HomeMy WebLinkAboutCOMMERCIAL DESIGN - INSURANCE CERTIFICATEPRODUCER (303)824-6600, Fax(303)370-0118 THIS UbKFIFICAIG IS ISSULU AS A MAIIbK VF INFVKIi
Moody Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
3773 Cherry Creek North Drive ALTER THE COVERAGE AFFORDED BY. THE POLICIES BELOW.
Suite 800
Denver CO 802093804 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Continental Western Ins
Commercial Design, Inc. INSURER B:Pinnacol Assurance
PO Box 1667 INSURER C:
Ft. Collins CO 80522
INSURER E:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING AN
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.
SHOWN MAY HAVE BEE q REDUCED BY PAID CLAIMS.
INSR
ADVILINSRD
OF INSURANCE
POLICY NUMBER
POLTYPE
DAT9(MMMD/P%
POLICY AMMPIDRDTION
LIMITS
GENERAL LIABILITY
CWP2573774
07/01/2007
07/01/2008
EACH OCCURRENCE
$ 11000,000
PREMIS TO RENTED
$ 100,000
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE FRI OCCUR
MED EXP (Any cna arson
$ 5,000
PERSONAL & ADV INJURY
$ 11000,000
_
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE
_
LIMIT APPLIES PER:
PRODUCTS -COMP/OP AG
$ 2,000,000
POUCYFL
JECOT LOC
AUTOMOBILE
LIABILITY
ANYAUTO
CIMP2573774
07/01/2007
07/01/2008
COMBINED SINGLE LIMIT
(Ea accident)
$ 11000,000
X
BODILY INJURY
(Per person)
$
A
ALLOWNEDAUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$
_
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESSIUMBRELLA LIABILITY
li OCCUR 17 CLAIMS MADE
CU2581933
07/01/2007
07/01/2008
EACH OCCURRENCE
$ 51000,000
AGGREGATE
$ 51000,000
$
A
DEDUCTIBLE
Is
_ _K TENTION__ _ _ _
__... _ __. -
—. _
B
WORKERS COMPENSATION AND
3030055
07/01/2007
07/01/2008
y WC STATU- OTH.
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT
$ 5001000
E.L. DISEASE�EA EMPLOYEE$
500,000
OFFICER/MEMBER EXCLUDED'!
It yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE-POLtCYLIMIT
$ 500,000
A
OTHER Installation Floater
CWP2573774
07/01/2007
07/01/2008
$25,000 limit
Leased/Rented Equip
$150,000 limit
$2,500 deductible
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Project: Fort Collins Police Services
10 day notice of cancellation applies to non-payment of premium.
City of Fort Collins
P. O. Box 580
Fort Collins, CO 80522
ACORD 25 (2001108)
W Cn9S ,m tee, —
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 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
AUTHORIZED REPRESENTATIVE
Charlene Navarra,/CHANAV ��Co-•-4.c�w-c-
CACORD CORPORATION 1988
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 formdoes 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.
ACORD 26
INS026(oios) oaa