HomeMy WebLinkAbout114721 INTERMOUNTAIN COLOR INC - INSURANCE CERTIFICATE (2)ACORD,M CERTIFICATE OF LIABILITY INSURANCES/30/2014
DA9/27/201D13 "I
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 enclomement(s).
PRODUCER Locklon Companies, LLC Denver
8110 E Union Avenue
Suite 700
Denver CO 80237
(303)414-6000
CONTACT
NAME:
AIC No Ext : FAX A C No):
E-MAIL
INSURERA: Travelers Property Dainty CooI` men.
25674
INSURED Intermountain Color, Inc. /I I
1038155 dba Signature Offset �� T��
4900 Pearl E. Circle, Suite 300E
Boulder, CO 80301
INSURER B: The Charter Oak Fire Insurance Company
25615
INSURER C: Travelers Casualty and Surety Company
19038
INSUR99
INSURER E:
INSURER F
cnvcoer_cc INTC001 CFRTIFICATF NItMRFRr I tORSR19 REVISION NUMBER: XXXXXXX
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 OF INSURANCE
ADDL
INSe
SUBR
POLICY NUMBER
PMaDofy,OLICY EFF
POU P
LIMITS
A
GENERAL LIABILITY
Y
N
P6309609R673
9/30/2013
9/30/2014
EACH OCCURRENCE
1000 000
OAMA TO RENTED
s
300OOO
X COMMERCIAL GENERAL LIABILITY
MED EXP (Any oneperson)
10,000
CLAIMS -MADE 7 OCCUR
PERSONAL aADV INJURY
$ 1.000.000
GENERAL AGGREGATE
$2.000000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
s 2000.000
$
17 POLICYF7 T T F7 LOC
B
AUTOMOBILE
LIABILITY
Y
N
P8109609R673
9/30/2013
9/30/2014
(EaCO BBINdEDISINGLE LIMIT
$ 1,000,000
BODILY INJURY (Per person)
$ jO(}(})=
ANYAUTO
BODILY INJURY (Per accident
$ XXXXXXX
I
p
AUTSSMED AUTOSULED
(PROPERer a DAMAGE
$ XXXXXXX
HIRED AUTOS AUTOS�ED
$XXXXXXX
A
J(
UMBRELLA LIAR
X
OCCUR
N
N
CUP9609R673
9/30/2013
9/30/2014
EACH OCCURRENCE
s 4,000,000
AGGREGATE
$ 4,000,000
EXCESS LIAB
CLAIM&MADE
DIED I I RETENTION $
$ XXXXXXX
C
WORN ERSCOMPENSATION
ANDEMPLOYERS'LIASIUTY YIN
ANY'CE"EMBERLE]NIA
(Myxndxtaq In NMI
NFR
UB9609R673
9/30/2013
9/30/2014
X WOYTI - OTH-
E.L.EACHACCIDENT
$ 500000
El. DISEASE- FA EMPLOYEE
500000
DEIf SCRIPTION OF OPE TIONS aebw
EL. DISEASE-POICV LIMIT
1 500000
A
Printer's E&O
N
N
P630%09R673
9/30/2013
9/30/2014
S1,000.000 Ea Wrongful Act
$2,000.000 Agg
S5,000 Ded
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I(AHech ACORD 101, Additional Remarks Schedule, if more space is required)
RE: 7070 Printing & Distribution Services - The City of Fon Collins, its officers, agents and employees are additional insured but only as respects work
performed and/or services provided by the named insured.
CEK 1 II-IGA I I[ HULUCK LANL.CLLA I IVIY
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
11085819
AUTHORIZED REPRESENTATIVE
City of Fort Collins
Purchasing Division
P.O. Box 580
Fort Collins CO 80522
ACORO 25 (2010/05) (01988 2010 A -ORD CORPO ATION. All rights reserved
Th. Arnan —a a..H —Ir. of arnein