HomeMy WebLinkAbout310036 BLUE DOT SOLUTIONS INC - INSURANCE CERTIFICATE (12)ACORD. CERTIFICATE OF LIABILITY INSURANCE PMDC
01-23DATE
PRODUCER
COBIZ INSURANCE, INC/PHS
340725 P: (866)467-8730 F: (877)905-0457
P. O. BOX 33015
SAN ANTONIO TX 78265
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
INSURED
BLUE DOT SOLUTIONS, INC
602 PARK POINTS DR. #255
GOLDEN CO 80401
INSURER A,H art ford Fire Ins Co
INSURER B,
INSURER C,
INSURER D,
IINSURER E,
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN
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 SUC
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
lrR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE fm1pulm
POLICY EXPIRATION
p
LIMITS
GENERAL
LIABILITY
EACH OCCURRENCE
6 1 0 0 0 0 0 0
A
COMMERCIAL GENERAL LIABILITY
34 SBA FP 3 8 0 9
0 7/ 0 9/ 0 3
0 7/ 0 9/ 0 4
FIRE DAMAGE (Any PNe fi
0 0 0 000
CLAIMS MADE O OCCUR
MED SEP (Any one Pereon)
6 1 0 0 0 0
X
Business Liab
PERSONAL i AM INJURY
61 000 000
GENERAL AGGREGATE
62,000,000
GEN'1 AGGREGATE LIMIT APPLIES P,
PRODUCTS - COMP/OP AGG
s2,000,000
FJPOLICYF_j PRCj O X LOC
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
6
ANY AUTO
(Be accident)
BODILY INJURY
6
ALL OWNED AUTOS
SCHEDULED AUTOS
(Per Person)
BODILY INJURY
6
HIRED AUTOS
NON -OWNED AUTOS
(Per accident)
PROPERTY DAMAGE
6
(Per accident)
GARAGE LIABILITY
AMC ONLY - EA ACCIDENT
6
OTHER THAN BA ACC
6
ANY AUTO
6
AUTO ONLY, AGG
EXCESS LIABILITY
EACH OCCURRENCE
6
OCCUR CLAIMS MADE
AGGREGATE
6
b
6
DEDUCTIBLE
6
RETENTION 6
WORKERS COMPENSATION AND
WC STATO- OTH-
,IfiIT�
EMPLOYEESLIABILITY
B.L. EACH ACCIDENT
6
B.L. DISEASE - SA EMPLO
6
E.L. DISEASE - POLICY L
ST
OTHER
DESCRIPTION OF OPE TIONS/LOCATIONS/VEHICLES/EXCLVSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Those usual to the Insured's Operations.
CERTIFICATE HOLDER I X I ADDITIoNAL INeDAED, INEURER LETTER, A CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
City
of Fort Collins
30 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICAT
Attn:
Jim Hume
HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS 0
PO BOX
580
REPRESENTATIVES.
Fort
Collins CO 80522
A TNORIZED RE^PRESEWTA pp LL
ACORD 25-S (7/97) 0 ACORD CORPORATION 1988