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HomeMy WebLinkAboutSOFTEX HOLDINGS INC - INSURANCE CERTIFICATESOFTE-2 OF ID: PV CERTIFICATE OF LIABILITY INSURANCE DAT11101DIYYYY) 11101112 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(les) 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 andomement(s). PRODUCER 303-980-6265 Brown 8: Brown of Colorado, Inc 7209625142 1660 S. Albion Street #525 - - Denver, CO'80222 Jason Sartor CONTACT PHONE FAX No, Ea): LAIC, No): -IwC, E-MAIL ADDRESS: INSURE S) AFFORDING COVERAGE NAICN INSURER A: Maryland Casualty Co. 19356 INSURED ..-- SOftEX Holdings Inc INSURER B: PInnacol Assurance Company 41190 28720 Roadside Dr Suite 225 Agoura Hills, CA 91301 Philadelphia Insurance Co. ' INSURER C: 23850 INSURER D: 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INSRADDLTISUBRI POLICY NUMBER MMR)OYIYYYY MMIDOYIYEYIY LIMITS GENERAL LABILITY EACH OCCURRENCE S 1,000,000 A X COMMERCIAL GENERAL LIABILITY X PAS0038009946 11/01/12 11/01/13 DAMA�ETa RENT PREMISES (Ea dccunence7 S 1,000,000 CLAIM$ -MADE OCCUR MED EXP(Anyone person) 5 10,000 PERSONAL BADV INJURY S GENERALAGGREGATE 5 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S 2,000,000 POLICY F PRO LOC $ AUTOMOBILE LIABILITY COM Ea eo dentSINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) S A ANY AUTO PAS003809946 11/01/12 11101113 ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per ecciden9 $ X NON -OWNED HIRED AUTOS X AUTOS Is X UMBRELLA LIAB OCCUR EACH OCCURRENCE 8 6,000,000 H AGGREGATE $ A EXCESS LIAB CLAIMS -MADE PAS003809946 11101112 11101/13 DED I I RETENTIONS I $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? (Mandatory In NH) NIA 4147992 11/01112 11101113 X WCSTAMIT Eft EL. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 1 $ 1,000,000 C Professional Liab PHSD783150 10/01/12 11/01113 Per Claim 1,000,000 IT Aggregate 3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is required) Per policy terms, conditions and exclusions. City of Fort Collins is an additional insured for General Liability as required by written contract. e.GK I IrnoA I C MULUCK IAINItzl_ AI IU1N CITYFTC 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. 215 N. Mason St. 2nd Floor Fort Collins, CO 80622 AUTHHOORRUEEDD REPRESENTATIVE I V © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD