HomeMy WebLinkAbout310036 BLUE DOT SOLUTIONS INC - INSURANCE CERTIFICATE (3)ACORD„r CERTIFICATE OF LIABILITY INSURANCE i 04-01AT2009
1 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
COBIZ INSURANCE INC/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
340725 P: (866)467-8730 F: (877) 905-0457 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PO BOX 33015 INSURERS AFFORDING COVERAGE
SAN ANTONIO TX 78265
INSURED 1 INSURER A:Hartford Casualtv Ins Co
BLUE DOT SOLUTIONS, INC INSURER G:
11900 GRANT ST . STE 1200 INSURER D:
DENVER CO 80203 INSURER E:
COVERAGES
THE PO ICIES OFICIES OF IL NSURANCE L STED BELOW HAVE BEEN ISSUED l'O THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWFI HST ANDING
ANV 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 1'0 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INTRP TYPE OF INSURANCE
POLICY NUMBER
DATE IMMPOLICY � ONY� POLICY EVfMMPIDDIYVN LIMITS
GENERAL LIABILITY
EACH OCCURRENCE 52 , 000, 000
A
COMMERCIAL GENERAL LIABILITY
34 SBA UI8940
06/01/09
06/01/10 I FIRE DAMAGE (Any one fire) 1$1, 000, 000
T
CLAIMS MADE X—I OCCUR
I MED EXP (Any one person) I $1 0 , 000
X General Liab
PERSONAL & ADV INJURY I s2 , 0 0 0 ,
' 000
I
GENERAL AGGREGATE A, 000 , 000
GENT AGGREGATE LIMIT APPLIES PER:
I PRODUCTS - COMP/OP AGE 154 , 0 0 0 , ONO
O�
I
--- POLICY L I JEPRCTO X ( LOG
AUTOMOBILE
F-IANYAu
LIABILITY
COMBINED SINGLE LINT
(Ea a°emem)
152 , 000,000
A
o
34 SBA UI8940
06/01/09I06/01/10
B
$
ALL OWNED AUTOS
SCHEDULED AUTOS
IPerODVerILY sonINJ)URY
BODILY INJURY
$
X
�X--�__
HIRED AUTOS
III
i�_
NON -OWNED AUTOS
I
(PO! awiden0
PROPERTY DAMAGE
S
(Per a ,dem)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
j fi
�, ANY AUTO
OTHER THAN EA ACC
( $
AUTO ONLY: AGO
LIABILITY
EACH OCCURRENCE 152 , 000, 000
A
7ESS
IXIOCCUR Li CLAIMS MADE
34 SBA UI8940
06/01/09
06/01/10 AGGREGATE I52,000,000
S
�II DEDUCTIBLE
I $
X I RETENTION $10, 000
�� 9
WORKERS COMPENSATION AND
ITORY L IL�11T5 R
EMPLOYERSLIABILITY
I E.L. EACH ACCIDENT $
E.L. DISEASE EA EMPLOYEE $
E.L. DISEASE POLICY LIMIT $
OTHER
i
j
I
I I
I i _
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Those usual to the Insured's Operations.
I
I
City of Fort Collins
Attn: Jim Hume
PO Box 580
Fort Collins CO 80522
)ULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
'IRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
LDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
IGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
ACORD 25-S (7/97) '' ACORD CORPORATION 1988