HomeMy WebLinkAboutCENTRAL DENVER IRONWORKS INC - INSURANCE CERTIFICATE (2)Pf:rvvJ3M,vJ3
acoRa CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDO Y)
I, 02/25/2013
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 1-303-534-4567 CONTACT
IMA, Inc. - Colorado Division NAME: _
PHONE FAX
1550 17th Street
Suite 600
Denver, CO 80202
INSURED
Central Denver Ironworks, Inc.
4245 Fox Street
Denver, CO 80216
INSURER(S) AFFORDING COVERAGE
INSURERA: CHARTER OAR PIRG INS CO(Travelers)
INSURER B:
COVERAGES CERTIFICATE NUMBER: 32133699 REVISION NUMBER:
NAIL 4
25615
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
ADDLSUBR
POLICY EFF
POHCYEXP
LTR
TYPE OF INSURANCE
POLICY NUMBER
MMIODIYYYY
MMIDDIYYYY
LIMBS
GENERAL LIABILITY
EACH OCCURRENCE
$
DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY
PREMISES(Eapcaurterce)
S
CLAIMS -MADE/ OCCUR
MED EXP(AnyOne perm)
E
PERSONAL& AOV INJURY
E
GENEWAGGREGATE.
$
PRODUCTS COMPIOP AGO
$
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO- JECT LOG
$
AUTOMOBILE LABILITY
COMBINED SINGLE LIMIT
(E.Ixod.M)
$
ANY AUTO
BODILY INJURY (Pe, Pinson)
$
ALL OWNED SCHEDULED
BODILY INJURY (Pe,;g apenl)
S
_AUTOS AUTOS
PROPERTY DAMAGE
E
NON,DWNED
HIRED AUTOS AUTOS
Pe, peCidml
E
UMBRELLA LIAR OCCUR
EACH OCCURRENCE
$
EXCESS LIAR CLAIMS MADE
AGGREGATE
S
DED I RETENTIONS
$
WORKERS COMPENSATION
T
WC STATLL OTH-
Y UMfTS FR
AND EMPLOYERS' LIABILITY YIN
El -EACH ACCIDENT
$
ANY PROPRIETORIPARTNERIEXECUTIVEâť‘
OFFICERIMEMBER E%LLUDEDi NIA
E.L DISEASE - EA EMPLOYEE
S
(Mandatory in NH)
If yes, describe undw
DESCRIPTION OF OPERATIONS x1o.
E. L. DISEASE -POLICY LIMIT
S
A
Installation Floater
Y630755G6133COP12
10/01/1
10/01/13
Any 1 Loc Lot $1,000,000
SPC Fora
$1,000
Deductib
aer Disaster Lot $1,000,000
-Flood/Earthquake
•$1,000 Deductible
Transi'- LOC Lint$1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Aach ACORD 101, Additional R.Mad. Sch.dula, if morn .Data is-4ui,.d)
RE: Stored Materials value of $679,443 stored at
4245 Fox Street, Denver CO 90216.
City of Fort Collins
C/O Financial Services - Purchasing Division
215 N. Mason Street
Collins, CO 80522
USA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Me
All rinhla roeor.,od
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
ghondrogianniel
32133699