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HomeMy WebLinkAbout212187 WEATHERSURE SYSTEMS INC - INSURANCE CERTIFICATE (10)WEATH-1 OP ID: MMZ ,acoFto CERTIFICATE OF LIABILITY INSURANCE `-/ DATE(M�ONYYY) 07/03/2014 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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditionsofthe 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 CRS/Surescape Ins. Services 6600 E. Hampden Ave. Denver, CO 80224 Douglas J. Rothey CONTACT Douglas J. Rothey PHONE 303.996.7801 FAx Mc No Eat : ac No E-MAIL rbur ess crsdenver.com aoDREss: 9 ry INSURER(SJ AFFORDING COVERAGE NAICIf INSURERA: PInnacol Assurance XU INSURED WeatherSure Systems, Inc. INSURERIE:CNA 3333 S Platte River Drive Sheridan, CO 80110 INSURERC:Hanover Insurance Co. INSURERD:Nat'I Union Fire Ins/Pitts PA 19445 INSURER E NSURERF: 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. INTR R TYPE OF INSURANCEW&L POLICY NUMBER MMIODYD/YYYY MMILDO� LIMITS B X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE FXI OCCUR X PMT6013803211 07101/2014 07/0112015 PREMISES Ea ommmm $ 100,00 MED EXP(Any one Parson) $ 5,00 X PD Ded: $10,000 PERSONAL$ ADV INJURY $ 1,000,00 GENT AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,0011 POLICY N PRO- 2,000,00JT $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea muodent $ 1,000,00 C X ANVAUTO AW4877561805 07/0112014 0710112015 BODILY INJURY (For pereon) $ ALL OS SCHEDULED AUTOS AUTOS BODILY INJURY (Per amdem) $ X NON-OMED HIRED AUTOS AUTOS X PROPERTY DAMAGE Per ameent f f UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,00 D X EXCESS LIAR CLAIMS -MADE BE017646492 0710112014 07101/2015 AGGREGATE $ 5,000,00 DED I X I RETENTION$ 0 3 A WORKERS COMPENSATION ANDEMPLOYERS'LIABIUTY ANY PROPRIETORIPARTNERIUECUTNE YIN RA OFFICEREMBER EXCLUDED? ❑ (Mandttoryln NH) NIA 3471401 07/01/2014 07101/2015 X PER OTH. STATUTE ER E.L. EACH ACCIDENT $ 1,000,00 E.L DISEASE - EA EMPLOYE S 1-,000,00 If yes. describe unoer DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 1,000,00 B Leased/Rent Equip PMT6013803211 0710112014 0710112015 Limit 150,00 Special FormIACV Ded 1,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddNlonal Ramalka Sbhadule, may W aNaehad N more a". le rwluled) RE: 6064 Civic Center E Old Town Parking Garage The certificate holder is included as additional insured on the General Liability with respect to ongoing operations of the named insured for the certificate holder as required by written contract. All policy terms, conditions and exclusions apply. City of Fort Collins Attn: James B. O'Neill II PO Box 580 215 N. Mason St., 2nd Floor Ft. 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 V I VUB-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD