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Home My WebLink About109315 COLORADO DOORWAYS INC - INSURANCE CERTIFICATE (10)COLOR01 OP ID: DC ,mot �Ro° CERTIFICATE OF LIABILITY INSURANCE DAT08123/12 Y) 08123112 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 INSURERS), 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 303-831-7100 NAMEACT Thomas J. Sisk a Company, Inc. 303-831-7377 1700 Broadway, Suite 1000 PHONE FA% AIC No Eat: AIC No: Denver, CO 80290 Trevor Gilstrap-Accts Reassign E-MAIL ADDRESS: V n I L/, INSURER(S) AFFORDING COVERAGE NAIC N INSURER A: Peerless Indemnity INSURED Colorado Doorways Inc. Doorway Solutions 52nd & Cook, LLLP INSURER B: Plnnacol Assurance INSURERC: Great American Insurance Co. INSURER D: Janice Baumgartner 3333 East 52nd Ave Denver, CO 80216-2322 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. INBR LTR TYPE OF INSURANCE A DDLSU.h POLICY NUMBER POLICY EFF MMIDDYYYY POLICY YY Y MM IDOY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX I OCCUR X X CBP7281463 09/01/12 09/01/13 TE PREMISES Ea olccurence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL S ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN LAGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X JECTPRO LOC Emp Ben. $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accitlent $ 1,000,000 X BODILY INJURY (Per person) $ A ANY AUTO X X BA7281459 09/01/12 09/01/13 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accidenQ $ NON -OWNED HIRED AUTOS HAUTOS PROPERTY DAMAGE Per accitlent $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 C EXCESSLIAB CLAIMS -MADE SBU024425401 09/01/12 09/01/23 D ED X RETENTION$ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYOFFICERIMEMBERIEXCLUDR/E%ECUTIVE YINF—i (Mandatory in ER EXCLUDED' (Mandatory in NH) N / A X 3142569 09/01/12 09/01/13 X WC STATU- OTH- T RY LIMIr ER EL. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 It yes des —be undor DESCRIPTION OF OPERATIONS nor. I E. L. DISEASE -POLICY LIMIT 1 $ 1,000,000 A Property Section EBP7281463 09/01/12 09/01/13 A Equipment Floats CBP7281463 09/01/12 09/01/13 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 1e1, Additional Remarks Schedule, if more space is required) The City, its officers, agents and employees are additional insureds as required by written contract. Waiver of subrogation applies to all policies. Insurance is primary 6 non-contributory. 30 day notice of cancellation applies. CITYOFF City of Fort Collins Attn: John Stephen 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 U 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD