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Home My WebLink AboutCRW INC - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE 4/l/2010 "' PRODUCER (303) 688-9597 FAX: (303) 688-8858 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Co West Insurance Group ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 831 S. Perry St., Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 910 Castle Rock CO 80104 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Continental Divide CRW, Inc INSURER B: Pinnacol Assurance 41190 4421 Inca Street INSURERC: INSURER D: Denver CO 80211 INSURERE: rnvl=laer.Fc THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING AN 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 ADD'L TYPE OF INSURANCE POLICY NUMBER PDATE YMM/DD/YYE POLICY MMIDDIYY EXPIRATION LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [ X1 OCCUR C00050474 3/26/2010 3/26/2011 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence ZOO OOO $ r MED EXP (Any oneperson) $ - 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY JECOT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS C00050474 3/26/2010 a 3/26/2011 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ X X BODILY INJURY accident) $ X(Per PROPERTY DAMAGE - (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ A EXCESS/UMBRELLA LIABILITY X OCCUR 1-1 CLAIMS MADE DEDUCTIBLE X RETENTION 1 000 C00050474 3/26/2010 3/26/2011 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below 4083602 8/l/2009 8/1/2010 WC STATU- I OTH X I TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEq $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS City of Fort Collins, its officers, agents and employees are named as additional insured as pertains to General Liability. City of Fort Collins City Director of Purchasing and Risk Mana 215 N Mason Street 2nd Floor/PO Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 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 Cade Caskey/SLB ACORD 25 (2001/08) IuQn,3r ,1 © ACORD CORPORATION 1988 Donn 1 M')