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Home My WebLink About109315 COLORADO DOORWAYS INC - INSURANCE CERTIFICATE (4)A00RD CERTIFICATE OF LIABILITY INSURANCE OP ID S DATE(MMIDDmvY) COLOR01 d 08 31 04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Thomas J Sisk & Company, Inc 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 IS INSURED INSURER A Continental Ra torn Ina Co INSURER Pinnacol Assurance Colorado Doorways Inc Doorway Solutions 52nd S Cgok LLLP INSURERC INSURER 3333 E 522nd Ave Denver CO 80216 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 POLIC EFFECTIVE DATE jMWOO1YYj POLICY RA N DATE AMID LIMITS GENERAL LIABILITY EACH OCCURRENCE s 1 000 000 PREMISES (Ea ocnaana $100000 A X COMMERCIAL GENERAL LIABILITY CWP2539020 09/01/04 09/01/05 CLAIMS MADE OCCUR MED EXP(Any one parson) s5 000 PERSONAL B ADV INJURY $1 000 000 GENERAL AGGREGATE s2 D00 000 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS COMPIOPAGG $2 00O 000 X POLICY JECT LOC A AUTOMOBILE LWBILITY ANY AUTO CWP2539029 09/01/04 09/01/05 CO aanISINGLELIMIT (EsMBINED t1,000,000 X BODILY INJURY (Pw Pew) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Pal awdald) $ HIRED AUTOS NON OWNED AUTOS X PROPERTY DAMAGE (Par ecddaM) S GARAGE LIABILITY AUTOONLY EAACCIDENT S OTHER THAN EA ACC AUTO ONLY AGG $ ANY AUTO S EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE s 4 000 000 A X OCCUR F—ICLAIMSMADE CU2540209 09/01/04 09/01/05 AGGREGATE $4 000 000 S S DEDUCTIBLE s RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS LIATORIPAY ANY CERNEETOR/PARTNERIEXECUTIVE OyFyFICERIMEMBER EXCLUDED? 3142569 09/01/04 09/01/05 TORY LIMITS X ER EL EACH ACCIDENT s 50O OOO EL DISEASE EA EMPLOYE $SOO DDD SPECIAas ALLPROVISONS balm EL DISEASE POLICY LIMIT $500000 OTHER Limit DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS The City, its officers, agents and employees are named as additional insureds but only as respects work performed by the named insure Cancellation The insurance evidenced by this certificate will not be cancelled or materially altered except after ten (10) days written notice has been received by the City of Fort Collins CANCELLATION CITYOFF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXMRATIO DATE THEREOF THE ISSUING INSURER WILL ENDEAVOIT TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL City of Fort Collins IMPOSE NO OBLIGATION OR UIBUJTY OF ANY KIND UPON THE INSURE%IT$AGENTS OR Attn John Stephen PO BOX 580 REPRESENT I VIES Fort Collins CO 80522 0 REv JATIVE 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 25 (2001109)