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HomeMy WebLinkAbout212187 WEATHERSURE SYSTEMS INC - INSURANCE CERTIFICATE (3)FDATE L CERTIFICATE OF LIABILITY INSURANCE 1 6/12/2009) PRODUCER (303) 824-6600 FAX: (303) 370-0118 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Moody Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. 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 Ins Co 10804 WeatherSure Systems, Inc. INSURER B: Pinnacol Assurance 41190 3333 S . Platte River Drive INSURER C: INSURER D: Englewood CO 80110-2140 INSURER E: rnvGner_Gc 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 OFSUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L LTR NSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM DD/YYYY POLICY EXPIRATION DATE MM DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurrence) $ 300 , 000 A X CLAIMS MADE F OCCUR CWP2577625 7/1/2009 7/1/2010 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 110001000 lkt Addl Insd Endsmt GENERAL AGGREGATE $ 2,000,000 #CLCG 0020 0307 Attached GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG $ 2,000,000 POLICY X PRO LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 X ANY AUTO (Ea accident) ,000,000 BODILY INJURY A ALL OWNED AUTOS CWP2577625 7/l/2009 7/1/2010 SCHEDULED AUTOS (Per person) $ X BODILY INJURY $ HIRED AUTOS X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/ UMBRELLA LIABILITY EACH OCCURRENCE $ 10 000, 000 X OCCUR �CLAIMS MADE AGGREGATE $ 10,000,000 $ A DEDUCTIBLE CU2581677 7/l/2009 7/1/2010 $ X RETENTION $ 0 B WORKERS COMPENSATION X WC STATU- OTH- TORY LIMITS ER AND EMPLOYERS' LIABILITY E.L. EACH ACCIDENT ANY PROPRIETOR/PARTNER/EXECUTIVE $ 11000,000 EM OFFICR/MEBER EXCLUDED? ❑ (Mandatory In NH) 3471401 7/1/2009 7/1/2010 E.L. DISEASE - EA EMPLOYEE$ 1,000, 000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT I $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Re: 6064 Civic Center & Old Town Parking Garage City of Fort Collins is named as Additional Insured as respects General Liability. This certificate is subject to the terms, conditions, and exclusions of the policies. A 10-day notice of cancellation will apply in the event of non-payment of premium. CERTIFICATE HOLDER CANCELLATION City of Fort Collins Attn: James B. O'Neill II, CPPO FNIGP 215 N. Mason Street, 2nd Floor P. O. Box 580 Fort Collins, CO 80522-0580 SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 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 INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE /V i Eggink, ARM, CRIS/N G` ACORD 25 (2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. INS025 (200901) The ACORD name and logo are registered marks of ACORD 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 This Certificate of Insurance 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 (2009/01) INS025 (200901) Such person or organization is an insured provided: (c) The ownership, maintenance, or use of any elevators. (1) The written or oral contract or agree- meat is: F. ADDITIONAL INSURED -- OWNERS, LESSEES OR CONTRACTORS — AUTOMATIC STATUS (a) Currently in effect or becomes effec- tive during the policy period; and 1. SECTION II — WHO IS AN INSURED is amended to include as an additional insured (b) Executed prior to an "occurrence" or any person or organization for whom you.ari offense to which this insurance performing operations when you and such would apply. person or organization have agreed in writ- (2) They are not specifically designated as ing in a contract or agreement that such per- son or organization be added as an addi- an additional insured under any other tional insured on your policy. Such person or provision of, or endorsement added to, this policy. organization is an additional insured only with , respect to liability for "bodily injury", "property f. Only the following persons or organizations damage" or "personal and adver- are additional insureds under this endorse- tising injury' caused, in whole or in part, by: -- ment, and coverage provided to such addi- tional insureds is limited as provided herein: a. Your acts or omissions; or (1) The manager or lessor of a premise b. The acts or omissions of those acting on your behalf; leased to you, but only with respect to li- ability arising from the ownership, main- "use in the performance of your ongoing opera- tenance or of that part of the prem- tions for the additional insured. ises leased to you and subject to the fol- lowing additional exclusions: A person's or organization's status as an ad - ditional insured under this policy ends when This. insurance does not apply to: your operations for that additional insured (a) Any "occurrence" which takes place are completed. after you cease to be a tenant of that 2. With respect to the insurance afforded to premises.' these additional insureds, the following addi- (b) StructuraV alterations, new construe- tional; exclusions apply: tion or ,demolition operations per- formed, by or on behalf of the man- This insurance.does not'apply to: agerorlessor, a "Bodily,. -.injury',. "property damage" or (2) Any person or organization from whom "personal and advertising injury" arising out of the rendering of, or the, failure to you lease equipment, but only with re- s act to liability for "bodily tn'u ' " P tY y ' 1 ry, "prop - render, an y :professional architectural;. . engineering or "surveying services, in arty, damage.." or "personal, and advertis- eluding: ing injury" caused, in whole or in part, by your maintenance, operation or use of (1) The,,preparjng, approving,:, or failing. equipment leased to you by such per- to. prepare or approve,: maps, shop son(s)or organization(s). drawings, opinions, reports, surveys, I However, this insurance does not apply y "occurrence" field.orders, change orders or draw - ings and specifications; or to any which takes place after the equipment lease expires. (2) Supervisory, inspection, architec- (3) Any state or political subdivision, subject tural or engineering activities. to the following additional provision: b. "Bodily injury' or "property damage" This insurance applies only with respect occurring after: to the following hazards for which the state or political subdivision has issued a (1) All work, including materials, parts permit in connection with premises you or equipment furnished in connec- tion with such work, on the project own, rent, or control and to which this in- (other than service, maintenance or surance applies: repairs) to be performed by or on (a) The existence, maintenance, repair, behalf of the additional insured(s) at construction, erection, or removal of the location of the covered opera - advertising signs, awnings, cano- tions has been completed; or pies, cellar entrances, coal holes, driveways, manholes, marquees, . (2) That portion of 'your. work" out of which the injury or damage arises hoist away openings, sidewalk vaults, street banners, or decora- has been put to its intended use by tions and similar exposures; or any person or organization other than another contractor or subcon- (b) The construction, erection, or re- tractor engaged in performing op- moval of elevators; or erations for a principal as a part of the same project. CL CG 00 20 03 07 Includes copyrighted material of Insurance Services Page 2 of 6 Office, Inc., with its permission 3. The insurance provided by this,endorsement c. We may pay any part or all of the de - is primary insurance and we will not seek ductible amount. to effect settlement of contribution under any insurance policy un- any claim or suit and, upon notification der which such '.additional insured is a of the action taken; you shall promptly named insured, if such policy was procured reimburse us for such part of the de - and paid for by such additional insured, or a ductible amount as we have paid. parent or related entity of such additional in- in- sured. H. BROADENED NAMED INSURED -- 4. With respect .to the insurance afforded to Paragraph 3. of SECTION II - WHO IS AN IN - these additional insureds, SECTION III — . SURED is deleted and replaced by the following: LIMITS OF INSURANCE is amended as fol- Any organization, other than a joint venture, over lows: which you maintain ownership or majority inter - The limits applicable to the. additional in- est of more than 50% will. ,be a Named Insured if -other sured are those specified in the written con- there is no similar insurance available to tract or agreement or the limits stated in the that organization. However: Declarations, whichever is less. If no limits a. Coverage. under_ this provision is afforded are specified- In the written contract or only until; the 180th,day after you acquire or agreement, the limits applicable to the addi- form the organization or,the end of the policy tional insured are those specified in the Dec- period, whichever is' -,.earlier., - larations. The limits. of insurance. are inclu- p. , COVERAGE A does not apply to "bodily in - surance shown In the Declarations. or "property damage" that occurred be- fore you acquired. or formed the organiza- G. PROPERTY DAMAGE TO BORROWED 'tion. _ EQUIPMENT c. COVERAGE B does not. apply to "personal 1. Paragraph 2J.. of SECTION . I . - COVER- and advertising injury' arising .out of an of - AGES,. COVERAGE A BODILY INJURY Tense committed before you acquired or AND PROPERTY DAMAGE LIABILITY is ,formed the -organization., amended.as;follows: I: CONSTRUCTIONPROJECT' GENERAL AG - Paragraphs (3) and (4) of this ,exclusion do GREGATE1iiWrr not apply to. tools.. or equipment.: loaned to you, provided they are not being.used to per- 1. For all sums. which. the. insured becomes form operations at the time ofloss, , legally obligated to pay as damages caused - !; "occurrences'` under COVERAGE A y 2. SECTION III. =`LIMITS OF INSURANCE is (SECTION` I), and..for all'"medical expenses deleted and replaced by the following: caused by:: accidents under COVERAGE C The most- we will pay in any one "occur- (SEC TION°i), wtiich can .be attributed on to ongoing operai` s at single construction a, w: rence" . for "property damage" . to - borrowed project away from premises owned by or equipment is $15,000: This limit of insur- rented to theinsured:.• ance is = the most we will pay regardless of the number of: a. A Single Construction ' Project General a. Insureds; Aggregatep. toeach con - strrctionprojectaapplies ayfrompramises b. Claims.made-or "suits" brought; or owned 1by or rented to the insured, and that limit is equal to the amount of the c. Persons or organizations making claims General Aggregate. Limit shown in the or bringing ''suits". Declarations. 3. Deductible b. The.Single Construction Project General a. Our obligation to pay damages on behalf Aggregate Limit ls'the rrtost we will pay for the sum, of. all damages under COV- of the insured applies only to the amount damages ERAGE A, except damages because of of in excess of $250 as-appli- cable to "property damage" as the result "bodily injury' or "property damage" in - in "products of any one "occurrence', regardless of clude& the -completed op - erations hazard", and for medical ex - the number ofpersons or organizations who sustain damages because of that penses under COVERAGE C regardless "occurrence"... - . of the number of: b. _ The terms of this insurance, including (1) Insureds; those.. with. respect to...our right and duty (2) Claims made or "suits" brought; or to defend the insured against any "suits" seeking those damages; and your duties (3) Persons o' organizations making "suitso in the event of an "occurrence", claim, or claims or bringing "suit" apply irrespective of the application of the deductible amount. CL CG 00 20 03 07 Includes copyrighted material of Insurance Services Page 3 of 6 Offlce, Inc., with its permission