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HomeMy WebLinkAbout212187 WEATHERSURE SYSTEMS INC - INSURANCE CERTIFICATE (6)OP ID: LIZ A`�RO CERTIFICATE OF LIABILITY INSURANCE DAT07101on0vDYYVY) F 11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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 endomement(s). PRODUCER 303-799-0110 Cherry Creek Ins. Agency, Inc. 303-799-0156 Suite 500 5660 Greenwood Plaza Blvd. Greenwood Village, CO 80111 Steven L. Doss ONTACT Gail Clark CNAME PHONE 720-212-2056 FAXNe:303-799-0156 _INC,.No. Ext); E-MAIL ADDRESS: ail.clark@cherrycreekins.com PRODUCER WEATH-5 CUSTOMER _ID_M: INSURER(S) AFFORDING COVERAGE NAIL N INSURED Garay Maintenance Systems Inc INSURERA: First Mercury Insurance Co. dba WeatherSure Systems, Inc 3333 S Platte River Drive Englewood, CO 80110 INSURERS: Hanover Insurance INSURERC: National Union Fire Ins Co PA INSURER D: Pinnacol Assurance 41190 INSURER E INSURER F : I COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I AODTYPE OF INSURANCE N%R SUBRI POLICY NUMBER MMIDDYYYY MMEFF L ICY EXP TR DDYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X FMMA003798-2 07101/11 07/01/12 DAMAGE TORENTED PREMISES Ea occurrence 8 500,000 71 CLAIMS -MADE Fx_1 OCGUR MED EXP (Any one person) $ Excluded PERSONAL S ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGG $ 2,000,00 �1l POLICY PRO n LOC B AUTOMOBILE LIABILITY ANY AUTO AHF877561801 07/01111 07/01/112 COMBINED SINGLE LIMIT (Ea accitlenl) $ 1,000,00 BODILY INJURY (Per person) $ X ALL OWNED AUTOS BODILY INJURY (Per accident $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Per accitlem) $ X X I NON -OWNED AUTOS $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,00 AGGREGATE $ 5,000,00 C )(I EXCESS LIAB CLAIMS -MADE BE017565032 07/01111 07101112 DEDUCTIBLE $ RETENTION $ Is D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY IN ANY PROPRIETORIPARTNEftIEXECUTIVE Y❑ OFFICERIMEMBER EXCLUDE09 (Mandatory in NH) NIA 3471401 07/01111 07/01/12 X WC STATU- IOTH- TQRY LIh11T$.—LER Eel, ACCIDENT �$ 1,000,00 E.L. DISEASE - EA EMPLOYEEI$ 1,000,00 It DESGRIFTIibe once ON OF OPERATIONS below E.L. DISEASE -POLICY LIMIT I $ 1,000,00 B Fltr RDF877561501 07/01111 07/01/12 Lirnit 100,00 Ilnstallation Ded 1,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: 6064 Civic Center & Old Town Parking Garage As required by written contract or written agreement, the Certificate Holder is included as Additional Insured under General Liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: James B. O'Neill II ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 AUTHORIZED REPRESENTATIVE 215 N. Mason St., 2nd Floor Ft. Collins, CO 60522 \ �� © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD OP ID: LIZ A`�RO CERTIFICATE OF LIABILITY INSURANCE DAT07101on0vDYYVY) F 11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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 endomement(s). PRODUCER 303-799-0110 Cherry Creek Ins. Agency, Inc. 303-799-0156 Suite 500 5660 Greenwood Plaza Blvd. Greenwood Village, CO 80111 Steven L. Doss ONTACT Gail Clark CNAME PHONE 720-212-2056 FAXNe:303-799-0156 _INC,.No. Ext); E-MAIL ADDRESS: ail.clark@cherrycreekins.com PRODUCER WEATH-5 CUSTOMER _ID_M: INSURER(S) AFFORDING COVERAGE NAIL N INSURED Garay Maintenance Systems Inc INSURERA: First Mercury Insurance Co. dba WeatherSure Systems, Inc 3333 S Platte River Drive Englewood, CO 80110 INSURERS: Hanover Insurance INSURERC: National Union Fire Ins Co PA INSURER D: Pinnacol Assurance 41190 INSURER E INSURER F : I COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I AODTYPE OF INSURANCE N%R SUBRI POLICY NUMBER MMIDDYYYY MMEFF L ICY EXP TR DDYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X FMMA003798-2 07101/11 07/01/12 DAMAGE TORENTED PREMISES Ea occurrence 8 500,000 71 CLAIMS -MADE Fx_1 OCGUR MED EXP (Any one person) $ Excluded PERSONAL S ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGG $ 2,000,00 �1l POLICY PRO n LOC B AUTOMOBILE LIABILITY ANY AUTO AHF877561801 07/01111 07/01/112 COMBINED SINGLE LIMIT (Ea accitlenl) $ 1,000,00 BODILY INJURY (Per person) $ X ALL OWNED AUTOS BODILY INJURY (Per accident $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Per accitlem) $ X X I NON -OWNED AUTOS $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,00 AGGREGATE $ 5,000,00 C )(I EXCESS LIAB CLAIMS -MADE BE017565032 07/01111 07101112 DEDUCTIBLE $ RETENTION $ Is D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY IN ANY PROPRIETORIPARTNEftIEXECUTIVE Y❑ OFFICERIMEMBER EXCLUDE09 (Mandatory in NH) NIA 3471401 07/01111 07/01/12 X WC STATU- IOTH- TQRY LIh11T$.—LER Eel, ACCIDENT �$ 1,000,00 E.L. DISEASE - EA EMPLOYEEI$ 1,000,00 It DESGRIFTIibe once ON OF OPERATIONS below E.L. DISEASE -POLICY LIMIT I $ 1,000,00 B Fltr RDF877561501 07/01111 07/01/12 Lirnit 100,00 Ilnstallation Ded 1,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: 6064 Civic Center & Old Town Parking Garage As required by written contract or written agreement, the Certificate Holder is included as Additional Insured under General Liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: James B. O'Neill II ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 AUTHORIZED REPRESENTATIVE 215 N. Mason St., 2nd Floor Ft. Collins, CO 60522 \ �� © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD