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HomeMy WebLinkAbout383935 LIGHTLY TREADING INC - INSURANCE CERTIFICATE (5)Accoma CERTIFICATE OF LIABILITY INSURANCE DATE(MMIODnYYq 9/16/2013 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 Van Gilder Insurance Corp. 1515 Wynkoop, Suite 200 Denver CO 80202 NAMEACT : Sheree zarnallipa PHOUNICNE _837-8500 FLAX WC Nn:303- 1- 29 EMAIL ADoREss:szamarri a v ic.com INSURER(S) AFFORDING COVERAGE NAICN INSURER A: ARTFORD INS CO OE THE W T 7478 INSURED LIGTRE INSURER 5:Hartford Casualty Ins Co. 9424 Lightly Treading, Inc. INSURER C 4303 Brighton Blvd., Bldg 3 Denver CO 80216 INSURER D: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 114728576 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 TYPE OFINSURANCE AD INSR SUER WVD POLICY NUMBER POLICY EFF MMIDDNYYY POLICY EXP MM/DDNYVV LIMITS B GENERAL LIABILITY Y 4SBWVR5402 /1/2013 11/2014 EACH OCCURRENCE $1000,000 X COMMERCIAL GENERAL LIABILITY rvi DAMA E T R NTED PREMISES Ea occurrence $1,000,000 CLAIMS -MADE 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 AGG $2000,000 POLICY X PRO- LOC $ B AUTOMOBILE LIABILITY Y Y 34SBMR5412 11/2013 /1/2014 Ea accidenfj 1,000,000 BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X NON -OWNED HIRED AUTOS X AUTOS PROPERTY DAMAGE Par accident $ Is B X UMBRELLALIAB X OCCUR Y 34SBMR5402 /l/2013 /1/2014 EACH OCCURRENCE $3,000,000 AGGREGATE 83,000,000 EXCESS LIAB CLAIMS -MADE OED IX I RETENTION$ 10.000 g 1 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? � NIA y 34WEGIN3841 /1/2013 9/1/2014 X WC STATU- OTH- TnPYLOrll E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYE $1,000,000 (Mandatory in NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space is required) If required by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The Certificate Holder and Owner are included as Additional Insureds for ongoing and completed operations under General Liability; Designated Insured under Automobile Liability; and Additional Insured under Umbrella / Excess Liability but only with respect to liability arising out of the Named Insured's work performed on behalf of the certificate holder and owner. This insurance will apply on a primary, non-contributory basis. A Blanket Waiver of Subrogation applies for General Liability, Automobile Liability, Umbrella/Excess Liability and Workers' Compensation. Contractual Liability is included. The Umbrella / Excess Liability policy provides excess coverage over the General Liability, Automobile Liability and Employers Liability. City of Fort Collins Attn: Purchasing 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 ,alad ACORD 25 (2010105) © 1988.2010 ACORD the ACORD name and logo are registered marks of ACORD reserved.