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Home My WebLink About499821 STRUCTURES INC - INSURANCE CERTIFICATE (2)41.. O CERTIFICATE OF LIABILITY INSURANCE �/ D2/27 2"01Y) 12/27/2013 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 certificate holder in lieu of such endorsement(s). PRODUCER Moody Insurance Agency, Inc. 8055 East Tufts Avenue Suite 1000 Denver CO 80237 CONTACT Nick $ldkO tOS, ARM, CRIS NAM PHONE s, (303)824-6600 1=Np.(303)370-0118 E-MAIL . nsiakotos@moodyins. coal INSURERS AFFORDING COVERAGE NAICA INSURER A:Travelers Indemnity Company 25658 INSURED Structures, Inc. 9$2,) 4 Inverness Ct E Ste 250 1 ' Englewood CO 80112 INSURERB:Travelers Prop Cas CO of Amrca 25674 INSURER C:Phoenix Insurance Company 25623 INSURER D: INSUREfl E INSURER F: COVERAGES CERTIFICATE NUMBER:13-14 All Lines w/forme 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 TYPE OF INSURANCE Al POLICY NUMBER POLICY EFF POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE S 11000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ®OCCUR DTC0324D8411IND13 2/31/2013 2/31/2014 AGE TO RENTED PR MIS =.memoal S 300,000 MEDEXP (Any oneperson) S 51000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 dd'l Insured Endt GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG It 2,000,000 CGD246 08/05 attached POLICY X PlFrTRO LOC s per written contract $ AUTOMOBILE LIABILITY COMBINED accident) SINGLELIMIT 1,000,000 X BODILY INJURY (Par person) $ B ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS T810324D8411TIL13 2/31/201312/31/2014 BODILY INJURY (Per eccident) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Par accident) $ $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 81 000, 000 AGGREGATE $ 81000,000 B EXCESS LIAR CLAIMS -MADE DELI I X I RETENTION$ 10,00C $ TSMCUP325D2805TIL13 2/31/2013 2/31/2014 C WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN X WC STATU- OTH- E.L. EACH ACCIDENT $ 11000,000 ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) H yes, describe under NIA DTNUB6C39934014 /1/2014 /1/2015 E.L. DISEASE - EA sAPUOYEd It 1 000,000 E.L. DISEASE -POLICY LIMIT I $ 11000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, K more space is required) Re: 7338 Troutman Court East #250 City of Fort Collins and State of Colorado are named as an additional insured with respect to General Liability. City of Fort Collins Financial Services Purchasing Division 215 N Mason St, 2nd floor 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 Siakotos, ARM, CRIS _5�`ie7it� ACORD 25 (2010/051 n iaRA_9mn acnan cnaonaeTlnN eu ri me .eee..,en INS025 (201005).01 The ACORD name and logo are registered marks of ACORD