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HomeMy WebLinkAbout109315 COLORADO DOORWAYS INC - INSURANCE CERTIFICATE (2)AGORD CERTIFICATE OF LIABILITY INSURANCE OP ID C COLOROI DATE(MMIDDNYYY) OB 27 07 'PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Thomas J Sisk S Company, Inc HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1700 Broadway, Suite 1000 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Denver CO 80290 Phone 303-831-7100 Fax 303-831-7377 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA Continen cal western In. co `wsuRERB Pinnacol Assurance Colorado Doorways, Inc Doorway Solutions 52nd S Cook, LLLP 3333 E 52nd Ave Denver CO 80216 INSURER NSURER D INSURER E 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 INSR ADD' LTR NSRD TVPEOF INSURANCE POLICY NUMBER POLICY EFFECTIVEPOLICV EXPIRATION DATE MMIDDIYY DATE MM/DDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A XCOMMERCIAL GENERAL LIABILITY CLAIMS MADE XI OCCUR CWP2539029 09/01/07 09/01/08 DAMAGE TO RENTED -- PREMISES(Edoccurence) $100,000 I MED EXP (Any one person) $ 5,000 X. Contractual L1ab PEPSONALBADVINJURY $1,0001000 GENERAL AGGREGATE $ 2,000,000 GEN L AGGREGATE LIMIT APPLIES PER (PRODUCTS - COMP/OP AGO $2,000,000 POLICY F PRO LOC A AUTOMOBILE LIABILITY ANY AUTO CWP2539029 09/01/07 09/01/08 COMBINED SINGLE LIMIT (Ea accident)/ $ 1 000 I000 }{ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X X I HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accidenp $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTOONLV EAACCIDENT $ OTHER THAN EA ACC AUTO ONLY AGG $ $ LIABILITY EACH OCCURRENCE s5,000,000 A rESS/UMBRELLA OCCUR CLAIMS MADE CU2540209 09/01/07 09/01/08 AGGREGATE $5,000,0 00 DEDUCTIBLE $ X RETENTION $10 , 000 f s —— B WORKERSCOMPENBATIONAND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED' If yes describe under SPECIAL PROVISIONS below 3142569 09/01/07 09/01/08 X TORV LIMITS ER EL EACH ACCIDENT $ 500,000 EL DISEASE-EAEMPLOVEE $500,000 EL DISEASE POLICY LIMIT I$500,000 OTHER A Blanket BPP CWP2539029-23 09/01/07 09101108 BPP $1,325,000 A Blanket Stock CWP2539029-23 09/01/07 09/01/08 Stock $1,185,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS The City, its officers, agents S employees are listed as additional insureds I =m I IrI V A I IF nvLUCrt I.AINI.CL.LA I I V IN CITYOFF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL City of Fort Collins Attn John Stephen IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR PO BOX 580 REPRESENTATIVES Fort Collins CO 80522 AUTHORIZED REPRESENTATIVE ACORD 25 (2001108) © ACORD CORPORATION 1988 No Text No Text IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) 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) DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon A4UKU ZO )ZUU7/US) No Text CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): See Form CW1054L Colorado Doorways Inc 3333 E 52nd Ave Denver, CO 80216 Location And Des=ption Of Completed Operations 3333 E 52nd Ave Denver, CO 30216 (Information required to complete this Schedule, if not shown above, will be shown in the Declarations ) Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to lia- bility for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "prooucts- completed operations hazard" CG 20 37 37 04 Copyright, 50 Properties, nc., 2004 Page 1 No Text POLICY NUMBER: 2539029-23 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY MANUSCRIPT ENDORSEMENT This endorsement modifies insurance provided under the following - COMMERCIAL PROPERTY COVERAGE PART O BUSINESSOWNERS 0 INLAND MARINE 0 CRIME COVERAGE PART COMMERCIAL AUTO COVERAGE PART ®x COMMERCIAL GENERAL LIABILITY COVERAGE PART O PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART O OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART 0 COMMERCIAL UMBRELLA POLICY WORKERS -COMPENSATION POLICY FORM CG2037 applies to any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an Additional Insured on your policy CW 10 54 01 90 No Text uY/UI/UO CG 25 03 03 97 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Projects Any & All Contracts (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under COVERAGE A (SECTION I), and for all medical expenses caused by accidents under COVERAGE C (SECTION I), which can be attributed only to ongoing operations at a single designated construction project shown in the Schedule above 1. A separate Designated Construction Project General Aggregate Limit applies to each designated construction project, and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations 2. The Designated Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under COVERAGE A. except damages because of "bodily injury" or "property damage" included in the "products -completed operations hazard", and for medical expenses under COVERAGE C regardless of the number of. a. Insureds, b. Claims made or "suits" brought, or c. Persons or organizations making claims or bringing "suits" 3. Any payments made under COVERAGE A for damages or under COVERAGE C for medical expenses shall reduce the Designated Construction Project General Aggregate Limit for that designated construction project Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Designated Construction Project General Aggregate Limit for any other designated construction project shown in the Schedule above. 4. The limits shown in the Declarations for Each Occurrence, Fire Damage and Medical Expense continue to apply However, instead of being subject to the General Aggregate Limit shown in the Declarations, such limits will be subject to the applicable Designated Construction Project General Aggregate Limit B. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under COVERAGE A (SECTION I), and for all medical expenses caused by accidents under COVERAGE C (SECTION I), which cannot be attributed only to ongoing operations at a single designated construction project shown in the Schedule above. 1. Any payments made under COVERAGE A for damages or under COVERAGE C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products -Completed Operations Aggregate Limit, whichever is applicable, and 2. Such payments shall not reduce any Designated Construction Project General Aggregate Limit C. When coverage for liability arising out of the "products -completed operations hazard" is provided, any payments for damages because of "bodily injury" or "property damage" included in the "products -completed operations hazard" will reduce the Products -Completed Operations Aggregate Limit, and not reduce the General Aggregate Limit, nor the Designated Construction Project General Aggregate Limit. Page 1 Copyright, ISO Commercial Risk Services, Inc , 1996 cG 25 03 03 97