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HomeMy WebLinkAboutFRAMEWORKS INC - INSURANCE CERTIFICATE"�W}` TM CERTIFICATE OF LIABILITY INSURANCE 02/24/2012 oz/za/zolz 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 CONTACT NAME: Renee McReynolds Ewing -Leavitt Insurance Agency uc°NeEst:970.679.7344 uDNq:866.425.6180 4025 St. Cloud Dr. Suite 100 Loveland, CO 80538 ADDRESS: renee-mcreynolds@leavitt.com PRODUCER 00007539 CUSTOMER ID p: INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURER A: Acuity Insurance 014184 Frameworks Inc INSURER a: Pinnacol Assurance 41190 208 Racquette Drive INSURER C: Suite B INSURER D: Fort Collins, CO 80524 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 2012-13 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 LTR TYPE OF INSURANCE ADDL INSR SUER WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X❑ OCCUR X Blkt WOS L78738- BLANKET ADDL INSURED WHEN REQUIRED BY WRITTEN CONTRACT 03/01/2012 03101/2013 EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTED PREMISES Ea occurrence $ 2SO,OO MED EXP (Any ore person) $ 10,00 PERSONAL& ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROJECT LOC PRODUCTS - COMP/OP AGG $ 3,000,000 $ _T A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS L78738- 03/0112012 03/0112013 CO BINEDt'INGLE LIMIT $Uza 1,000,00 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X $ A UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE L78738- 03/01/2012 03/0112013 EACH OCCURRENCE $ 1,000,00 )( AGGREGATE $ 1,000,000 DEDUCTIBLE RETENTION $ $ $ B WORKERS COMPENSATIONAND EMPLO ERS' LIABILIITY YIN AN ECUTIVE❑ OFFiCERIMEMBEREXCLUDED? (Mandatory in NH) If es r DESCRIPTION OF OPERATIONS below MIA 4121487 03/0112012 03/01I2013 X ORY LIMITS OER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE- EA EMPLOYEE $ 500,000 E.L. DISEASE- POLICY LIMIT 1 $ 500,000 A ontractors Equipment L78738- 1 03/01/2012 03/01/2013 Installation Floater $125,000 limit/$500 ded DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) ity of Fort Collins is Additional Insured as respects General Liability. CERTIFICATE HOLDER CANCELLATION FAX: 970.221.6707 City of Fort Collins Attn: John Stevens 281 N. College Fort Collins, CO 80524 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 ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD