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HomeMy WebLinkAbout458840 C & S SPECIALTY SYSTEMS INC - INSURANCE CERTIFICATE (8)CERTIFICATE OF LIABILITY INSURANCE 2/10/2014Y' 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 Colorado BW Insurance Agency, Inc. 12000 North Washington Suite 300 Thornton CO 80241 CONTACT Johna Moors NAME: PHONE A/CNo . (303)451-5547 FAX No: (303)451-0605 ApAg'LESS,johna.moors@bankofthewest.com INSURERS AFFORDING COVERAGE NAICif INSURER A:SCotts dale Ins CO INSURED C & S Specialty Systems Inc 5609 W 6th Ave., Unit B �Y Lakewood CO 80214 INSURERB:State Auto Insurance Companies INSURERC:Plnnacol Assurance 41190 INSURER D: INSURER E: INSURER F: COVFRAGES CERTIFICATE NLIMRFR_14-15 GL rnwl 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 A L U R POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDlYYYV LIMITS GENERAL LIABILITY EACH OCCURRENCE IS 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED100,000 PREMISES Ea occurrence $ A CLAIMS -MADE Fx1OCCUR PS1948667 /8/2014 /8/2015 MED EXP(Any one person) $ 5,000 PERSONAL BADVINJURY $ 1,000,000 X Professional Liability 1,000,000 occ GENERAL AGGREGATE IS 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ Include $ POLICY X PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 X BODILY INJURY (Per person) $ B ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 222069305 7/1/2013 7/1/2014 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS Uninsured motorist BI split limit $ 1,000,00 00 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 A EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ S0036939 /8/2014 /8/2015 C WORKERS COMPENSATION X I WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/ E.L. EACH ACCIDENT $ 1,000,000 EXCLUDED? ER EXCLUDED? ❑ OFFICERIMEM(Mandatory (Mandatory in NH) NIA 143782 /1/2014 /1/2015 E. L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE -POLICY LIMIT I $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORO 101, Additional Remarks Schedule, if more space is required) City of Fort Collins P.O. Box 580 Fort Collins, CO 80522 0"LUPJ01 a142\ I PJCl 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 ACORD 25 (2010/05) INS025 (201005).01 Moors/EVEJM ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD