HomeMy WebLinkAboutCOLROADO DOORWAYS - INSURANCE CERTIFICATEACORo. CERTIFICATE OF LIABILITY INSURANCE OP ID DC DATE (MM DD VYYV)
COLOR01 08/26/08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Thomas J. Sisk & Company, Inc. 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 NAIL#
INSUREDINSURER A: Continental wontern Ine. Co.
Colorado Doorways, Inc. INSURERS Pinnacol Assurance
Doorway Solutions INSURER C:
52nd & Cook, LLLP
3333 E 52nd Ave --- ----
Denver CO 80216 INSURER D:
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.
S -
LTR
NSR1
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MM/DD/VY
POLICY EXPIRATION
DATE MM/DD/YY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
1, 000, 000
A
X COMMERCIAL GENERAL LIABILITY
CWP2539029
09/01/08
09/01/09
-DAFyAGET(TRENTED —
pREMISES(Ea occurence)
_$
$100,000
CLAIMS MADE �] OCCUR
MED EXP (Any one person)_
S 5,000
X Contractual Llab _
PERSONAL&ADVINJURY
$ 1, 00Q, 000
_
_...
GENERAL AGGREGATE
-.
$ 2, 000, 000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$2, 000, 000
POLICY X PRO
ECT OC
AUTOMOBILE
LIABILITY
A
ANY AUTO
CWP2539029
09/01/08
09/01/09
COMBINED SINGLE LIMIT
(Ea accident)
S 11000,000
X
ALL OWNED AUTOS
BODILY INJURY
$
SCHEDULED AUTOS
(Per person)
HIREDAUTOS
X
---'
NON OWNED AUTOS
BODILY (Per
(Per accitlenl)
accident)
$
X
PROPERTY DAMAGE
$ —
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN EA ACC
$
$
AUTO ONLY: AGG
A
EXCESS/UMBRELLA LIABILITY
Ax OCCUR FICLAIMS MADE
CU2540209
EACH OCCURRENCE
$ 5, 000, 000
AGGREGATE
$ 5, 000, 000
09/01/08
09/01/09
DEDUCTIBLE
xRETENTION $10,000
$
WORKERS COMPENSATION AND
TORYLIMITS XER
B EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE 3142569
-.
09/01/08 09/01/09 GL. EACH ACCIDENT
$1,000�000
OFFICER/MEMBER EXCLUDED?
If yes, describe under
E.L. DISEASE - EA EMPLOYEE
$ 1, 0 0 0 , Q Q Q
SPECIAL PROVISIONS below
El, DISEASE -POLICY LIMIT
$1, 000, 000
OTHER
A Blanket BPP CWP2539029
09/01/08 09/01/09 BPP
$1,400,000
A Blanket Stock CWP2539029
09/01/08 09/01/09 1 Stock
$1,370,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
The City, its officers, agents and employees are additional insureds.
City of Fort Collins
Attn: John Stephen
PO Box 580
Fort Collins CO 80522
CITYOFF I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL 01010 YOf11=10AIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT XMLIDR MUMUM SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
25 (2001/08)
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 (2001108)