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102722 JUPITER I LLC DBA OFFICESCAPES - INSURANCE CERTIFICATE (2)
CERTIFICATE OF LIABILITY INSURANCE ,DA I7fMM'ItDDIYWY) 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 PRODUCER /an Gilder Insurance Corp. 1515 VVynkoop, Suite 200 Denver CO 80202 INSURED 1'() �/ I G JUPI INSURERB Jupiter I, L.L.C. DBA: OffceScapes NSURERC 9900 E 51st Avenue INSURER Denver, CO 80238 COVERAGES CERTIFICATE NUMBER: 2063441535 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 rypE OF INSURANCE AODL INSR SUBR NV POLICY NUMBER POLICY EFF MMMD/VYW) POLICY UP (MMIDDNYYYI LIMITS B GENERAL LIABILITY 91JENOC2298 /l/2013 13/1/2014 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMSESDAMAGE OEa occurrence) $300,000 CLAIMS -MADE IT] OCCUR MED EXP (Any one person) $10,000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN' L AGGREGATE LIMIT APPLIES PER'. PRODUCTS - COMP/OP AGO $2,000.000 X POLICY � PRO LOC $ B 59UENOC2299 /1/2013 b/1/2014 Eaaccident $1000000 BODILY INJURY(Per person) $ ANY AUTO POMOBILELIABIUTY ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS X AUTOS A X UMBRELLA LIAB X OCCUR ZUP11 S1702013NF /l/2013 /l/2014 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 EXCESS LIAB CLAIMS -MADE DIED X I RETENTION$10,000 Follows Form $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN 59WEOC2297 /1/2013 /l/2014 X WC STATU- OTH- iT RYIIMITS $1,000.000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA E.L. EACH ACCIDENT (Mandatory. in NH) E. L. DISEASE - EA EMPLOYEE $1,000,000 If yes, descnbe under OESC RIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space is required) Additional Insured per written notice or contract to General Liability: The City of Fort Collins, Colorado, a Municipal Corporation, its officers and employees The City of Fort Collins, a Municipal Corporation Attn: Director of Purchasing & Risk Managemerri Fort Collins CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD