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HomeMy WebLinkAbout383935 LIGHTLY TREADING INC - INSURANCE CERTIFICATE (4)ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE IMM/DDNYYY) 10/7/2013 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(iss) 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 endorsements). PRODUCER Van Gilder Insurance Corp. 1515 Wynkoop, Suite 200 Denver CO 80202 NAMEACT : PHONE FAX AID No' 03-831-5295 E-MAIL AODRESS;SZaMafTipa(d)VcIiC,C0M INSURERISI AFFORDING COVERAGE NAN:B INSURER A:HARTFORD INS CO OF THE MIDWEST 37478 INSURED LIGTRE INSURER B INSURER C: I Lightly Treading, Inc. 4303 Denver CO Blvd.,Q cJINSURER CO 80216 Bldg 3 '$3 I O: NSURER E: NSURER F COVERAGES CERTIFICATE NUMBER: 1906928127 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. INBR T TYPE OF INSURANCE ADOLSUBR POLICY NUMBER POUCY EFF MM/DD/YYYY POLICY EXP MMIDD/YYYY LIMITS B GENERAL LIABILITY V 34SBWVRW2 /1/2013 /1/2014 EACH OCCURRENCE $1,000,000 figgyrtmiall $1000,000 X COMMERCIAL GENERAL LIABILITY CLAIMSMADE X]OCCUR NEED EXP(Any one person) $10,000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE 42 D00,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S2000,000 17 POLICY X PRO- LOC S B AUTOMOBILE LIABILITY Y Y 34SByyJPZ402 /1/2013 /1/2014 Ecid $1,000,000 BODILY INJURY(Pr parson) S ANY AUTO SULED ALL OWNED AUTOS BODILY INJURY (Per actiderR) $ Jt HIRED AUTOS X AUTOS NON -OWNED PROPERTY caccident) S 3 B X UMBRELLA LIAB X OCCUR Y Y 34SBWVR5402 11/2013 UM014 EACH OCCURRENCE $3,000,000 AGGREGATE $3,000,000 EXCESS LIAB CLAIMS -MADE DED IX I RETENTION$10000 S A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? N/A y WEGIN3841 /1/2013 /1/2014 X WC STATU ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 ((Mandatory in NM) II Y e. deecnbe undr DESCRIPTION OF OPERATIONS be. E.L. DISEASE -POLICY LIMIT $1,000,000 C Professional Liability Y 106002735 1011r2013 YV2014 Per Claim $1,000,000 Calms Made Annual Aggregate $1.000,000 DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space Is nequimd) If required by written contract or written agreement, the following Provisions apply subject to the policy terms, conditions, limitations and exclusions: The Certificate Holder and Owner are included as Additional Insureds for ongoing and Completed operations under General Liability; Designated Insured under Automobile Liability; and Additional Insured under Umbrella / Excess Liability but only with respect to liability arising out of the Named Insured's work performed on behalf of the certificate holder and owner. This insurance will apply on a primary, non-contributory basis. A Blanket Waiver of Subrogation applies for General Liability, Automobile Liability, Umbrella/Excess Liability and Workers' Compensation. Contractual Liability is included. The Umbrella / Excess Liability policy provides excess coverage over the General Liability, Automobile Liability and Employers Liability. City of Fort Collins Attn: Purchasing 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 © 1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE I , °AT^^MM OD/YYYY) 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 endomement(s). PRODUCER /an Gilder Insurance Corp. 1515 Wynkoop, Suite 200 )enver CO 80202 INSURED LIGTRE Lightly Treading Inc. 4303 Brighton Blvd., Bldg 3 Denver CO 80216 COVERAGES CERTIFICATE NUMBER: 1884434815 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 OF INSURANCE ADDTYPE I LSUBR POLICYNUMBER MMNC�YFF MIAOLpYEXP LIMITS B GENERAL LIABILITY Y 34SBVVVR5402 /l/2013 /1/2014 EACH OCCURRENCE $1,000,000 X COMMERCUIL GENERAL LIABILITY PREMISES tEa occurrence $1,000,000 CLAIMS -MADE IX I OCCUR MED EXP(Any one erson) $10,000 PERSONAL$ ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 $ POLICY X PRO- LOC B AUTOMOBILE LIABILITY Y Y 34SBVWR5402 /1/2013 /1/2014 $1,000,000a BODILY INJURY (Par Peron) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (PereaideM) $ X PROPERTY DAMAGE Per ecGdeM $ NON-0WNED HIREDAU1 X AUTOS E B X UMBRELLA LIAR X OCCUR YY 348BVVVR5402 /1/2013 /112014 EACH OCCURRENCE 53,000,000 AGGREGATE $3,000,000 EXCESS LIAR CLAIMS -MADE DELI X RETENTION $10 000 $ 1 1 1 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER E%CLUDED4 N NIA Y ISWEGIN3841 I1/2013 /1/2014 X WC STATU- OTH- LLIt E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory In NH) e yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Altaeh ACORD 101, AddKlonal Remarks Schedule, If more space Is required) If required by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The Certificate Holder and Owner are included as Additional Insureds for ongoing and completed operations under General Liability; Designated Insured under Automobile Liability; and Additional Insured under Umbrella / Excess Liability but only with respect to liability arising out of the Named Insured's work performed on behalf of the certificate holder and owner. This insurance will apply on a primary, non-contributory basis. A Blanket Waiver of Subrogation applies for General Liability, Automobile Liability, Umbrella/Excess Liability and Workers' Compensation. Contractual Liability is included. The Umbrella / Excess Liability policy provides excess coverage over the General Liability, Automobile Liability and Employers Liability. City of Fort Collins Attn: Purchasing 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 © 1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD