Loading...
HomeMy WebLinkAbout383935 LIGHTLY TREADING INC - INSURANCE CERTIFICATE (3)Acoizo® CERTIFICATE OF LIABILITY INSURANCE - DA E(MMDDMY) 9 7 2011 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. IA statement on this certificate does not confer rights to the - certificate holder in lieu of such endorsements . PRODUCER . Van Gilder Insurance Corp. 1515 Wynkoop, Suite 200 Denver CO 80202 CONTACT NAME: PHcree ZamarrlCa PHONE FAX E-MAIL I ADDREss.szamarrinaOaygiC Com INSURER(Sl AFFORDINGCOVERAGE NAICN INSURERA:H nB.uran,(Service INSURED ql LIGTRE Lightly Treading, Inc. 4303 Brighton Blvd., Bldg 3 Denver CO 80216 INSURER 5:Tll aye lero Casualty& Surety Cc C)IOR INsuRERc: Irt£ord_1nsurance Company INSURER D: I INSURER E : INSURER F' COVERAGES CERTIFICATE NUMBER: 1957855487 1 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. IITR TYPE OF INSURANCE NSR19UURF POLICY NUMBER MMmDIIYYYY MMrDDLICY Err —POLICYl1'YYY LIMITS C GENERAL LIABILITY Y 34SBWVR5402 91112611 /l/2012 EACH OCCURRENCE $1,000,000 - X COMMERCWL GENERAL LIABILITY CLAIMS_ -MADE r.—I OCCUR AM ETO-RENTED PREMI ES Ea o¢urmnce 81,-000, 000 MED EXP(Any one person) 810,000 PERSONAL SADVINJURY. $1,000, see ' GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $2,000, 000— S POLICY PRO-FrIT % Let I C AUTOMOBILE LIABILITY Y Y 34SBWVR5402 9/1/2011 /1/2012 Ea ace Oent $1 000 000 BODILY INJURY(Par person) S ANY AUTO ALL OMED SCHEDULED AUTOS AUTOS BODILY INJURY (Per ao:idenN E % NON -OWNED HIRED AUTOS % AUTOS PROPERTY DAMAGE Per ecciden 6 E C % UMBRELLA LIAB OCCUR Y y 34SBWVR5402 /l/2611 /1/2012 EACH OCCURRENCE 53, 000, 000 AGGREGATE $3, 000, 000 EXCESS LIAB CLAIMS -MADE DED IX I RETENTION$10,000 Is A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE❑ OFFICER/MEMBER EXCLUDED? NIA 34WEGIN3841 /l/2011 /l/2012 WC STATU- OTH- DORY ER E. L. EACH ACCIDENT $1,000,000 EL. DISENSE- EA EMPLOYE E1, 000,000 (Mandatay In NH) es. desalt» under It Kos. OF OPERATIONS bek EL DISEASEPOLICYLIMIT $1,000, 000 B Professional Liability 105338920 /1/2011 /1/2012 Per Claim $1, 000,000 Claims made I Annual Aggregate $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, as more space is hammul If required by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The Certificate Holder and Owner are included as Additional Insureds for ongoing and completed operations under General Liability; Designated Insured under Automobile Liability; and Additional Insured under Umbrella /,Excess Liability but only with respect to liability arising out of the Named Insured's work performed on behalf of the certificate holder and owner. This insurance will apply on a primary, non-contributory basis. A Blanket Waiver of Subrogation applies See Attached... City of Fort Collins Attn: Purchasing PO Box S80 Fort Collins CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ©1988-2010 ACORD CORPORATION_ All riahts ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD C 0® L AGENCY CUSTOMER ID: LIGTRE LOC #: ADDITIONAL REMARKS SCHEDULE Page 1 of I AGENCY Van Gilder Insurance Corp. NAMED INSURED Lightly Treading, Inc. 4303 Brighton Blvd., Bldg 3 Denver CO 80216 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE for General Liability, Automobile Liability, Umbrella/Excess Liability and workers' Compensation. Limited Contractual Liability is included. The Umbrella / Excess Liability policy provides excess coverage over the General Liability, Automobile Liability and Employers Liability. reserved. The ACORD name and logo are registered marks of ACORD