HomeMy WebLinkAbout310036 BLUE DOT SOLUTIONS INC - INSURANCE CERTIFICATE (8)MC DATE
ACORDCERTIFICATE OF LIABILITY INSURANCE UODC 06-11-2004
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.
P . 0. BOX 33015 INSURERS AFFORDING COVERAGE
SAN ANTONIO TX 78265
INSURED INSURERA: Hart ford Fire Ins Co
INSURER B:
BLUE DOT SOLUTIONS, INC INSURER C:
602 PARK POINTS DR. #2 5 5 INSURER D:
GOLDEN CO 80401 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.
LTp TYPE OF INSURANCE
POLICY NUMBER POIICY EFFECTIVE
DATE MMIDDIYY
POLICY EXPIATION
DATE MMIDDIYV LIMITS
A
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
34 SBA FP3809
07/09/04I07/09/05
I EACH OCCURRENCE 1 $1 , 000,000
FIRE DAMAGE (Any one fire) 5300,000
CLAIMS MADE U OCCUR
MED EXP (Any one person) $10 , 0 0 0
X Business Liab
PERSONAL&ADV INJURY $1, 000, 000
GENERAL AGGREGATE s2,000,000
PRODUCTS - COMP/OP AGG s2,000,000
GENT AGGREGATE LIMIT APPLIES PER:
POLICY PRO X LOC
T JEC
AUTOMOBILE
LIABRJ7Y
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
8
II
ALL OWNED AUTOS
AUTOS
BODILY INJURY
(Per person)
$
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
$
ANY AUTO
OTHER THAN EA ACC
$
AUTO ONLY: AGG
EXCESS LIABILITY
EACH OCCURRENCE
$
$
OCCUR a CLAIMS MADE
AGGREGATE
$
$
DEDUCTIBLE
$
RETENTION $
WC STATUS OTH-
WORIERS COMPENSATION AND
IER
E.L. EACH ACCIDENT
$
EMPLOYERS' LIABILITY
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Those usual to the Insured's Operations.
n I AUU11 WMAL maonw; mavncn w rrA:
City of Fort Collins
Attn: Jim Hume
PO Box 580
Fort Collins CO 80522
DULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
)IRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
LDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
LIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
'RESENTATIVES.
AUTHORIZED REPRESENT E
ACORD 25-S (7197) 0 ACORD CORPORATION 1988