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HomeMy WebLinkAbout114721 INTERMOUNTAIN COLOR DBA SIGNATURE OFFSET - INSURANCE CERTIFICATEACORD, CERTIFICATE OF LIABILITY INSURANCE9/30/2013 DA9/252012w) 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(iss) 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 endomement(s). PRODUCER Lockton Companies, LLC Denver 8110 E UOlon Avenue Suite 700 Denver CO 80237 (303) 414-6000 �\ CONTACT NpM j FAX AIC, No Ezt : A/C No E-MAIL ADDRESS, NSURERISI AFFORDING COVERAGE C p INSURERA: Travelers Property Casushy Co of America 25674 INSURED Intermountain Color, Inc. 1038155 dba Signature Offset 4900 Pea E. Circle, Suite 300E Boulder,CO80301 INSURER B : the Charter Oak Fire Insurance Company 25615 INSURERC: Travelers Casualty and Surety Company 19038 INSURER D NSURER E INSURER F CnVFRAQFS INTCt701 6H CERTIFICATE NUMBER- I I OR5919 REVISION NUMBER: XXXXXXX 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 TR TYPE OF INSURANCE ADDL INSR SUER 1YVD POLICY NUMBER POLICY EFF MMI POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY Y N P6309609R673 9/30/2012 9/30/2013 EACH OCCURRENCE 1,000,000 DAMAGE TORENTED occu .no. 1.00 000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any oneperson) 5,000 CLAIM&MADE 7 OCCUR PERSONAL a ADV INJURY $ 1000 000 GENERAL AGGREGATE $ 2,000,000 GEN'LOLICY AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO $ 2,000000 PRO- PJECT LOC $ R AUTOMOBILE LIABILITY Y N P8109609R673 9/30/2012 9/30/2013 EOMeBINOEeD1SINGLELIMIT $ 1,000.000 X BODILY INJURY (Per person) $ XXXXXXX ANY AUTO AUTOWNED AUTOSULED BODILY INJURY (Per accident $ XXXXXXX PerraccidenDAMAGE $ XXXXXXX HIREDAUTOS AUTOS EO $ XXXXXXX A }( UMBRELLA LIAB X OCCUR N N CUP9609R673 9/30/2012 9/30/2013 EACH OCCURRENCE $ 5,000.000 AGGREGATE $ 5,000.000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ XXXXXXX C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ECUTIVE OFYF CE23MEMBER EXCLUDED? tMandatory In No NIA N U139609R673 9/30/2012 9/30/2013 X TOCRY $TATU- LIMITS I otH- E L. EACH ACCIDENT $ 500,000 E L. DISEASE EA EMPLOYEE 500,000 It yes 4escnceuMer DESCRIPTION OF OPERATIONS pebr EL. DISEASE -POLICY LIMIT s 500000 A P. nm> E&O N NI P6309609R673 9/30/2012 9/30/2013 51,000,000 Each Wrongful Act S2,000.000 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I(Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: 7070 Printing & Distribution Services - The City of Fort Collins, its officers, agents and employees are additional insured but only as respects work perl'ormed and/or services provided by the named insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 11085819 AUTHORIZED REPRESENTATIVE City of Fort Collins Purchasing Division P.O. Box 580 Fort Collins CO80522 hoe -lei ` lall ACORD 25 (2010/05) Inc 19 9 O10 ACORD CORPOKATION. All rights reserved Th. AnnRn name o.A Inns yen —lisfeirai r..arke, of ArnRn