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HomeMy WebLinkAbout102722 JUPITER I LLC DBA OFFICE SCAPES - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE I ,°AE^MMI°°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 PRODUCER 1SI Colorado LLC I515 Wynkoop, Suite 200 )enver CO 80202 INSURED J UPI INSURERS Jupiter I, L.L.C. DBA: OffceSca es a02 INSURERC: 9900 E 51 st Avenue INSURER D: Denver, CO 80238 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 1464313087 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. MR TYPE OF INSURANCE AME I POLICYNUMBER Pmmpfy Pml F POLICY LIMITS B GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE GLO9809183 V2014 311=15 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES EF occa"nce $300,000 MED EXP(Any one ) $10,000 PERSONAL&ADV INJURY 31,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE X7 POLICY LIMIT APPLIES PER: PRO- X LOC PRODUCTS -COMPIOPAGG $2,000,000 $ B AUTOMOBILE UABIUW ANY AUTO ALL UT&`N D SCHEDULED AUTOS AUTOS HIRED AUTOS X AUTR08�E0 BAP9809784 11Y2014 311nols WMIJINtUa tioNdentl 111,000,000 X BODILY INJURY(Px pow 3 BODILYINJURV (Par actltleM ) i X PPRmOPE MAGE $ $ A X I UMBRELLA UPS EXCESS LIAB X OCCUR CLAIMS -MADE ZUP11S1702014NF 31112014 12015 EACH OCCURRENCE $5.000,000 AGGREGATE $5,00,000 DEO X RETENTION1110000 $ B WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory In NH) Iryea, d..WW under DESCRIPTION OF OPERATIONS EMox NIA 9809182 12014 12015 X WC TA U- H- Mrr E.L. EACH ACCIDENT $1.000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AUach ACORD 101, Addhimal Renault. SdMdum, M moo a"m la nRulnd) Additional Insured per written notice or contract to General Liability: The City of Fort Collins, Colorado, a Municipal Corporation, its officers and employees The City of Fort Collins, a Municipal Corporation Attn: Director of Purchasing & Risk Management,PO 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. AUTHOR�I �I NTATIVE © 1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD