HomeMy WebLinkAboutBLUEDOT SOLUTIONS - INSURANCE CERTIFICATEACORD, CERTIFICATE OF LIABILITY INSURANCE 104-02Q2008
PRODUCER
COBIZ INSURANCE, INC/PHS
340725 P: (866)467-8730 F: (877) 905-0457
PO BOX 33015
SAN ANTONIO TX 78265
— --
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
I ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
INSURED
BLUE DOT SOLUTIONS, INC
1900 GRANT ST . STE 1200
DENVER CO 80203
INSURER A: Hartford Casualty Ins Co
INSURER B:
IINSURER C
NSURER D:
11NsuReRE:
COVERAGES
THE POLICIES OF INSURANCE LIST BELOW RAVET HuN ISSUED TO T11IP INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWN STSTANDING
ANY REQU IREMEN'1, TERM OR CON DIT ION OF ANY CONTRACT' OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DI HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
__ TYPE OFINSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION """
DATE IMM/DDIVVI DATE MM/PP/YVI LIMITS
A
GENERAL
LIABILITY
CLAIMS MADE LX OCCUR
General Liab
34 SBA UI8940
06/01/08
06/01/09
-A
CH OCCURRENCE 52 , 000 , 000
1COMMERCIALGENERALLIABILIiY
LIlEDAMAGE(A,,,onefire) $1, 000, 000
XI
MED EXP (Any one Person) 1 $10 , 000 _
PERSONAL&ADVINJURY S2,000,000
_
_
LGENf:RAL AGGREGATE 54 , 000, 000
GEN'1. AGGREGATE LIMIT APPLIES PER
PRO -
POLICY JECT X LOC
PRODUCTS_comp/op AGG
54 , O O O , 000
AIANY
AUTOMOBILE
LIABILITY
AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUl'OS
NON -OWNED AUTOS
34 SBA UI8940
06/01/08
06/01/09
COMBINED SINGLE LIMIT
IEaa==men')
S2, OOO, 000
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
S
PROPERTY DAMAGE
1(Per accident)
$
--"
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: qGG
I S
5
A
EXCESS LIABILITY _
X OCCUR UCLAIMS MADE
_ DEDUCTIBLE
X RETENTION $1 O, 000
34 SBA UI8940
06/01/08
06/01/09
EACH OCCUflflENCE s2 , 0 0 0 , 0 O 0
1 AGGREGATE Ls2,000,000
$
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
_
WC STATU- OTH
TORY LIMITS ER
E.L. EACH ACCIDENT
$
_ E.L. DISEASE - EA EMPLOYEE
5
E.L. DISEASE - POLICY LIMIT
5
OTHER
1
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Those usual to the Insured's Operations.
CERTIFICATE HOLDER ADDITIONAL INSURE°; INSURER LETTER: _ CANCELLATION
City of Fort Collins
Attn : Jim Hume
PO BOX 580
Fort Collins CO 80522
_
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 (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
MOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES,
A ORI ° RE ESEN ATI�
ACORD 25-S (7/97) w ACORD CORPORATION 1988