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Home My WebLink AboutC & S SPECIALTY SYSTEMS INC - INSURANCE CERTIFICATEA�� CERTIFICATE OF LIABILITY INSURANCE 2/110/2011rv) 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), AUTHORRED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the polky(les) must be endorsed. N SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endomemem. A statement on this certificate does not corder rights to the certificate holder In lieu of such endamemen a . PRODUCER Colorado BW insurance Agency, Inc. PO Sox 3049 Evergreen CO 80437 Ye; Evergreen CSR PKOKE (303)674-5501 ACX .n071474a571 NIL PRODUCER A0025910 INSURE S AFFORDING COVERAGE NAIC9 INSURED C & S Specialty Systems Inc 5609 W 6th Ave., Unit B - Lakewood CO 80214 INSURER A:BCottadale Ins Cc INsunpi;:State Auto Insurance Companies Ixsuuntc:Pinnacol Assurance 1190 INSURER D: INSURER E: e rt/1VFRArPA CFRTIFICATF NIINIRFR2D11-12 Master REVISION MLIMRFR- 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 MATH 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 LT, TYPE OF INSURANCE ROUL UUUKPOLICY POLICY NUMBER EPF NMIO P UCY P 0 LIMITS A OENERALILIBILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE T OCCUR CPS1324900 /0/2013 - /0/2012 EACH OCCURRENCE S 1,000,000 R PREMISES Me a�) 1 100,000 MED EXP ana S 5,000 PERSONAL a AM INJURY S - 1,000,000 GENERAL AGGREGATE 6 2,000,000 GENT AGGREGATE X POLICY LIMIT APPLIES PER PR0. LOC JFCT PRODUCTS - COMPIOP AGG 1 11000,000 S . B AUTOMOBILE LABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS UL HIRED AUTOS NON -OWNED AUTOS 00 . ... AP222069302 /1/2011 /l/2012 COMBINED SINGLE L@tR (Es ecodwe) 1 11000,000 X BODILY INJURY Me, pemcn) 1 BODILY INJURY (Per axidNd) S PROPERTY DAME AG (Per eedderr) i UnYmrm Meseta IN opM aM S 1, 000, 000 umubsored mowed IN spa S 1,000,000 A X UMBRELLA UAB EXCESS LIAR % OCCUR CLANS -MADE 80012795 /8/2011 16/2012 EACH OCCURRENCE S 4,000,000 AGGREGATE S 4,000,000 DEDUCTIBLE RETENTION S 10,000 1 X S C ' WORKERS COMPENSATION AND EMPLOYERS• LABILITY YIN ANY PROPRIETORiPARTNERIEXECVnVE OFFICEA/MEMBER EXCLUDED? 1:11NfA (WMatoryln NN) Vryast dIPTION nds OESCRIPTX)N OF OPERATIONS eebw 1{37e3 /1/2011 /1/2012 VJC BTATU- OTH- E.L. EACH ACCIDEW f 1,090,000 E.L. DISEASE• EA EMPLOYEE S 11000,000 El. DISEASE • POLICY LIMB i 1,00,000 Professional Liability 1M per occur 2M aggregate 01324980 (A) Scottsdale Ins. Co. /6/2013 /8/2012 DESCRIPTION OF OPERATIONS I LOCATIONS $ VEHICLES (Aanh ACORD 10, AMNand Raeaft Bahockdo, Smon open Is m0drae) , 'City of Fort Collins P.O. Sox SSO Fort Collins, CO 80522 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVEREO�- UI ACCORDANCEWTTH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE -- - Moore/EVHJM �^—ti—— reserved. INSU2o (20MM IIna AAa wmu name anu logo era rograwr u mums oN Ya wnu