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HomeMy WebLinkAbout414759 SWINGLE INC - INSURANCE CERTIFICATE (2)SWING-2 OP ID: DL CERTIFICATE OF LIABILITY INSURANCE OAT10//12p/11YYY) 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 endorsements . PRODUCER 303-799-0110 CONTACTNAME: Gail Clark Cherry Creek Ins. Agency, Inc. 303-799.0156 Suite 500 5660 Greenwood Plaza Blvd. PHONE 720-212-2056 FAX No 303-799-0156 _ (Pi No,gar) (_, ): EMAIL ail.clark/�,r.�.cher creekins.com ADDRESS9 : V� Greenwood Village, CO 80111 Steven L. Doss INSURER(S)AFFORDING COVERAGE NAIC a INSURER A: Old Republic Ins. Company _ INSURED Swingle, Inc w 1S-,VINSURERS: 8585 E Warren Ave Denver, CO 80231 Firemans Fund Ins Co INSURER C INSURER D INSURER E INSURER 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I OCCUR X MWZY59436 10/11/11 02/01/12 EACH OCCURRENCE DAME-Y6RENTED PREMISES (Eacccurrence) $ 1,000,00 �$ 300,00 MED EXP(Anyone Person) $ 1000 PERSONAL S ADV INJURY S 1,060:00 GENERAL AGGREGATE $ 2,000,00 GENE AGGREGATE LIMIT APPLIES PER: POLICY .[ PRO n LOC PRODUCTS - COMPIOP AGG $ 2,000,00 $ A AUTOMOBILE LIABILITY X ANY AUTO AO� SCHEDULED AUTOS AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS MWTB21432 10/11111 02/01/12 COMBINED SINGLE LIMIT (Ea accitlenl $ 1,000,00 BODILY INJURY (Par Person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accitlenl) $ $ B J( UMBRELLA LIAB E%LESS LIAB X OCCUR CLAIMS -MADE SSE14884738 10/11/11 02/01112 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,002,000.00 DED RETENTION $ 1 S A WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED9 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A MWC117218 10/11/11 02/01/12 WCSTATU- OTH- X TORY LIMITS ER E.L. EACH ACCIDENT 8 1,000,00 EL DISEASE -EA EMPLOYEE $ 1,000,00 E. L. DISEASE -POLICY LIMIT $ 1,000:000 -T DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it mote space is required) As required by written contract or written agreement, the Certificate Holder is included as Additional Insured under General Liability. City of Fort Collins Attn: Purchasing Division 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. AUTHORIZED REPRESENTATIVE C-44 �1� © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/06) The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: A. Section II — Who Is An Insured is amended to include as an additional insured any person or organization who is required by written contract to be an additional insured on your policy, but only with respect to liability for "bodily injury", "property damage" or 'personal and advertising injury" caused, in whole or in part, by: Your acts or omissions; or 2. The acts or omissions of those acting on your behalf, in the performance of your ongoing operations for the additional insured(s) at the project(s) designated in the written contract. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed, or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. This insurance is excess of all other insurance available to the additional insured, whether primary, excess, contingent or on any other basis, unless the written contract requires this insurance to be primary. In that event, this insurance will be primary relative to insurance policy(s) which designate the additional insured as a Named Insured in the Declarations and we will not require contribution from such insurance if the written contract also requires that this insurance be non-contributory. But with respect to all other insurance under which the additional insured qualifies as an insured or additional insured, this insurance will be excess. GL-4667 (01/11) Includes Copyrighted Material of Insurance Services Office With Its Permission