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HomeMy WebLinkAbout114721 INTERMOUNTAIN COLOR INC - INSURANCE CERTIFICATEncoRo° CERTIFICATE OF LIABILITY INSURANCE II CERTIFICATE DATE /27/1 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 policyties) 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 endorsement(s). PRODUCER LOCKt00 Companies, LLC Denver 8110 E Union Avenue Suite 700 Denver CO 80237 (303) 414-6000 CONTACT NAME: AID, No Ezt : INC,IFAX No E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIL It INSURERA: Trevelere Property C,sually CoorAmerice 25674 INSURED Intermountain dolor, Inc. 1038155 dba Signature Offset P.O. Box 4299 Boulder, CO 80306 INSURER B: The Charter Oak Fire Insurance Company 25615 INSURER C: Travelers Casualty and Surety Company 19038 INSURER D INSURER E INSURER F COVERAGES INTC001 GH CERTIFICATE NUMBER: 11085819 REVISION NUMBER: XXXXXXX 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 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TR TYPE OF INSURANCE ADDL INSR SUER WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMID /YYW LIMITS A GENERAL LIABILITY Y N P6309609R673 9/30/2011 9/30/2012 EACH OCCURRENCE 1,000,000 S ES OEa o ou ante PREMGE 100,000 X COMMERCIAL GENERAL LIABILITY MED EXP An oneperson) 5,000 CLAIMS -MADE 7 OCCUR PERSONAL a ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPtOP AGO $ 2000000 17 POLICY PRO- JECT LOU $ B AUTOMOBILE LIABILITY Y N P8109609R673 9/30/2011 9/30/2012 EO aBINEDtSINGLE LIMIT $ 1,000,000 X BODILY INJURY (P.,person) $ XXXXXXX ANY AUTO ALLOWNED AUTODULEO BODILY INJURY(Peraccident $ XXXXXXX PROPERTY acatlen DAMAGE $ XXXXXXX HIRED AUTOS NON -OWNED $XXXXXXX A X UMBRELLA LIAB X OCCUR N N CUP9609R673 9/30/2011 9/30/2012 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTIONS $ XXXXXXX C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRI ETORIPARTNERIEXECUTIVE OFFICERIMEMSER EXCLUDED i N (Mnndntu,.d NN) NIA N UH9609R673 9/30/2011 9/30/2012 X TWCORY LSTATU- IMITS OTH- E. L EACH ACCIDENT $ 500 000 EL. DISEASEEAEMPLOYEE 500000 If yes, destnbe under DESCRIPTION OF OPERATIONS but. E.L. DISEASE -POLICY LIMIT Is500000 A Printer's E&O N N P6309609R673 9/30/2011 9/302012 $1,000,000 Each Wrongful Act S2 000,000 Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE 7070 Printing & Distribution Services - The City of Fort Collins, its officers, agents and employees are additional insured but only as respects work performed and/or services provided by the named insured. CtK I It -ILA I t HULUtK CANUtLLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 11085819 AUTHORIZED REPRESENTATIVE City of Fort Collins Purchasing Division P.O. Box 580 Fort Collins CO 80522 aria V/ ACORD 25 (2010105) (D 199812010 ACORD CORPO ATION_ All runts reserved The ACORD name and logo are registered marks of ACORD l.O CERTIFICATE OF LIABILITY INSURANCE �� 9/302012 DATE 9/27/2011 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(les) 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 endorsement(s). PRODUCER Locklon Companies, LLC Denver 8110 E Union Avenue Suite 700 Denver CO 80237 (303) 414-6000 CONTACT NAME: PHONE AIC No Eat):INC. No E-MAIL ADDRESS N AFFORDING COVERAGE NAIC N INSURER A: Travelers Propeny Casualty Cc of America 15674 INSURED Intermountain Color, Inc. 1038155 dba Signature Offset P,O. Box 4299 Boulder, CO80306 INSURER B: The Charter Oak File Insurance Company 25615 INSURER : Travelers Casualty and Surety Company 19038 IN RERD: INSURER E: INSURER COVERAGES INTCO01 GH CERTIFICATE NUMBER: 10727,737 REVISION NUMBER: XXXXXXX 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 LTR TYPE OF INSURANCE ADDL INSR SUBR MD POLICY NUMBER POLICY EFF MM/DDrYYNY POLICY EXP NMM1DDP(YYYILIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F—x] OCCUR Y N P6309609R673 9/302011 9/30/2012 EACH OCCURRENCE 1 MONO PREMISES ES (Ed occurrence) 100,000 MEO EXP (4yny oneperson) 5,000 PERSONAL B ADV INJURY 8 I,000.00O GENERAL AGGREGATE $ 2.000.000 GENT AGGREGATE LIMIT APPLIES POLICY PRO- JECT PER: LOC PRODUCTS - COMPIOP AGG $ 2.000.000 $ B AUTOMOBILE LIABILITY ANYAUTOBODILY AUTOS NED AUTOSULED HIRED AUTOS AUUT03WNED Y N P8109609R673 9/30/2011 9/30/2012 EOMaB`tlEeDSINGLELIMIT S I,000,000 X INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ XXXXXXX PeoacPtlen DAMAGE $ XXXXXXX $ XXXXXXX A X UMBRELLA LIAR EXCESS LIAB X OCCUR -MADE N N CUP9609R673 9/30/2011 9/30/2012 EACH OCCURRENCE $ 5,000,000 CLAIMS AGGREGATE Is 5,000 000 DED I I RETENTIONS $ XXXXXXX C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? N (Mandatory In NHl It yes, resented under DESCRIPTION OF OPERATIONS Below N/A N UH9609R673 9/30/2011 9/30/2012 WC STATU- OTH- X TORV LIMITS E. L. EACH ACCIDENT $ 500000 E.L DISEASE - EA EMPLOYEE If 500000 E. L. DISEASE -POLICY LIMIT 500000 A Pnnmrb F.@O NI N P6309609R673 9/30/2011 9130/2012 $1000,000 Each Wronbful Act 52 000,000 Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES ((Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: 7070 Printing K Distribution Services -Catalog - City of Fort Collins, its officers, agents and employees are named as additional insured but only as respects work pergormed and/or services provided by the named insured. CEK I IFICA I E HULUEK CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, 10727737 AUTHORIZED REPRESENTATIVE City of Fort Collins Financial Services Purchasing Division P,0. Box 80 Fort Collins CO 80522 r /G 1✓/ ACORD 25 (2010/05) ©1 6 2010 ACORD CORPOKATION. All rights reserved The ACORD name and logo are registered marks of ACORD