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Home My WebLink About109315 COLORADO DOORWAYS INC - INSURANCE CERTIFICATE (17)COLOR01 OP ID: DC ,a.. R CERTIFICATE OF LIABILITY INSURANCE �� D08/202014ATE Y) o8/zo/zola 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 endorsements . PRODUCER Thomas J. Sisk & Company, Inc. 1700 Broadway, Suite 1000 CONTACT Trevor Gilstrap-Accts Reassign PHONE FAX Arc No s,, 303-831-7100 uc No): 303-831-7377 Denver, CO 80290 Trevor Gilstrap-Accts Reassign E-MAIL ADDRESS: 1 INSURER $ AFFORDING COVERAGE NAIC N INSURER A: Travelers 1 INSURED Colorado Doorways Inc. INSURER B: PInnacol Assurance 3333 East 52nd Ave Denver, CO 80216-2322 INSURERC: INSURER D : INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: 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 POLICY NUMBER POLICY EFF MWDD/YYYY) POLICY EXP IMM)DONYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE r-k] OCCUR X X -630-4D394909-COF-14 09/01/2014 09/01/2015 PREMISES Eaocwnenra S 100,00 MED EXP (Any one person) $ 5,00 PERSONAL S ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY jE LOD GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOP AGG $ 2,000,000 Emp Ben. $ 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ A ANY AUTO X X -810-4D394909-TIL-14 09/01/2014 09/01/2015 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Peramident $ $ X UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 10,000,00 AGGREGATE $ 10,000,000 A EXCESS LMB CLAIMS -MADE YSM-CUP-4D394909-TIL-14 09/01/2014 09/01/2015 DED X I RETENTION$ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? ❑ NIA X 3142569 09/01/2014 09/01/2015 IPER OTH- X STATUTE ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Myyandatory in NH) (DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ 1,000,00C DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Ramarka Schedule, may he attached If more space is requlred) The City, its officers, agents and employees are additional insureds on all policies except Workers' Compensation including ongoing 6 completed operations as required by written contract. Insurance is primary and non-contributory. Waiver of subrogation applies to all policies. CITYOFF City of Fort Collins Attn: John Stephen 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. AUTHORRED REPRESENTATIVE U 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD