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HomeMy WebLinkAbout414759 SWINGLE INC - INSURANCE CERTIFICATESWING-2 OP ID: LIZ '4`� �' CERTIFICATE OF LIABILITY INSURANCE DAT01/20O/YVYV) ov2o/12 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 endorsement(s). PRODUCER 303-799-0110 NAMEACT Gail Clark Cherry Creek Ins. Agency, Inc. Suite 500 303-799-0156 5660 Greenwood Plaza Blvd. PHONE FAX laEll,c No 720-212-2056 A/C, Nol: 303-799-0156 EMAIL ADDRESS: GailC@thinkccig.com Greenwood Village, CO 80111 Steven L. Doss INSURER(S) AFFORDING COVERAGE NAIC N INSURERA:Old Republic Ins. Company INSURED Swingle, Inc INSURER B: Firemans Fund Ins Co 8585 E Warren Ave Denver, CO 80231 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 ADDL SUBAPOLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR MO POLICY NUMBER MM/DDIYYYV MMIDDIYYYV LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERALLIABILI Y X MWZY59554 02101/12 02/01/13 PREMISES Ea occurrence_ $ 300,00 CLAIMS -MADE I —XI OCCUR MED EXP (Any one person) $ 10,00 PERSONAL B ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,00 $ POLICY X PROIECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 8 1,000,00 BODILY INJURY (Per person) $ A X ANY AUTO MWTB21506 02/01112 02101/13 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peraccidenl) $ NON -OWNED HIRED AUTOS AUTOS X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,00 AGGREGATE $ 2,000,00 B EXCESS LIAR CLAIMS -MADE SSE48563514 02/01112 02/01113 DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? F IMandamry in NH) NIA MWC11735500 02/01/12 l02/01/13 X NG STATUS OTH- TORY LIMITER EL. EACH ACCIDENT $ 1,000,00 EL.DISEASE -EA EMPLOYEE $ 1,000,00 If yes describe under DESCRIPTION OF OPERATIONS below E. L. DISEASE -POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more 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 @ 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD