HomeMy WebLinkAbout109315 COLORADO DOORWAYS INC - INSURANCE CERTIFICATE (12),aCORv CERTIFICATE OF LIABILITY INSURANCE OPID
DATE(MM DD/YYYY)
COLOROI
08 29 06
PRODUCER
Thomas J. Sisk 6 Company, Inc.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
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
INSURER A: Continental Waetern Ine. Co.
Colorado Doorways, Inc.
Doorway Solutions
52nd 6 Cook, LLLP
3333 E 52nd Ave
Denver CO 80216
INSURERB: Pinnacol Assurance
INSURER C:
INSURER D:
INSURER E:
LKe]e14J_T0*_]
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
POLICY EFFECTIVE
DATE EFFECTI
POLICY MWDDIEXPIRATION
OATS M
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X� OCCUR
CWP2539029
09/01/06
09/01/07
PREMISES(Eaoccurence)
$ 100,000
MED EXP (Any one person)
$ 5,000
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
s2,000,000
GENT AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$2,000,000
POLICY X PROJECT LOC
A
AUTOMOBILE
LIABILITY
ANYAUTO
CWP2539029
09/Ol/06
09/01/07
COMBINED SINGLE LIMIT
(Ea accident)naccident)ALL
$ 1r OOOr OOO
X
BODILY INJURY
(Per person)
$
OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
X
BODILY INJURY
(Per accident)
$
1X
PROPERTY DAMAGE
(Per accident)
$
—
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN EA ACC
$
$
AUTO ONLY: AGG
A
EXCESSIUMBRELLA LIABILITY
X OCCUR CLAIMS MADE
CU2540209
09/01/06
09/01/07
EACH OCCURRENCE
s5,000,000
AGGREGATE
$5,000,000
DEDUCTIBLE
X RETENTION $ 10 , 000
$
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
.ANY PROPRIETOR/PARTNER/EXECUTIVE
OrRCEII AEMBEP. EXCLUDED,'
If yes, describe under
SPECIAL PROVISIONS below
3142569
09/01/06
C19/01/07
X TORY LIMITS ER
E.L. EACH ACCIDENT Is500,000
E.L. DISEASE - EA EMPLOYEE
$ 500, 000
E.L. DISEASE -POLICY LIMIT 1
$500000
OTHER
DESCRIPTION OF OPERATIONS J LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
The CIty, its officers, agents 6 employees
cancelled or materially altered except after ten (10) days written notice
has been received by the City of Fort Collins.
CITYOFF I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOP
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
Attn: John Stephen City of Fort Collins IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPO NE INSURER, ITS AGENTS OR
At
PO BOX 580 REPRESENTATIVES.
Fort Collins CO 80522 AUTHORIZED REPRESENTATIVE
ACORD 25 (2001/08)
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.