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HomeMy WebLinkAbout109315 COLORADO DOORWAYS INC - INSURANCE CERTIFICATE (16)COLOR01 OP ID: DC CERTIFICATE OF LIABILITY INSURANCE D08/2012013ATE V) 08120/2013 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 endorsements . PRODUCER Phone:303-831-7100 NAMEACT Thomas J. Sisk & Company, Inc. Fax: 303-831-7377 1700 Broadway, Suite 1000 PNONE FAX AIC NA Eat , A/C No): E-MAIL ADDRESS: Denver, CO 80290 Trevor Gilstrap-Accts Reassign 1 O )I t� INSURERS AFFORDING COVERAGE NAIL N INSURER A; Travelers INSURED Colorado Doorways Inc. Doorway Solutions 52nd & Cook, LLLP INSURER B: Plnnacol Assurance INSURER c: Federal Insurance Company INSURER D: Doorways of Wyoming 3333 East 52nd Ave Denver, CO 80216-2322 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYV D MM D YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PREMISES Eaoccurrence $ 100,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxIOCCUR X X DT-630-4D394909-COF-13 0910112013 09/0112014 MED EXP(Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ 2,000,000 Poucv X PRO- LOG Emp Ben. $ 1,000,000 LIABILITY CDMBINED SINGLE LIMIT 11000,000 BODILY INJURY (Per person) $ A ANY AUTO X X DT-810-4D394909-TIL-13 09/01/2013 0910112014 ALL OWNED SCHEDULED AUTOS AUTOS NOMOBILE$ BODILY INJURY (Per accitlent) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per acci0ent $ Included X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 O EXCESS LIAR CLAIMS -MADE 79884682 0910112013 09/01/2014 DED RETENTION$ 8 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? F_N1 IMandatory in NH) NIA X 3142569 09/0112013 0910112014 X WC STATU- OTH- R E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes tlesaibe uno., DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space is required) The City, its officers, agents and employees are additional insureds on all policies except Workers' Compensation including ongoing & completed operations as required by written contract. Insurance is primary and non-contributory. Waiver of subrogation applies to all policies. 30 day notice of cancellation applies. CITYOFF City of Fort Collins Attn: John Stephen PO BOX 580 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 REPRESENTATIVE c.�a/ 4e, ' © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD