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HomeMy WebLinkAbout375464 DAVINCI SIGN SYSTEMS INC - INSURANCE CERTIFICATE (3)UN IU: KH ACORO CERTIFICATE OF LIABILITY INSURANCE TE D01/02/20YYYY) 1102/2014 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 PFS Insurance Group - JT 4848 Thompson Pkwy, Ste 200 Johnstown, CO 80534 John Hintzman CONTACT NAME: PHONE Fax IAIC. No Exill: ^/C, No); _ EMAIL ADDRESS: PRODUCER CU TOMER IO M: DAVIN-1 INSURERS AFFORDING COVERAGE _ NAM R _ INSURED DaV;nci Sign Systems, Inc. INSURER A:Pinnacol Assurance 41190 _ INSURER 5: Continental Westem Group �j�L 4496 Bents Drive ��5 T V Windsor, CO 80550 INSURER C INSURER O: INSURER E INSURER F : Cr1VFRAr3FS CFRTIFICATF NIIMRFR• 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. ILTR TYPE OF INSURANCE L POLICY NUMBER IWWDD/YYYY MMIDO� LIMITS B GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CWMS-MADE O OCCUR CPA3050394 01/01/2014 01/01/2015 EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 5100 PERSONAL B ADV INJURY $ 11000100 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC PRODUCTS - COMP/OP AGG $ 2,000,0 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CPA3050394 01/01/2014 01/0112016 COMBINED SINGLE LIMIT Ea $ 1,000,00 X BODILY BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (PER ACCIDENT) $ X X $ g )( UMBRELLALIAB EXCESS LIAB X OCCUR CLAIMS -MADE CPA3060394 01/01/2014 01/01/2015 EACH OCCURRENCE $ 1,000,00 AGGREGATE $ 1,000,00 DEDUCTIBLE RETENTION $ $ $ A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y_ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 4081336 07/0112013 07/01/2014 I X WC STATU- OTH- E.L. EACH ACCIDENT : 1,000, E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE -POLICY LIMIT I $ 1,000,00 g B Installation Float !Cargo CPA3050394 iCPA3050394 01/0112014 011011201410110112015 01/01/2015 Limit 70,00 Limit 70,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ARaeh ACORD 101, Additional Remarks Schedule, if mom space Is required) Project: 7062 Council Tree Exterior Signage r`GDTlclrATL wni nro CANCFI I ATION CITYFTC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ft. Collins Financial Services/Purchasing Division AUTHORIZED REPRESENTATIVE P.O. Box 580 Fort Collins CO 80522v— ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD