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HomeMy WebLinkAbout109315 COLORADO DOORWAYS INC - INSURANCE CERTIFICATE (15)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MMIOD/YYYY) COLOROI 08 28 03 PRODUCER Thomas J. Sisk & Company, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Mile High Center 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: Hartford Fire Insurance Co. Colorado Doorways Inc. INSURERB: Pinnacol Assurance Doorway Solutions INSURER C: 52nd & Cook LLP 3333 E 52nd Ave INSURER D: Denver CO 80216 INSURER E: 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 INSRK TYPE OF INSURANCE POLICY NUMBER DATE (MMIDD/YY) DATE (MM/DDlYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIALGENERAL LIABILITY CLAIMS MADE FX] OCCUR 34UUNTZ1983 09/01/03 09/01/04 DAMA(3r: TO RENTED PREMISES (Ea occurence) $300,000 MED EXP (Any one person) $ 10 , 000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2 , 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY JEST LOC PRODUCTS - COMP/OP AGG $ 2 , 000 , 00 0 A AUTOMOBILE LIABILITY ANY AUTO 34UUNTZ1983 09/01/03 09/01/04 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO M OTHER THAN EA ACC AUTO ONLY: qGG $ $ A EXCESSlUMBRELLA LIABILITY X OCCUR ❑ CLAIMSMADE 34XHUTZ2002 09/01/03 09/01/04 EACH OCCURRENCE $ 4 , 000 , 000 AGGREGATE $ 4, 000, 000 DEDUCTIBLE $ X RETENTION $ 10 000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? It yes,descnbeunder SPECIAL PROVISIONS below 3142569 09/01/03 09/01/04 X TORY LIMITS ER E.L. EACH ACCIDENT $500,0 00 E.L. DISEASE -EA EMPLOYEE $ , 500 000 E.L. DISEASE -POLICY LIMIT $500 000 A Equipment Floater 34UUNTZ1983 09/01/03 09/01/04 Limit $86,848 Deductibl $500 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. r9=0TlciceTo unl nco .....__.. -_._-. City of Fort Collins Attn: John Stephen PO Box 580 Fort Collins CO 80522 CITYOFF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL BISMAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT 5AWD8M0000=SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID 1 1 DATE(MM/DD/YYYY) I COLOR01 08/28/03 Thomas J. Sisk & Company, Inc. Mile High Center 1700 Broadway, Suite 1000 Denver CO 80290 Phone:303-831-7100 Fax:303-831-7377 Colorado Doorways Inc. Doorway Solutions 52nd & Cook LLP 3333 E 52nd Ave Denver CO 80216 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 I NAIC # INSURERA: Hartford Fire Insurance Co. INSURERS: Plnnacol Assurance INSURER C: INSURER D: INSURER E: 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 VE DATE (MMFEMI) rlD YY) DATE (M LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR 34UUNTZ1983 09/01/03 09/01/04 EACH OCCURRENCE $ 1 , 000 , 000 DAWMO RE 4- PREMISEES(Ea occ rence) $ 300 000 MED EXP (Any am person) $ 10 , 000 PERSONAL &ADV INJURY $ 1 , 000 , 000 GENERAL AGGREGATE $ 2 , 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: j[ POLICY jEC0j LOC PRODUCTS - COMP/OP AGG $ 2 , 000 , 000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 34UUNTZ1983 09/01/03 09/01/04 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ A EXCESS/UMBRELLA LIABILITY X OCCUR F-1CLAIMSMADE DEDUCTIBLE j[ RETENTION $ 10 000 34XHUTZ2002 09/01/03 09/01/04 EACH OCCURRENCE $ Q 000 , 000 AGGREGATE $4,000,000 $ $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? describe under DSPECIAL PROVISIONS below 3142569 09/01/03 09/01/04 X TORY LIMITS I ER E.L. EACH ACCIDENT $500/ 000 E.L. DISEASE - EA EMPLOYEE $ 5 0 0, 0 0 0 E.L. DISEASE -POLICY LIMIT $500 000 A Equipment Floater 34UUNTZ1983 09/01/03 09/01/04 Limit $86,848 Deductibl $500 I.CK I IrM A 1 C 17ULUCK k AK1..CLLA I IUIY CITYOFF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 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 LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR Attn: James B. O'Neill II CPPO PO BOX 580 REPRESENTATIVES. Fort Collins CO - Thomas J. Sisk Jr.