HomeMy WebLinkAboutDENOVO - INSURANCE CERTIFICATE (2)ACORDTM DATE (MWDD/YWY)
CERTIFICATE OF LIABILITY INSURANCE I 02I23*W
PRODUCER Phone: (303)072-WW FaX (303)D72 WW
IRG - AFFINITY INSURANCE PARTNERS, LLC
7991 SHAFFER PARKWAY, SUITE 1D0
LITTLETON CO 80127
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC N
INSURED
INSURER A: Hertford Insurance Co.
DENOVO LLC
357 SOUTH MCCASLIN BLVD
LOUISVILLE CO 8=7
_
INSURER B: Lloyd's Syndicate 433
INSURER C:
INSURER D:
INSURER E:
THE POLICIES OF INSURANCE USTED 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.
WR LTR
I
TYPE OF INSURANCE
POLICY NUMBER
POu"OFFLRNE
POLICY 03"AT" SSUDDIM
GATE
LIMITSMTEGWJDWM
GENERAL
LIABILITY
34 SBA UN5488
11130106
11M0107
EACH OCCURRENCE
a 110001000
X
PDAMAGE TO REMISES RENTEDa
30%000
COMMERCIAL GENERAL LIABILITY
CLAIMS MADEC OCCUR
MED. EXP (Any one Devon)
_
a 10,000
PERSONAL& ADV INJURY
a 1,000,000
A
_
GENERAL AGGREGATE
a 2,000,0DO
GEN'L AGGREGATE LIMIT APPLIES PEFL
POLICY PRO-
JE LOC
PRODUCTS-COMPIOP AGG.
a 2,000,000
_
AUTOMOBILE
LIABILITY
ANY AUTO
34 SBA UH548S
11130MO
11/30/07
COMBINED SINGLE LIMIT
(Ea aoolOna)
a 1,000,000
ALL OWNED AUTOS
BODILY INJURY
A
SCHEDULED AUTOS
HIRED AUTOS
NON•OWNED AUTOS
(Par Pm )
$
X
BODILYINJURY
(Per eaCMa,a)
a
X
PROPERTY DAMAGE
Per aeckleM -
a
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
a
ANY AUTO
OTHER THAN FA ACC
a
AUTO ONLY: AGG
a
EXCESS UMBRELLA LIABILITY
OCCUR CLAIMS MADE
I
EACH OCCURRENCE
a
AGGREGATE
a
_
a
DEDUCTIBLE
$
RETENTION a
a
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
WC STATU-
TORY LIMITS OTHER
E.L. EACH ACCIDENT
ANY PROPRETOMMTNEIVIXECLITNE
OFFICERNInIMER EttuoEm
I YEA r..ale.,,oa.r
aPECIAL PROY1511I0118 Ei1eW
EL DISEASE -EA EMPLOYEE
a
EL. DISEASE -POLICY LIMIT
S
B
OTHER: Protasalonal Liabllity
USUCS36010087
0202OW
02/20Po8
5
.1,000,000-A09ragata Limit
510,OOD •Retention
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
rce77nrw•r•c uro nee, _ - _ . _ __ _ _ — _ _ _
CITY OF FOR COLLINS, PURCHASING SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
P O BOX 680 EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE
FORT COLUNS, CO. 80522 TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,
IT'S AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE l�am��,
Attention: "'-9 lam R GreG
ACORD 25 (2001108) Certificate # 22541 m Arnbn r^nM ft AT^L, 4^Aft