HomeMy WebLinkAbout109315 COLORADO DOORWAYS INC - INSURANCE CERTIFICATE (13)+A.4
ACORD CERTIFICATE OF LIABILITY INSURANCE R CA DATE (MM/DD/YYYY)
COLOROI 08 29 O5
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
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: Continental Restern Ins. Co.
INSURER B: Plnnacol Assurance
Colorado Doorways, Inc.
Doorway Solutions
52nd & Cook, LLLP
3333 E 52nd Ave
Denver CO 80216
INSURER C:
INSURER D:
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.
UK
LTR
WVL
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY
DATE (MWDDm E
U EXPIRATION
PDATE MM/DDM/
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X� OCCUR
CWP2539029
09/01/05
09/01/06
PREMISES (Ea occurence)
$ 100,000
MED EXP (Any one person)
$ 5 , 000
PERSONAL & ADV INJURY
$ 1 , 000 , 000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
s2,000,000
POLICY X. PRO LOC
JECT
A
AUTOMOBILE
LIABILITY
ANY AUTO
CWP2539029
09/01/05
09/01/06
COMBINED SINGLE LIMIT
(Ea accident)
$ 1D00 DDO
r r
X
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
HIREDAUTOS
NON-OWNEDAUTOS
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
s4,000,000
A
X OCCUR ❑ CLAIMSMADE
CU2540209
09/01/05
09/01/06
AGGREGATE
$ 4,000,000
$
DEDUCTIBLE
$
RETENTION $
B
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
3142569
09/01/05
09/01/06
X TORY LIMITS ER
E.L. EACH ACCIDENT
$500 000
E.L. DISEASE - EA EMPLOYEE
$ 500 , 000
OFFICER/NIEMBER EXCLUDED'
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE -POLICY LIMIT
$500 000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT / 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 CANCELLATION
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 LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Attn: John Stephen
PO BOX 580 REPRESENTATIVES.
Fort Collins CO 80522 AUTHORIZED REPRESENTATIVE
ACORD 25 (2001/08)