HomeMy WebLinkAbout310036 BLUE DOT SOLUTIONS INC - INSURANCE CERTIFICATE (2)ACORD,M CERTIFICATE OF LIABILITY INSURANCE DATE
�01-07-2010
PRODUCER
COBIZ INSURANCE INC/PHS
340725 P:(866)467-8730-F:(877)905-0457,1
PO BOX 33015
SAN ANTONIO TX 78265JC[D
INSURED FEB
BLUE DOT SOLUTIONS, INC ` 111� N 2010
1900 GRANT ST. STE 1200 —_
DENVER CO 80203
COVERAGES
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
FJOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
/ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
INSURER A: Hartford Casualty Ins Co
INSURER B:
INSURER C:
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.
INSR TYPE OF INSURANCE
LS
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION LIMITS
DATE MM/DD/YY DATE MM/DD/YY
GENERAL LIABILITY
r -- __- .
EACH OCCURRENCE 52 , 000, 000
A
COMMERCIAL GENERAL LIABILITY
34 SBA' 'I R 0'7 9 8
12/01/09
12/01/10 FIRE DAMAGE (Any one fire) S3 0 0 , 0 0 0
CLAIMS MADE I X OCCUR-.`
MED EXP (Any one person) $10 , 000
X General Liab
` I MR �.
PERSONAL & ADV INJURY S2 , 000 , 000
IVI/i yt r
GENERAL AGGREGATE S4 , 000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG S4 , 000, 000
POLICY JECT X LOC
�. r
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
S2 000, 000
A
ANY AUTO
34 SBA IR0798
12/01/09
12/01/10 (Ea accident)
,
$
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS
(Per person)
X
HIRED AUTOS
BODILY INJURY
$
X
NON -OWNED AUTOS
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
$
ANY AUTO
OTHER THAN EA ACC
$
AUTO ONLY: AGG
EXCESS LIABILITY
EACH OCCURRENCE $
A
_
X I OCCUR u CLAIMSMADE
34 SBA IR0798
12/01/09
12/01/10 AGGREGATE $
$
DEDUCTIBLE
$
X RETENTION $10 , 000
$
WORKERS COMPENSATION AND
WC STATU- OTH-
TDRY LIMITS ER
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
OTHER
A
Technology E&O
34 SBA IR0798
12/01/09
12/01/10
1,000,000/1,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Those usual to the Insured's Operations.
CIS I IrIL.N 1 C rIULUrn I L�. I AUUIIII•�f(�L INSURtU; INSURER Litt ItR: 1i UAIVL,tLLA 1 IUIV
City of Fort Collins
Attn: Jim Hume
C
Box 580
rt Collins CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) 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. 4
=TINE - 1117 ���
0 ACORD CORPORATION 1988
ACORD25t.LS (7/97