HomeMy WebLinkAboutSOFTEX HOLDINGS INC - INSURANCE CERTIFICATE (2)-.i--1 SOFTE-2 OP ID: M
,4Aka 0 CERTIFICATE OF LIABILITY INSURANCE DAT10131011'YYY)
10/31N 3
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(les) 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
CerOBcate holder in Ileu of such endorsement(s).
PRODUCER
Brown 8 Brown of Colorado, Inc
1660 S. Albion Street 9525
Denver, CO 80222
Jason Sartor
28720 Roadside Dr Suite 225
Agoura Hills, CA 91301
INSURER E.
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 TYPE OF INSURANCE - �ADOLSUBir - POLICY EFF EXP
LTR POLICY NUMBER IMMMONYYYI LIMITS
A
GENERAL LIAEUTY
X COMMERCIAL GENERAL LIABILITY
CLUMSWADE Ix I OCCUR
X
PAS05366127
11101113
11/01/14
EACH OCCURRENCE
E 1,000,000
PREMISES Ea oca~m
S 1,000,000
NEDEXP(Any me perm)
E 10,00
PERSONAL S ADV INJURY
S Excludec
G=_N'LAGGREGATEUMITAPPLIESPER:
POLICY LOC
GENERAL AGGREGATE
S 2,000,00
PRODUCTS-COLIPA]PAGG
E 2,000,0
S
AUTOMOBLE LIABILITY
A _ _ _ ANY AUTO
-- ALL OWNED SCHEDULED
AUTOS AUTOS
:t HIREDAUTOS X gvN�-0W11ED
PA805386127
11/01H3
11101114
COMBINED SINGLE LIMIT
Ee ecddent
1,000, 00(
BODILY INJURY (Per perm)
$
BODILY INJURY (Par AdddMd)
S
PROPERTY DAMAGE -
S
f
UMBIRLLAUAD
EXCEM LIAS
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
S
LIED RETENTIONS
S
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERJEXECUTIVEYIN
OFFICERIMEMSER EXCLUDED'/ F7
(Mandatory In NH)
If yyea, deealbe under
OESCRI PTION OF OPERATIONS below
N/A
147992
11101/13
11/01114
X WCSTATLL OTH-
TORY I WITS ER
E.L. EACH ACCIDENT
E 1,000,00
E.L. DISEASE - EA EMPLOYE
E 11000,00
E.L. DISEASE -POLICY LIMIT
E 11000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Amch ACORD 101, AddKlonal RanaMe Schedule, it mom Spam is requlyd)
Per policy terms, conditions and exclusions. City of Fort Collins is an
additional insured for General Liability as required by written contract.
CITYFTC
City of Fort Collins
215 N. Mason St. 2nd Floor
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
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