HomeMy WebLinkAbout212187 WEATHERSURE SYSTEMS INC - INSURANCE CERTIFICATE (2)ACORD CERTIFICATE
OF LIABILITY
INSURANCE
6/19/20 a'
PRODUCER (303) 824-6600 FAX: (303) 370-0118
Mood Insurance Agency, Inc.
YHOLDER.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
3773 Cherry Creek North Drive
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Suite 800
Denver CO 80209-3804
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
INSURER A: Continental Western Group
INSURER B: Pinnacol Assurance
WeatherSure Systems, Inc.
IrvsuRER c:
3333 S . Platte River Drive
NSURER D:
INSURERE:
Englewood CO 80110-2140
RArFR
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING AN
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.
MIT HAVE BEE q REDUC D BY PAID CLAIMS,
INSR
SR ......
TYPE OF INSURANCE
POLICY NUMBER
DATEYMMIDD/nY1V'E
POLICY ATEMWD EXPIRATION
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
RNTED
PREMISET EaEaaurrenca
$ 100,000
A
X
X COMMERCIAL GENERALLIABILITY
CLAIMS MADE ❑X OCCUR
CWP2577625
7/1/2008
7/1/2009
MED EXP (Any oneperson)
$ 5,000
PERSONAL SA VINJU Y
$ 1,000,000
Blanket Additional
GENERALA R T
$ 2,000,000
Insured Endorsement
G 1 AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMPIOP AGG
$ 2,000,000
#CLOG 0020 0307 Attached
POLICY X JECT LOC
AUTOMOBILE
X
LIABILITY
ANYAUTO
COMBINED SINGLE LIMIT
(Ea accident)
$ 1, 000,000
BODILY INJURY
(Per Person)
$
A
ALL OWNED AUTOS
SCHEDULED AUTOS
CWP2577625
7/1/2008
7/l/2009
X
BODILY INJURY
(Per ecoiCent)
$
HIREDAUTOS
NON-0WNED AUTOS
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANVAUTO
$
AUTO ONLY: AGO
EXCESSIUMBRELLA LIABILITY
7X OCCUR CLAIMS MADE
EACH OCCURRENCE
$ 10,000,000
AGGREGATE
$ 10,000,000
$
A
DEDUCTIBLE
CU2581677
7/l/2008
7/1/2009
X RETENTION $10,000
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOWPARTNEMEXECUTIVE
X WCSTATU. OTH-
I TORLIMITS
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
OFFICERIMEMBER EXCLUDED?
If yes, describe under
SPECIAL PROIISIO Iw
3471401
7/1/2008
7/1/2009
E.L. DISEASE -POLICY LIMIT
1, 000,000
OTHER
DESCRIPTION OF OPER nONSILOCATIONSVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Re: 6064 Civic Center a Old Town Parking Garage
City of Fort Collins is named as Additional Insured as regards General Liability. This certificate is subject to the
Course, conditions, and exclusions of the policies. A 30-day notice of cancellation will apply in the event of
non-payment of premium.
City of Fort Collins
Attn: James B. O'Neill II,
215 N Mason St, 2nd Floor
P. O. Box 580
Fort Collins, CO 80522-0580
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
CPPO FNIGP 30 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
AUTHORIZED REPRESENTATIVE
R Brus Cino, AAI/ROSBR"'"'""�"
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ACORD 25 (2001/08)
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0 ACORD CORPORATION $988