGREGATE S DE�UCTIBLE s RETENTION E 5 WORKERSCOMPENSATION WCSTATU- OTH- AND EMPLOYERS' IIqBILITY Y/ N � FFICERIMEMBER F�(CUNIDED ECOTIVE ❑ N �p E.L. EACH ACqDENT 5 (MandatorylnNH� E.L.DISEASE-EAEMPLOVE 5 if yee, Oasuibe untler DESGRIPTIONOFOPERATIONSbelow E.LDISEASE-POLICYLIMIT 5 DESCRIPTIONOFOPERATONS/LOCATONS/VEHICLES (Attac�ACORD101�AJtlitionalRema�kzScl�edule,ifmorespeceisrequiretl) Battery Dealer/Recycling Services City of Fort Collins PO Box 580 Fort Collins CO 80522 phone#870-221-6775 fax#970-221-6707 Attn: Ed Bonnette ACORD 25 (2009/09) SHOIILD ANY OF 7HE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, N0710E WILL BE DELIVERED IN ACCORDANCE WITH THE POLJCV PROVISIONS. �� O 1988-2009 ACI The ACORD name and logo are registered marks of ACORD