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