HomeMy WebLinkAboutCOLORADO DOORWAYS INC - INSURANCE CERTIFICATE 2023-2024�vRD� CERTIFICATE OF LIABILITY INSURANCE �ATE(MMiDDlYYYY)
�/ 8/29/2023
THIS CERTIFICATE (S ISSUED AS A MATTER OF iNFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOI,DER. 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, certaln policles may requlre an endorsement. A statement on
this certlficate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTAC
NAME: ___ Deri2 KBIIe
— - .. _---
AsSuredPartners P"o"E , 303-863-7788 i ac No :
4582 S. Ulster St., Suite 600 E-MAIL
Denver CO 80237 ao�Ress: darla.rolf assuredpartners.com __
INSURER(5) AFFORDING COVERAGE NAIC q
irisuRERA: Charter Oak Fire Insurance Co 25615
_ _ __... _ -_ _. _ _ __ _. _ . _ _ _ __ _ --- --- '
INSURED co�0000-o� �NSURER B: Tf2VBIefS PfOp@I'tY C25U21�/ CO Of AfT12�IC2 25674
Colorado Doorways, Inc. --
5151 Bannock Street #17 iNsuReRc : Pinnacol_Assurance 41190
Denver CO 80216 iNsuReao: Zunch American Insurance_Company ______! 16535
COVERAGES
CER7IFICATE NUMBER:741042000
F:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TNE 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 INSIJRANCE 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 ` TYPE OF INSURANCE AODL;SUBRi POLICV EFF , POUCY EXP LIMITS
LTR ' IN I WVD � POUCY NUMBER MM/DD/YYYY ', MM/O�/YYYY '
A X COMMERCIALGENERALLIABIUTV i Y' Y'' Y-630-4D394909-COF-23 � 9/112023 ' 9/1/2024 EACHOCCURRENCE $1.000.000
DAM GE O REN F
__ ___, CLAIMS•MADE OCCUR I PREMISE$ tEa occurrence)_ $ 300,DQ0
X ' I �--- — -- { ------- ---
�� �,, il
i
� I I �ncn Fxa �n,,,, ,,,,a �P,w,�, I� F nnn
GEN'L AGGREGATE LIMIT APPLIES PER:
__ POLICY ;�� �E�� L_J LOC
8 AUTOMOBILE LIABILITY
X ANY AUTO
—' OWNED �' ^ SCHEDULED
AUTOS ONLY � AUTOS
HIRED ��''�1 NON-OWNED
' AUTOS ONLY `J AUTOS ONLY
e X UMBRELLA LIAB � X I�CUR Y� Y
�� ;
� EXCESS UAB I CLAIMS•MADE �
DED : X j RETENTIONS �
� WORKERSCOMPENSATION I V
p AND EMPLOYERS' LIABILITY Y � N �
�� ANYPROPRIETOR;PARTNER!EXECUTIVE
'OFFICER�MEMBEREXCLUDED? 'N�AI
(Mandalory In NH) � j �
II yes, describa under � �
DESCRIPTION OF OPERATIONS bebw �
A ,. F>toearty _ � :
Praperty -- . - ! -
Equipment Floater i �
Y I Y i 810-4N268520-23-14-G
9/1/2023 i 9l1/2024
REVISION NUMBER:
I, PERSONAL & ADV INJURY $1,000,000
GENERALAGGREGATE $2,000,000
i PRODUCTS - COMP/OP AGG $ 2,000,000
$
GOM6INEU SINGIE UMIT $ 1.000,000
{Ea accidnnt)
_ _ _------ ---- _ _ -
BODILY INJURY (Per person) $
80DILY tNJURY (Per accident) $
MHVC
�
_ _ _ _ _ ----. - - -
�$
CUP-7J62989A-23-14 i 9I1/2023 ! 9/1l2024 ', EpCHOCCURRENCE $10,000,000
I AGGREGATE $ 10,00�,000
- - -_ ___ . - -._ __.
I$
4195139
WC1036917-OB
Y-630-4 D394909-C O F-23
9/1I2023 I 9/1I2024
9/1/2023 I 9/112024
� 9/7/2023 � 9/1/2024
_ � _ , _
', E.L. EACH ACCIDEN7
E.L. DISEASE - EA EMI
' E.L. DISEASE • POLICI
�. BPP Linnt
Stock Lunit
� Leased/Rented Equlp
g 1,000,000_
OYEE $1,000,000
LIMIT $1,000,000
' 9.200.000
16,000.000
- ( 350:000
DESCRIPTION OF OPERATION3 i LOCATION3/ VEHICLES (ACOHD 101, Additional Remarles Schedule, mey be ettached fl more space is requlred)
The City, its officers, agents and employees are additional insureds on all policies except Workers' Compensation including ongoing & completed operations as
required by written contract. Insurance is primary and non-contributory. Waiver of subrogation applies to all policies.
CANCELLATION
City of Fort Collins
Attn: John Stephen
PO Box 580
Fort Collins CO 80522
U SA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOiiE
THE EXPIRATION DATE THEREOF, NOTICE WIIL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED HEPRESENTATIVE
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