HomeMy WebLinkAbout414759 SWINGLE INC - INSURANCE CERTIFICATE (5)SWING-2 OP ID: LIZ
ACORO CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
01 /30/14
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
Cherry Creek Ins. Agency, Inc.
Suite 500
5660 Greenwood Plaza Blvd.
Greenwood Village, CO 80111
Steven L. Doss
INSURED Swingle, Inc
8585 E Warren Ave
Denver, CO 80231
303-799-0110 NAMr Ginny Shaw _
303-799-0156 4ONE
"CC N Eeh-720-330-7903
_ INSURER A: Old Repu
4147,5
/y INSURER B: Fireman
I/7 INSURER C
Com
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 ryPE OF INSURANCE ADDLRU POLICY NUMBER MM/DD/YYYY MM DD/YYYP LIMITS
LS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,00
PREMISES Eaoccurrenca
$ 300,00
A
X COMMERCIAL GENERAL LIABILITY
X
MWZY300563
02/01/14
02/01/15
MED EXP (Any one person)
$ 5,00
CLAIMS -MADE FXXI OCCUR
PERSONAL S ADV INJURY
$ 1,000,00
GENERAL AGGREGATE
E 2,000,0011
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 2,000,00 11
Emp Ben.
$ 1,000,00
77 PRO- LOC
POLICY
JrrAUTOMOBILE
LIABILITY
EDMDa acci tSINGLE LIMIT
11000,00
BODILY INJURY (Per person)
S
A
X ANY AUTO
X
MWTB300684
02/01/14
02101/16
BODILY INJURY (Per accident)
S
ALL OWNED SCHEDULED
AUTOS OS
NON —OWNED
HIRED AUTOS AUTOS
PROPERTY DAMAGE
Peraccident
S
$
UMBRELLA UAB
X
OCCUR
EACH OCCURRENCE
$ 2+000,0
X
AGGREGATE
$ 2,000,00(
B
EXCESS LIAR
CLAIMS -MADE
SSEISOBS669
02/01/14
02/01/15
DED I X I RETENTIONS 0
WORKERS COMPENSATION
TATU$
WC SLIMIT ER
A
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE YIN
MWC30068200
02/01H4
02101/15
E.L. EACH ACCIDENT
S 1,000,00
E.L. DISEASE -EA EMPLOYEE
$ _ 1,000,00
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
N/A
E.L. DISEASE - POLICY LIMB
$ 1,000,00
If yes. describe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
As required by written contract or written agreement, The City of Fort
Collins, its officers, agents and employees areis included as Additional
Insured under General Liability and Automobile Liability.
l9a4$Ii LN_1
City of Fort Collins
Attn: Purchasing Division
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
V l8dd-LUIV HI.VKV VVrtrV rtsa i,v,�. nu IIYII n,ax,rcu.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD