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Home My WebLink About310036 BLUE DOT SOLUTIONS INC - INSURANCE CERTIFICATEACORD,M CERTIFICATE OF LIABILITY INSURANCE DATE 12-20-2006 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION COBIZ INSURANCE, INC/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 340725 P: (866)467-8730 F: (877) 905-0457 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 015 I SAN ANTONONIO TX 78265 — INSURERS AFFORDING COVERAGE JI INSURED r — INSURERA:Hartford Casualty Ins Co INSURER B: BLUE DOT SOLUTIONS, INC INSURER C: 1900 GRANT ST. STE 1200 _ Fi SURERD: DENVER CO 80203 iNSUHER F. COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NS INS TYPE OF INSUflANCE POLICY NUMBEfl POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE IMM/DD/YY) DATE IMMIT Y) GENERAL LIABILITY EACH OCCURRENCE $1 , 000, 0 0 O A COMMERCIAL GENERAL LIABILITY i 34 ,SBA RU5908 02/13/06 02/13/07 FIRE DAMAGE (Any onefire) $1, 000, 000 CLAIMS MADE " OCCUR I MED EXP (Any one person) $10 , 000 }'i BuS1IleSS Liab PERSONAL & ADV INJURY 1 $1, 000, 000 GENERAL AGGREGATE s 2, 000, 000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2 , 000, 000 _ POLICY PRO- JECT X LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 000, A ANY AUTO 34 SBA RU5908 02/13/06 02/13/07 (Ea accident) $1, 000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY $ (Per accident) X PROPERTY DAMAGE $ — (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ _ 1 AUTO ONLY: AGG $ EXCESS LIABILITY A Xi OCCUR u' CLAIMS MADE 34 SBA RU5908 02/13/06 EACH OCCURRENCE I s2,000,000 02/13/07 AGGREGATE s2, 000, 000 i �$ DEDUCTIBLE $ X RETENTION $10, 000 $ WORKERS COMPENSATION AND WC STATIJ TORV LIMIT R EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ E.L. DISEASE EA EMPLOYEE $ ——.__- E.L. DISEASE - POLICY LIMIT $ OTHER I II DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS (Those usual to the Insured's Operations. i I CERTIFICATE HOLDER ADOmoNAL INSURED; INSURER LETTER: _ _ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City Of Fort Collins EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE Attn : Jim Hume HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO PO BOX 5 8 OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Fort Collins CO 80522 A ORI RE ESEN ATI,` ' """ ", ACORD CORPORATION 1988 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE 12-20-2006 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION COBIZ INSURANCE, INC/PHS 340725 P: (866)467-8730 F: (877) 905-0457 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 33015 SAN ANTONIO TX 78265 INSURERS AFFORDING COVERAGE INSURED _J INSURER A:Hartford Casualty Ins Co INSURER B: BLUE DOT SOLUTIONS, INC INSURER C: —� 1900 GRANT ST . STE 1200 INSURER D: DENVER CO 80203 - - -- ,NSURERE: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSfl LS rypE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YV POLICY EXPIRATION DATE NIM/DD/VV LIMITS A GENERAL LIABILITY MERCIALGENERALLIABILITY 117 I 34 .SBA RU5908 02/13/07 EACH OCCURRENCE $1, 000, 000 02/13/081FIRE DAMAGE (Any onefir.) $1,000,000 CLAIMS MADE I " OCCUR MED EXP (Any one person) 51 Or 0 0 0 X Business Liab (PERSONAL &ADVINJURY I $1, GOO, 000 GENERAL AGGREGATE 52 , 000, 000 GENT AGGREGATE LIMIT APPLIES PER: POLICY I PECT RO X LOC J PRODUCTS - COMP/OP AGE s2,000, 000 A AUTOMOBILE LIABILITY ANY AUTO 34 SBA RU5908 02/13/07 COMBINED SINGLE LIMIT $Z , 000, 000 : 02/13/08 (Ea accident) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person) X HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY ANY AUTO I AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC AUTO ONLY: AGG $ $ $ EXCESS LIABILITY _ EACH OCCURRENCE s2,000,000 A X OCCUR a CLAIMS MADE 34 SBA RU5908 02/13/07 02/13/08 AGGREGATE s2, 000, 000 $ DEDUCTIBLE $ X RETENTION $10, 000 $ ' WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- OTH- TORY LIMA E E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE S E.L. DISEASE -POLICY LIMIT S OTHER I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Those usual to the Insured's Operations. CERTIFICATE HOLDER ADDITIONAL INSURED; INSUgEfl LETTEfl: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Fort Collins EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE Attn • Jim Hume HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL. IMPOSE NO PO BOX 580 Fort Collins CO 80522 OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. A ORI D R ESEN ATIVF "' """ b ACORD CORPORATION 1988