HomeMy WebLinkAbout310036 BLUE DOT SOLUTIONS INC - INSURANCE CERTIFICATE (13)ACORD. CERTIFICATE OF LIABILITY INSURANCE
DATE
05-10-2005
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
COBIZ INSURANCE, INC/PHS
340725 P: (866)467-8730 F: (877)905-0457
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P. O. BOX 33015
78
SAN ANTONIO TX 265
INSURERS AFFORDING COVERAGE
INSURED
i
INSURERA:Hartford Fire Ins Co
INSURER B: <
BLUE DOT SOLUTIONS, INC
INSURER C:
602 PARK POINTS DR. #255
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.
INSR rypE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE
LTR DATE(MM/DD/VY
POLICY EXPIRATION i
DATE MM/DD/YY LIMITS
A
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
34 SBA FP3809
07/09/05
EACH OCCURRENCE $1, 000, 000
07/09/06 FIRE DAMAGE IA" one tire) s300, 000
CLAIMS MADE X OCCUR
X Business Liab
MED EXP (Any one person) $l 0 , 000
PERSONAL&ADV INJURY $1, 000, 000
GENERAL AGGREGATE s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PECT RO X LOC
J
PRODUCTS - COMP/OP AGG s2 , 000, 000
AUTOMOBILE
LIABILITY
ANY AUTO
Ea accident SINGLE LIMIT
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
s
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
GAflAGE LIABILITY
AUTO ONLY - EA ACCIDENT
s
ANY AUTO
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
EXCESS LIABILITY
OCCUR a CLAIMS MADE
EACH OCCURRENCE $
AGGREGATE $
$
DEDUCTIBLE
$
RETENTION $
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
WC STATU- OTH-
TORY OMITS R
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Those usual to the Insured's Operations.
CERTIFICATE HOLDER X I ADDITIONAL INSURED; INSURER LETTER: A CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Fort Collins
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
45 DAYS WRITTEN NOTICE 110 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
Attn : Jim Hume
HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
PO BOX 580
Fort Collins CO 80522
OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED RREEâ–ºPRE,SEENTjsAKWE
c ACORD CORPORATION 1988