HomeMy WebLinkAboutFRAMEWORKS INC - INSURANCE CERTIFICATE"�W}` TM CERTIFICATE OF
LIABILITY INSURANCE
02/24/2012
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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