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HomeMy WebLinkAbout109315 COLORADO DOORWAYS INC - INSURANCE CERTIFICATE (11)COLOR01 OP ID: DC A`�RO CERTIFICATE OF LIABILITY INSURANCE DAT11114DIYYYY) 11114/12 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 Phone:303-831-7100 CONTACT Thomas J. Sisk & Company, Inc. Fax: 303-831-7377 1700 Broadway, Suite 1000 Denver, CO 80290 Trevor Gilstrap-Accts Reassign PHONE FAX AIL No Eat: AIC No: E-MAIL ADDRESS: j I / 7 li INSURER(S) AFFORDING COVERAGE NAIL d INSURER A: Peerless Indemnity INSURED a Colorado DOorWays Inc. Doorway Solutions 52nd & Cook, LLLP INSURER B: Plnnacol Assurance INSURER C: Federal Insurance Company 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. INSR LTR I TYPE OF INSURANCE INSR WID POLICY NUMBER MMIDDYVVVI (MMIDDIYYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PREMISES Es occurrence $ 100,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X X CBP7281463 09/01/12 09101113 MED EXP(Any one person) $ 5,000 PERSONAL B ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN' L AGG R EGATE L 'MIT ENAPPLIES PER. PRODUCTS - COMPIOP AGG $ 2,000,000 PRO LOG POLICY JECT lEmp Ben. $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident)8 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 accident) $ PROPERTY DAMAGE Peraccidenl $ NON -OWNED HIREDAUTOS AUTOS $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 C EXCESS LIAB CLAIMS.MADE 79884682 12101/12 09/01/13 OEC RETENTION$ $ B WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA X 3142569 09/01/12 09/01/13 X WC STATU- OTH- T R IMT R E.L. EACH ACCIDENT $ 1,000,008 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS bolo. E.L. DISEASE -POLICY LIMIT $ 1,000,000 A Property Section CBP7281463 09/01112 09/01113 A Equipment Floate CBP7281463 09/01/12 09/01/13 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The City, its officers, agents and employees are additional insureds on all policies except Workers' Compensation including ongoing 6 completed operations as required by written contract. Insurance is primary and non-contributory. Waiver of subrogation applies to all policies. 30 day notice of cancellation applies. CERTIFICATE HOLDER CANCELLATION CITYOFF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. Attn: John Stephen AUTHORIZED REPRESENTATIVE PO BOX 580 Fort Collins, CO 80522 ACORD 25 (2010/05) © 1988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD