Loading...
HomeMy WebLinkAbout109315 COLORADO DOORWAYS INC - INSURANCE CERTIFICATE (7)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DC DATE (MM/DD/YYYY) 1 COLOROI 08/25/09 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 NAIC # INSURED INSURER A: Continental Western Ins. Colorado Doorways, Inc. Doorway Solutions 52nd & Cook; LLLP INSURERB: Pinnacol Assurance INSURER C: INSURER D: 3333 E 52nd I 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. IMS LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/Y POLICY EXPIRATION DATE MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1, 000, 000 A X COMMERCIAL GENERAL LIABILITY CWP2539029 09/01/09 09/01/10 PREMISES (Ea occurenee) $ 100,000 CLAIMS MADE FX7 OCCUR MED EXP (Any one person)- $ 5,000 X Contractualj Liab PERSONAL &ADV INJURY $ 1, 000, 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 POLICY X JROT LOC Emp Ben 1,000,000 A AUTOMOBILE LIABILITY ANY AUTO CWP2539029 09/01/09 09/01/10 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY - (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS/UMBRELLA LIABILITY X I OCCUR El CLAIMSMADE CU2540209 09/01/09 09/01/10 EACH OCCURRENCE $5,000,000 AGGREGATE $ 5, 000, 000 $ DEDUCTIBLE $ X RETENTION $ 10, 000 B ..ANY WORKERS COMPENSATION AND EMPLOYERS' LIABILITY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? It yes, describe under SPECIAL PROVISIONS below 3142569 09/01/09 09/01/10 X TCRY LIMITS X ER E.L.EACHACCIDENT $ 1, 000, 000 E.L. DISEASE - EA EMPLOYEE $ 1, 0 0 0 , 0 0 0 E.L. DISEASE - POLICY LIMIT $ 1, 000, 000 OTHER A Blanket BPP CWP2539029 09/01/09 09/01/10 BPP $1,325,000 A Blanket Stock CWP2539029 09/01/09 09/01/10 Stock $1,185,000 DESCRIPTION OF OPERATIONS / LOCATIONS The City, its officers, / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS agents and employees are additional insureds. CERTIFICATE HOLDER CANCELLATION CITYOFF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO 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 City of Fort Collins Attn: John Stephen IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR PO BOX 58O REPRESENTATIVES. Fort Collins CO 80522 AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) 1 © ACORD CORPORATION 1988 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 (2001/08)