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Home My WebLink AboutQUANTUM WEST INC - INSURANCE CERTIFICATE (2)ACOR& CERTIFICATE OF LIABILITY INSURANCE 0As1 2JOs°""YY' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Compass Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Olson & Olson Division HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 750 W. Hampden Avenue, Ste 440 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Englewood, CO 80110 INSURERS AFFORDING COVERAGE NAIC # INSURED Quantum West, Inc. INSURER A: Philadelphia Indemnity Ins Co 18058 P.O. Box 337240 INSURER B: NSURER Greeley, CO 80633 Q _ INSURER E: 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 N TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE DATE MMnDD/YYI POLICY EXPIRATION T LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR DAMAGE TO RENTED $ VIED EXP (Any one peson) $ PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: POLICY PRO ECT r LOC PRODUCTS - COMP/OP AGO $ AUTOMOBILE LIABILITY ANY AUTO LIMIT (Ea aca accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS BODILY$ (PeraccideamiEant) l) PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY *Except 10 days AUTO ONLY - EA ACCIDENT $ ANY AUTO for non-payment of premium. OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESSIUMBRELLA LIABILITY OCCUR 171 CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND WCSTATU- OH - EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNEWEXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE- POLICY LIMIT $ SPECIAL PROVISIONS below A OTHER Professional Liability PHSD'190233 06/14/07 06/14/08 Per Claim $1,000,000 Aggregate $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS "Per Claim" and "Annual Aggregate" limits apply per project. Payment of claims, defense costs and claims expenses reduce the limit. Recreation Attn: Jean Helburg P.O. 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 'An DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR A THORRED REPRESENTATIVE .,� "' � ..J, I If 11111i A IOU 30DLS 0 ACORD CORPORATION 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. ACCORD 25-S (2001108) 2 Of 2 #53721711 W IZ100 rlinnHF 1RQRn Onn1 IAMIAICO ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE 05/02/08D PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Compass Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Olson & Olson Division 750 W. Hampden Avenue, Ste 440 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Englewood, CO 80110 INSURERS AFFORDING COVERAGE NAIC # INSURED Quantum West, Inc. P.O. Box 337240 INSURERA: American Casualty Company INSURER B: INSURER C: Greeley, CO 80633 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTNE POLICY EXPIRATION DATE IMM/DD[YY) LIMITS A GENERAL LIABILITY 2026585260 06/14/08 06/14/09 EACH OCCURRENCE $1 00Q 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR DAMAGE TO RENTED PREMISES (F. ccurreops) $300 Q00 MED EXP (Any one person) $1 O 000 PERSONAL & ADV INJURY $1 00O 000 GENERAL AGGREGATE $2 000 OQQ GENL AGGREGATE LIMB APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 X POLICY PRO- JECT LOC A AUTOMOBILE LIABILITY ANY AUTO 2026585260 06/14/08 06/14/09 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIREDAUTOS X NON -OWNED AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR F—ICLAIMS MADE DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WCSTATU- OTH- EMPLOYERS' LIABILITYER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE- POLICY LIMIT $ SPECIAL PROVISIONS below OTHER *Except10 days for non-payment of premium. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Recreation Attn: Jean Helburg P.O. 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 'Xa DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE � �ru.��6cnuu.w^e -r---••--,I ", *Oaf zT TDnna izT Da 30DLS 0 ACORD CORPORATION 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. ACORD 25S (2001108) 2 of 2 #S372176/M372163 ACORD CERTIFICATE OF LIABILITY INSURANCE D510210N UM YY� orozfoa vnwl Ivw Compass Insurance Agency Inc ONLY AND CONFERNORIG S HTS UPON THE CER77FICAnTE Olson & Olson Division HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR 750 W Hampden Avenue Ste 440 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Englewood CO 80110 INSURERS AFFORDING COVERAGE NAIC # INSURED Quantum West Inc P O Box 337240 Greeley CO 80633 THE POLICIES OF INSURANCE I ISTFO BELOW HAVE BEEN ISSUED rO THE INSURED NAMED ABOVE FOR T HE POLICY PCRIOD 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 TYPE OF INSURANCE POLICY NUMBER POLICYEMFECTIVE POLICY EX FDOIRAT17 I 06/14/09 LIMITS A A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OOCCUR 2026685260 2026585260 06/14/08 EACHOCCURRFNCF S1000000 DAMPFe Eo occeanr MEDEXP(An ono PPean) t3QQ QQQ SJ0000 PERSONAL& ADV INJURY $1000000 GENERN.AOGREGATE 52,,000,QQQ GENL AUTOMOBILE AGGREGATE LIMP APPLIES PER PRO n LOC POLICY C I JECIT LIABILITY ANY AUTO ALL OWNFO AUTOS SCHEOULEDAUTOS HIREDAUTOS NON OWNEOAUTDS PRODUCTS COMPIOP AGG SZ 000 0y OU 06114108 06/14/09 COMBINED SINGLE LIMIT (Ea noldeDli $1 000 000 — $ BODILY INJURY (Per pff o ) X BODILY INJURY (Per=We"* PROPERTY DAMAGE (Per eeeMaM) AUTOONLY EA ACCIDENT ` $ X $ t —_ - OARAOE LIABILITY _ ANYAUTO EXCESSIUMBRELUILIABILITY OCCUR u CLAIMSMAOL OFOUCTISI E RETENTION S WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETDRIPARTNEWEXECUTIVC OFRCERIMEMSER EXCt UOFD+ 11-1 deaw6rdor SPECIAL PROVISIONS o w — OTHERTHAN E' ACC AUTO ONLY AGG EACH OCCURRENCE — -- $- S ----- § S AGGREGATE ___ S § -- — Except 10 days for non payment Of premium WC STAT'U OTH TOBYLU EL EACH ACCIDENT S ---- S EL DISEASE EA LMPLOYI-E E I DISEASE POLICY I IMt7 $ OTHER DESCRIPTION OF OPERATIONb I LOCATIONS I VEHICLES I EXCW310NB ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CFRTICI!`ATC unl neo _ City of Fart Collins Purchasing P O Box 680 Fort Collins CO 80522 1 M1 NC4Tnw TwrXenTnw�o LO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAX. _30 DAYSWRITTCN E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO OO SO SMALL .ENO OBLIGATION OR LIABILITY Or ANY KIND UPON THE INSURER ITS AGENT$ OR ovr.n.o w.+vvw.. mrvnn nvW IVU0 IMPORTANT If the certificdte holder is an ADDITIONAL INSURCD 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 conditlons 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 inswer(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 ACORD 25S (2001/00) 2 of 2 #54140a1lM414045