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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)