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HomeMy WebLinkAbout114721 SIGNATURE OFFSET - INSURANCE CERTIFICATEACCIR©^ DATE(MM/DD/YYYY) `..�� CERTIFICATE OF LIABILITY INSURANCE 9/30/2011 9/29/2010 PRODUCER Lockton Companies, LLC Denver THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 8110 E Union Avenue ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Suite 700 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Denver CO 80237 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (303) 414-6000 INSURED Intermountain Color, Inc. dba Signature Offset 1038155 P.O. Box 4299 Boulder, CO 80306 COVERAGES INTC001 GH INSURERS AFFORDING COVERAGE NAIC # INSURER A : Travelers Property Casualty Co of America 25674 INSURER B : The Charter Oak Fire Insurance Company 25615 INSURER C : Travelers Casualty and Surety Company 19038 INSURER D : INSURER E : rHIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE IS,' 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 LTR ADDT INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS - A- X GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fx_1 OCCUR P6309609R673 9/30/2010 9/30/2011 EACH OCCURRENCE $ 1,000,000 DAMAGEcORENTED PREM ., a occurence` $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 21000,000 GEN'L AGGREGATE LIMIT APPLIES.PER: - POLICY JECPROT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 B X AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS P8109609R673 9/30/2010 9/30/2011 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ XXXXXXX X BODILY INJURY (Per accident) $ XXXXXXX X PROPERTY DAMAGE (Per accident) $ XXXXXXX GARAGE LIABILITY ANY AUTO NOT APPLICABLE AUTO ONLY - EA ACCIDENT $ XXXXXXX OTHER THAN EA ACC AUTO ONLY: AGG $ XXXXXXX $ XXXXXXX A EXCESS/UMBRELLA LIABILITY X OCCUR CLAIMS MADE UMBRELLA El DEDUCTIBLE FORM X RETENTION $ 10,000 CUP9609R673 9/30/2010 9/30/2011 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 $ XXXXXXX $ XXXXXXX $ XXXXXXX C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / NTORY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under SPECIAL PROVISIONS below ,UB9609P.673 9/30/2010 9/30/2011 X WC STATU- OTH- LIMITS E.L. EACH ACCIDENT 500,000 $ , E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: 7070 Printing & Distribution Services -Catalog - City of Fort Collins, its officers, agents and employees are named as additional insured but only as respects work performed and/or services provideAy the named insured. - 10727737 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Financial Services NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Purchasing Division IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR P.O. Box 580 Fort Collins CO 80522 REPRESENTATIVES. AUTHORIZED REPRES T E C , i e rtr ACORD 25 (2009/01) ° 1 88-2009 ACORD CO ORATION_ All riahtc rPCPrvart The ACORD name and logo are registered marks of ACORD ne Fnr re—tinre.—dinn this certificater . nntatt the numhnr lie ed in the. 'Pen veer' cnHinn ah— and cneeiN the client ende'INTDDn1'-