HomeMy WebLinkAboutCENTRAL DENVER IRONWORKS INC - INSURANCE CERTIFICATE (3)A�Ra CERTIFICATE OF LIABILITY INSURANCE D09/30 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(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
PRODUCER i-JUJ-vN-oor
NAME -
INA, Inc. - Colorado Division
PHONE
FAX
AAIC, No. Eat):
(AID, No):
1550 17th Street
E-MADRESS',
denDaWimacorP. com
Suite 600
Denver, CO 80202
INSURER(S) AFFORDING COVERAGE NAIL F
INSURERA.
TRAVELERS IND CO OF AMER 25666
INSURED
INSURER 9'.
Central Denver IrrmsOrka, Inc.
INSURER C'
4245 Pox Street
INSURER D.
INSURER E.
Denver, CO 80216
INSURER i'
rnvcmw�cc I CDTICIPATW sluN4ncR• 360S1742
RFVISInN NUMRER-
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.
YIBN TYPE OF WN ce ADUL.StM POLICY NUMBER POLICY EFF LIICDY UP
Ram WVE1
LIMITS
GENERAL LJABRUITY
EACH OCCURRENCE S
DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY
PREMISES(EaPm .) $
GLAIMS4WDE OCCUR
MED UP (My ore Prawn) S
PERSONAL B ADV INJURY $
GENERAL AGGREGATE $
GENT AGGREGATE LIMIT APPLIES PER.
PRODUCTS COMPIOP AGG $
POLICY PJECT RP LD
E
COMBINED SINGLE LIMIT
AUfOYWAELWLRY
(Eawceen0 S
ANY AUTO
BODILY INJURY (Per snon) S
ALL OWNED SCHEDULED
BODILY IMURY(Per arvacng S
AUTOS
,AUTOS
NON-0'NNED
PROPERTY DAMAGE $
HIRED AUTOS AUTOS
(Per ardawl)
S
UMBRELLA LAB OCCUR
,EACH OCCURRENCE S
EXCESS LAB CLAIMS MADE
AGGREGATE S
DED RETENTION
$
WORMERS COMPENSATION
WC STATU OTH-
TORY LIMITS ER
ANDEMPLOYERS 'LIABILITY YIN
ANY PROPRIETOBJPARTNERIEXECUTYIE
E.L. EACH ACCIDENT S
OFFICERIMEMBER EXCLUDED' NIA
P&PIUlory In NH)
El DISEASE - EA EMPLOYEE S
II /es,a %,wuMe
DESCRIPTION OF OPERATIONS MIou
EL DISEASE POLICY LIMIT f
A Installation Floater T630755061331NU13 10/01/13 10/01/14
My One Loc Limit $1,500,000
SEC Form
Per Disaster Limit$1,500,000
eP1Dd/Earthquake e$1,000 Deductible $1,000 DeductiblMrens/Temp We LaRS1,500,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ANach ACORD 101, AtlMlbnal Romans Sc6aduls, It more apace Is MgWmdI
L:hK I INGA It HULUCK ^^�«�^ I,v'•
RE: Stored Materials value of $679,443 stored at
4245 Fox Street, Denver CO 80216. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
C/O Financial Services - Purchasing Division ACCORDANCE WITH THE POLICY PROVISIONS.
215 N. Mason Street AUTHORIZED REPRESENTATIVE ,�7
Port Collins, CO 80522 /AR
USA
n 1o8R-7A1n ACORn CORPORATION. All ri0hts reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
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