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HomeMy WebLinkAbout159569 PS INSTALLATIONS INC - INSURANCE CERTIFICATEDATE(Mw0D1YyYY) AC•OR" CERTIFICATE OF LIABILITY( INSURANCE 9/25/2012 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(IDS) 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 Ilea of such endorsement(s). PDr.r Mo NAME' CO -PRO GROUP INC 5601 S BROADWAY #350 LITTLETON, CO 80121 PHA (303) 730-3715 1'XNo1;(303) 730-1024 INBURERIS) AFFORDING COVERAGE INNI'=M INSURER A' COLORADO CASUALTY INSURED pS INSTALLATIONS, INC. AND INSURER 8 : SHELF IMAGE INC INSURER 0; 3857 STEELE ST UNIT C INSURER 0: DENVER, CO 80205 INSURER E 303-297-2030 INSURER F : COVERAGES CERTIFICATE NUMBER; THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOC CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, EW I R TYPE OF INSURANCE a POLICY NUMBER IMF NYYY MWDDIYYYY IN9R GENERAL 41AEIILITY COMMERCIAL GENERAL LIABILITY F�' CLAIMS -MADE -- I OCCUR A i �CBP8866177 08/17/12 00/17/13 GEN'L AGGREGATE LIMIT APPLIES PER' POLICY191PRO LOC JECT AUTOMOBILE LIABILITY X ANYAUTO BA8867677 08/17/12 08/17/23 A X ALL OWNED SCHEDULED AUTO AUTOS NON -OWNED X HIRED AUTOS X AUTOS g SPECIFI19D UMBRELLA LIAB X OCCUR 08/17/12 08/17/13 A EXCESS LIAB CLAIMS -MADE CV$a69177 DED I X I RETENTION $ 10 000 WORKERS COMPENSATION AND EMPLOYERS, LIABILITY YIN ANY PROPRIETORIPARTNEAA1XICUTIVE WAOFFIGERIM MBER EXClUOE07 (Wndatary In NH) If qas, describe under n$ArRIPTInN eIF OPERATIONS below _. A CARGO COVERAGE ICIBP8866177 08/17/12 08/17/13 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Atlaeh ACORD 101, Additional Remarks Schedule, If more apace Is required) THE CITY OF FT COLLINS, IT'S OFFICERS, AGENTS AND EMPLOYEES I INSURED R1=viatnm KnIMRFR- NAMED ABOVE FOR THE POLICY PERIOD UMENT WITH RESPECT TO WHICH THIS HEREIN IS SUBJECT TO ALL THE TERMS, LIMITS EACH OCCURRENCE S 1 000,000 PREMISES E0 occurrence $ 100,000 MED EXP Any one porson) $ 15,000 PERSONAL & ADV INJURY $ 1 , 0 00 , 00 0 GENERAL AGGREGATE s 2,000,000 PRODUCTS - GOMP/OP AGG $ 2,000,000 S Ee 3INGLE LIMIT . dent $ 1, 000 000 BODILY INJURY (Per parson) $ BODILY INJURY (Peraaddent) $ PROPER GE' Per accident $ S EACH OCCURRENCE $ AGGREGATE $ 5,000,000 S $TATU- OTH- T IMITS ER E.L. EACH ACCIDENT $ E,L, DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT I $ $500,000 PER LOAD RE NAMED AS ADDITIONAL TE HOLDER CANCELLATION CITY OF FT COLLINS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 215 NORTH MASON THE: EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN FT COLLINS, CO 80524 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED 116PRESPVTATIVE 0 1988-2010 ACORD CORPORATION. All rights reserved. ACORD25(2010105) The ACORD name and logo are regisst�te--r��eddyymarks of ACORD )��v 0( — DATE(MMIOD/VVYY) ,d►corro® CERTIFICATE OF LIABILITY INSURANCE 8/22/2012 AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS THIS CERTIFICATE IS ISSUED EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to IMPORTANT: If the certificate holder is an may require an endorsement A statement on this certificate does not confer rights to the the terms and conditions of the policy, certain policies certlfcate holder In lieu of such endorsement(s). PP'-"--- NAME'. PHONE (303) 730-3715 ac.ND:(303) 730-1024 aC No EM. - L CO -PRO GROUP INC ADDRESS: 5601 S BROADWAY #350 f_ INSURERmf AFFORDING COVERAGE NAI / LITTLETON, CO 80121 J� ( INSURER A : COLORADO CASUALTY INSURED PS INSTALLATIONS , INC • AND INSURER B SHELF IMAGE INC INSURER C 3857 STEELE ST UNIT C NSURER O. DENVER, CO 80205 INSURER E . SU303-297-2030 RER NI_IMBER: REVISION NUMBER: COVERAGESCERTIFICATE OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS THIS IS TO CERTIFY THAT THE POLICIES INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS INSR TYPE OF INSURANCE IN wVD POLICY NUMBER MMIDD/YYYY MMIDD/YYYY LTR EACH OCCURRENCE GENERAL LIABILITY f 1,0 O00 PREMISES Ea oxumence X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) f 10 OOO CLAIMS -MADE � OCCUR CBP8866177 08/17/12 08/17/13 PERSONA LSADVINJURV f 1,000,000 A GENERAL AGGREGATE f 2,000,000 PRODUCTS - COMPIOP AGG s 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: f POLICY X PEA LOC 1,000,000 f AUTOMOBILE LABILITY INJ LY INJURY (Per person) f BODILY X ANYAUTO $A8867677 08/17/12 08/17/13 BODILY INJURY (Per accident) f ALL OW s AUTOS f A NED SCHEDULED X AUTO NON-OWNED Per adent X HIRED AUTOS X AUTOS f X SPECIFIED UMBRELLA LIAR X OCCUR CU8869177 09/17/12 08/17/13 EACH OCCURRENCE $ AGGREGATE f 5,000,000 A EXCESS LLAB CLAIMS -MADE $ DED X RETENTIONS lO OOO WC STATU- TM - WORKERS COMPENSATION TO RV LIMITS ER 0.00 AND EMPLOYERS' LIABILITY YIN E.L. EACH ACCIDENT f ANY PROPRIETORMARTNER/F.%ECU IVE Ci OFFICERMEMRER FXCLUDEDi NIA E L. DISEASE - EA EMPLOYE f E.L. DISEASE -POLICY LIMIT E INsnv:otl m ""' It yes. describe Dyer DESCRIPTION OF OPERATIONS below CBP8866177 08/17/1208/17/13 $500,000 PER LOAD A CARGO COVERAGE DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Accifional Remarks Schedule, if more space is required) EMPLOYEES ARE NAMED AS ADDITIONAL THE CITY OF FT COLLINS, IT'S OFFICERS, AGENTS AND INSURED CITY OF FT COLLINS 215 NORTH MASON FT COLLINS, CO 80524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. GJ. AAC , M 1988-2010 ACORD CORPORATION. All rights reserved. ACORD25(2010/05) The ACORD name and logo are registered marks of ACORD