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HomeMy WebLinkAboutC16-436 Frontier Car RentalDocuSign Envelope ID: 8E55434B-64DB-44F7-BCC6-8D579CDC3656
C16-436
DocuSign Envelope ID: 8E55434B-64DB-44F7-BCC6-8D579CDC3656
DocuSign Envelope ID: 8E55434B-64DB-44F7-BCC6-8D579CDC3656
DocuSign Envelope ID: 8E55434B-64DB-44F7-BCC6-8D579CDC3656
DocuSign Envelope ID: 8E55434B-64DB-44F7-BCC6-8D579CDC3656
DocuSign Envelope ID: 8E55434B-64DB-44F7-BCC6-8D579CDC3656
DocuSign Envelope ID: 8E55434B-64DB-44F7-BCC6-8D579CDC3656
DocuSign Envelope ID: 8E55434B-64DB-44F7-BCC6-8D579CDC3656
EXHIBIT “A”
RENTAL CAR OVERFLOW
2016/2017
HERTZ
65,350 sq. ft.
AVIS
65,350 sq. ft.
THRIFTY 15,000 sq
DocuSign Envelope ID: 8E55434B-64DB-44F7-BCC6-8D579CDC3656
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:CONTACT
(A/C, No):FAX
E-MAILADDRESS:
PRODUCER
(A/C, No, Ext):PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
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).
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.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD
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.
$
$
$
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS
AUTOSAUTOS
NON-OWNEDHIRED AUTOS
SCHEDULEDALL OWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
EROTH-STATUTEPER
LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
$
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE
DAMAGE TO RENTED $PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO-JECT LOC
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2014/01)
© 1988-2014 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
11/17/2016
Shepard & Shepard Business Solutions
8524 W GAGE BLVD A-170
KENNEWICK WA 99336-7176
Maressa Shepard, Exec. Asst.
855-396-0488 (509) 396-2439
service@shepquote.com
DOLLAR Rent A Car & Thrifty Car
FRONTIER RENTAL INC DBA DOLLAR OF GYPSOM
216 ELDON WILSON RD
GYPSUM CO 81637-9753
Empire
Empire
Empire
RSB 0118387-00 06/01/2016 06/01/2017
1,000,000
5,000
1,000,000
2,000,000
2,000,000
EXCESS FLEET
RSB 0118387-00 06/01/2016 06/01/2017
1,000,000
RSF 0118393 / RSX 0118394 06/01/2016 06/01/2017
1,000,000
1,000,000
EAGLE COUNTY ITS AGENTS, OFFICERS, EMPLOYEES, SERVANTS, AND VOLUNTEERS ARE NAMED AS ADDITIONAL INSURED WITH REGARDS TO
GENERAL AND AUTO LIABILITY FOR ALL WORK CONTRACTUALLY OBLIGATED THROUHOUT THE STATE OF COLORADO.
EAGLE COUNTY
500 Broadway
POB 850
Eagle CO 81631
Todd Shepard
DocuSign Envelope ID: 8E55434B-64DB-44F7-BCC6-8D579CDC3656