The URL can be used to link to this page

Home My WebLink About310036 BLUE DOT SOLUTIONS INC - INSURANCE CERTIFICATE (6),d►� fzo® CERTIFICATE OF LIABILITY INSURANCE TE 09-3o toil THIS CERTIFICATEIS 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 ADDITIONALINSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statementon this certificate does not confer rights to the certificate holder in lieu of such endorsementls). PRODUCER COBIZ INSURANCE INC/PHS CONT CT NAME: Fe41L''" (s66)e67-R7ao FAX, (a77)9os-ons 340725 P: (866)467-8730 F: (877)905-0457 PO BOX 33015 ADDRESS:M 777DU SAN ANTONIO TX 78265 CUSTOMERIDa: IINSURER(S) AFFORDING COVERAGE I NAICa INSURED INSURER A: Hartford CasualtY IRS Co INSURERB: BLUE DOT SOLUTIONS, INC _ INSURER C: 1900 GRANT ST STE 800 DENVER CO 80203 INSURER D: INSURER E NSURER F 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 TR IEX TYPE OF INSURANCE INSR WVD POLICY NUMBER IMM IDD/VYYyI IMMIDDIVYYY) LIMITS A GENERAL LIABILITY I COMMERCIAL GENERAL LIABILITY I I CLAIMS -MADE' X I OCCUR I XI General Liab X 34 SBA IR0798 12/01/2011 12/01/2012 EACH OCCURRENCE I S 1, 000, 000 PREMISES IEa o cvnencel $ 300, 000 MED EKE (Any one persons S 10, 000 PERSONAL & ADV INJURY $ 1,000,000 I GENERAL AGGREGATE $ 2,000, 000 GENT AGGREGATE LIMIT APPLIES PER: POLICY I i JECT IXI LOC PRODUCTS- COMP/OP AGO I s 2, 000, 000 I s _ A� AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS _ SCHEDULED AUTOS AUTOS I NON -OWNED AUTOS - 1 34 SBA IR0798 12/01/2011 12/01/2012 COMBINED SINGLE LIMIT (Ea accidentl I S 1, OOO, 000 I BODILY INJURY IPer persons � $ X�HIRED X BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Par ocb,denq S $ A I X _ XI I UMBRELLA LIAR I X I OCCUR IEXCESS LIAB CLAIMS -MADE DEDUCTIBLE RETENTION $ 10,000 34 SBA IR0798 12/01/2011 12/01/2012I EACH OCCURRENCE S 5,000, OOO AGGREGATE S 5,000,000 $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PAHTNER'EXECUTIVE� OFFIC ERIMEMBEREXCLUDED1 (Mandatory In NH) If yes, describe render DESCRIPTION OF OPERATIONS below NIA ORY LIMIU$ OETH R I. EACH ACCIDENT E.L. DISEASE EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A Technology E&O 1 1 134 SBA IR0798 1 12/ 01/20111 12/01/2012 1 1, 000, 000/l, 000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101. Additional Remarks Schedule, it more space is reoul Those usual to the Insured's Operations. City of Fort Collins Attn: Jim Hume PO Box 580 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. AUTHORRI R PRESENTATIVE ` ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD