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Home My WebLink About109315 COLORADO DOORWAYS INC - INSURANCE CERTIFICATE (14)DATE (MMIDOIYYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE COLOa0iI OS 31 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Thomas J. Sisk & Company, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Mile High Center HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 000 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 1700 Broadway, Suite 1 Denver CO 80290 Phone:303-831-7100 Fax:303-831-7377 INSURED Colorado Doorways Inc. Doorway Solutions 52nd & C ok LLLP 3333 E 5Ave 1 Denver CO 0216 INSURERS AFFORDING COVERAGE INSURER A: continental western Ins. INSURER B: Pinnacol Assura INSURER C: INSURER D: INSURER E: NAIC # a WrQry Wa . 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER MI DATE MDDIYY DATE MMIDDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1 OOO 000 Kt PREMISES Ea ocawencs $ 100 000 A X COMMERCIAL GENERAL LIABILITY CWP2539020 09/01/04 09/01/05 MED EXP (Any one Person) 115,000 CLAIMS MADE XO OCCUR PERSONAL BADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG s 2 OOO OOO X POLICY JECOT PRLOC A AUTOMOBILE LIABILITY ANY AUTO CWP2539029 09/01/04 09/01/05 COMBINED SINGLE LIMIT (Esawkwo) $1 , 000 , 000 X BODILY INJURY (Per Person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per acadanl) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) S GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC AUTO ONLY: AGG s ANY AUTO I S EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 4 000 000 AGGREGATE s4,000,000 A X7 OCCUR CLAIMSMADE CU2540209 09/01/04 09/01/05 S $ DEDUCTIBLE s RETENTION $ WORKERS COMPENSATION AND TORY LIMITS X ER E.L. EACH ACCIDENT s500OOO B EMPLOYERIETORIPAR ANY PROPRIETOR/ EXCLUDED? OFFICER/MEMBER EXCLUDED9 3142569 09/01/04 09/01/05 E.L. DISEASE - EA EMPLOYE S 500OOO E.L. DISEASE - POLICY LIMIT I i 500,000 If yes, describe under SPECIAL PROVISIONS W" OTHER Limit DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS The City, its officers, agents and employees are named as additional insureds but only as respects work performed by the named insure. Cancellation: The insurance evidenced by this certificate will not be cancelled or materially altered except after ten (10) days written notice has been received by the City of Fort Collins. CERTIFICATE HOLDER L:ANUrLLA I IVN 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 IMPOSE NO OBLIGATION OR LIABILTTY OF ANY KIND UPON THE INSURER ITS AGENTS OR Attn: John Stephen PO BOX 580 REPRESENT TIVES. EN Fort Collins CO 80522 ° G REP A JA17E t1l il-10 , ACORD 25120011081 I ,g j" ACORD 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 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. ACORD 25 (2001/08)