HomeMy WebLinkAbout109315 COLORADO DOORWAYS INC - INSURANCE CERTIFICATE (6)09/19/2008 12:20 303831737,
SISK CO
ACORD CERTIFICATE OF LIABILITY INSURANCE
PROWCEft THIS CERTIFICATE IS ISSUED AS I
ONLY AND CONFERS NO RIGHTS
Inc. ALLTLDER, THIS CERTIFICATER THE COVERAGE AFFORDS
Thomas J. Sisk.S Company,
1700 Broadway, Suite 1000
Denver CO 80290
Phone: 303-831-7100 Fax:303-831-7377 _ INSURERS AFFORDING COVERAGE
INSURER N. Continental %;Y
Colorado DoorwaYQ, Inc. NsuRERB: fPi�aaol Assure
Doorway Solutions INSURER C:
52 d 6 C ok, LLLP INSURER R➢�
30 E 5�lnd AAvm
Denver CO 80216 INSURER E;
PAGE 01/02
DATE(MMRIUNYYY)
UPON THE CERTIFICATE
S NOT AMEND, EXTEND OR
Ep 8Y THE POLICIES BELOW.
NAIC #
7ovinAUtZ4
THE
AMT
MAY
POLICIES.
POUCIES
REQUIREMENT,
PERTAIN,
OF INSURANCE LISTED BELOW HAVE
TERM OR CONDITION OF ANY
THE INSURANCE AFFOROEO BY THE
AGGREGATE LIMITS SHOWN MAY HAVE
INSURED NAMED
BEEN ISSUED TO TTIE'. WITH
CONTRACTOR OTHER DOCUMENT
POLICIES DESCRIBED HEREIN IS SUBJECT
BEEN REDUCED BY PAID CLAIMS.^u^
ABOVE FOR THE POLICY
RESPECT TO WHICH
TO ALL THE TERMS,
__.----_
PERIOD INDICATED.
THIS CERTIFICATE MAY
EXCLUSIONS AND CONDITIONS
NO
BE ISSUED ISSUED ANDING
OR
OF SUCH
ATE M MD
LIMEYS
EACH OCCURRENCE
$1,000,000
-TR
SR
TYPEOPINSURANCE
POLIOTNUMBEIR
ppTB D
A
GENERAL LIABILITY
X COMMERCUILGENERALUABILRY
CLAIMS MAtlE X OCCUR
CWP2539029
09/01/08
09/01/09
PREMISE6 Ea acpaanda
,
$1OO TO-0—
MEO EXP(Any orre pmmn)
$5,,000
PERSONAL$A➢VINJURY
$1 000,000
X_Contraotual Liao
GENERALAGGREGATE
$2,000,000
PRODUCTS • COMPIOP AGG
$ 2, 00(�) 000
GGN'L
AGGREGATE LIMIT APPLIES PER:
"
POLICY X PECT LOC
L4181UTY
ANY AUTO
ALL OWNED AUTOS
CWk2539029
09/01/Oe
09/01/09
COMBINED SINGLE LIMIT
(EsRdnmt)
$1 000 000
AUTCMOSILE
A
X
BODILY INJURY
PNperson)
._
$
SCHEDULED AUTOS
T
HIRED AUTOS
(Per BODILYINJURY
(Per dart
$
X
X
NON -OWNED AUT06
PROPERTYDAMAGE
(Par w6dent)
$
_•
AUTO ONLY - EA ACCIDENT
$
GARAGE LIABILR'Y
_ ANY AUTO
EA ACC
OTHER THAN
AUTOONLY: AGO
$ —
$
A
BXCESBRIMHRELIA LUIEEJTY
x OccuR CLAIMS MADE
CU2$40209
09/01/08
09/Ol/b9
EACH OCCURRENCE
$ 5, 000,00(
.,
AGGREGATE
$5,000 00(
B
�wOAKERSCOWPEHSAVON
EMPLOYERS!UADIM
ANY
OFFICERIMEMBER
DEDUCTIBLE
RETENTION $10 000
AND
PROPMEYORMARTNEPofl(ECURVE
EXCLUDED?
3142569
09/01/08
i
09/01/09
X TORY LIMITS X ER
9
E.L.eacHA=OENT
$1,000,00(
E.L. DISEASE -EA EMPLOYEE
$ 1 , 000 , 001
a, mecnsw.oOLICYLIMB
$1.000.00I
A I Blanket 13PP
CWP2539029 09/01/09I 09/01/09) Epp $1,400,000
o. "n Ann
DESCRRTIO" OF GPERATIDN4r u Au"na,•an,v—•_^-���•-..__.____------
The City, its officers, agents and employees are additional insireds.
City Of Bart Collins
Attn: John Stephen
PO Box 580
Fort Collins CO 90522
CSTYO" I SHOULD ANY OF THE. ABOVE D4b VMV ec .•--^-•.•---------
OATETHEREOF, THE MUING INSURER WILL ENDEAVOR TO MAIL 30 DAYSWRWMN
NOTICE TO THE CERTIPICATE HOLDER NAMED TO THE LEPT, HUT FAILURE TO OO 50 SHALL
IMPOSE NO DOUGAT(ON OR UAHILRY OF ANY IONO UPON THE INSURER, ITS AGENTS OR
09/19/2008 12:20 3038317377 SISK CO PAGE 02/02
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.