Loading...
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.