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Home My WebLink About414759 SWINGLE INC - INSURANCE CERTIFICATE (4)SWING-2 OP ID: LIZ CERTIFICATE OF LIABILITY INSURANCE 7A7 F 01/24/13YY) 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 303-799-0110 CONTACT Gail Clark NAME Cherry Creek Ins. Agency, Inc. Suite 500 303-799-0156 5660 Greenwood Plaza Blvd. PHONE FAX A/c No E,d :720-212-2056 A/C No), 303-799-0156 noDaesS: GailC@thinkccig.com Greenwood Village, CO 80111 Steven L. Doss _ INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:Old Republic Ins. Company 10 INSURED Swingle, fri6 INSURER B: Firemans Fund Ins Co 8585 E Warren Ave Denver, CO 80231 INSURER c INSURER D : INSURER E : INSURER F : CAVFRAn FS CFRTIFICATF NIIMFIFR, 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 TYPE OF INSURANCE Too LTSUBR POLICY NUMBER MMI D/YYYY MM/DD/YYYY LICY EFF POLICY EXP LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X MWZY59928 02/01/13 02/01/14 DAMAGEF occurrence) D PREMISESS $ 300,000 CLAIMS -MADE 1XI OCCUR MED EXP (Any one person) $ 10,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 1-1 POLICY FXI PRO n LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,00 BODILY INJURY (Per person) $ A X ANY AUTO X MWTB21787 02/01/13 02/01/14 ALLOWNED SCHEDULED AUTOS ALT NON OWNED HIRED AUTOS HAUTOS BODILY INJURY (Per accident) $ PROPERTYDAMAGE Peraca ent $ $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,00 AGGREGATE $ 2,000,00 B EXCESS LIAB CLAIMS -MADE SSE48673016 02/01/13 02/01/14 DIED RETENTION $ Is A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE Y/N OFFICERIMEMBER EXCLUDED? O (Mandatory in NH) N I A MWC11805600 02/01/13 02/01/14 X WCTORLIMIT ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) As required by written contract or written agreement, The City of Fort Collins, its officers, agents and employees areis included as Additional Insured under General Liability and Automobile Liability. CFRTIFICATF 1.101 nFR CANCFI I ATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CI of Fort Collins City THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Purchasing Division PO Box 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE C-4 J /, @ 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD