HomeMy WebLinkAbout383935 LIGHTLY TREADING INC - INSURANCE CERTIFICATE (6)Client#: 1086705
LIGHTTRE
ACORDTN CERTIFICATE OF LIABILITY INSURANCE
DATE09/09/2014/)
1 014
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 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
USI Colorado, LLC Prof Liab
1515 Wynkoop Street
Suite ZOO
Denver, CO 80202
CONTACT
NAME:
PHONE 600 873-8500FAX
Al No Elf: A/C, No):
EMAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAIC0
INSURER A: Hartford Casualty Ins co
29424
INSURED
INSURER B: Travelers Casualty and Surety C
19038
Lightly Treading, Inc. ((JJ
4303 Brighton Blvd., Bldg 3
Denver, CO 80216
INSURER C: hartford Ins Co of the Midwest
37478
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 CONTRACTOR 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.
LTRR
TYPE OF INSURANCE
ADDLSUEIR
NSR
MD
POLICY NUMBER
MMIDOY�
Y UP
MM1DDNYYY
LIMITS
A
GENERAL LIABILITY
X
X
34SBWVR5402
9/01/201409/01/201
EACH
$1000 000
X COMMERCIAL GENERAL LIABILITY
�OECTCURRENCE
PRE MISES EaEnance
$1 00Q 000
CLAIMS -MADE FxI OCCUR
MED EXP (Anyone person)
$10r000
PERSONAL B ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMPIOP AGG
E2,000,000
POLICY X PRO, T LOG
$
A
AUTOMOBILE LIABILITY
X
X
34SBVVVR5402
9101/201409/01/2015
EOMaBBIINeEDfSINGLE LIMIT
1r000r000
ANY AUTO
BODILYINJURY(Per, person)
$
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY IPeraaident)
$
PROPERTY DAMAGE
Per awdenf
$
X HIRED AUTOS X NON-0WNED
AUTOS
E
A
)t
UMBRELLA LIAB
J(
OCCUR
X
X
34SBWVR5402
9/01/201409/01/201
EACH OCCURRENCE
$3000000
AGGREGATE
s3,000,000
EXCESS LIAB
CLAIMS -MADE
DEO X RETENTION$10000
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNERIEXECUTIVE YIN
OFFICERIMEMBER EXCLUDED? I NJ
(Mandatory In NH)
N/A
X
34WEGIN3841
9I01/2014
09/01/201
X WCSTATU- OTH-
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE - EA EMPLOYEE
$1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
$11,000,000
B
Professional
106002735
9/01/2014
09/01/201
$1,000,000 per claim
Liability
$1,000,000 annl aggr.
Claims Made
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Aaach ACORD 101, Addidonal Remarks SC edule, If more space Is required)
As required by written contract or written agreement, the following provisions apply subject to the policy
terms, conditions, limitations and exclusions: The Certificate Holder and owner are included as Automatic
Additional Insured's for ongoing and completed operations under General Liability; Designated Insured under
Automobile Liability; and Additional Insured under Umbrella / Excess Liability but only with respect to
liability arising out of the Named Insured's work performed on behalf of the certificate holder and owner.
(See Attached Descriptions)
City of Fort Collins
Attn: Purchasing
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
ACORD 25 (2010105) 1 of 2
#S13255192IM13255130
01988-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
LXOBC
DESCRIPTIONS (Continued from Page 1)
The General Liability, Automobile Liability, Umbrella/Excess insurance applies on a primary and non
contributory basis. A Blanket Waiver of Subrogation applies for General Liability, Automobile Liability,
Umbrella/Excess Liability and Workers Compensation. The Umbrella / Excess Liability policy provides excess
coverage over the General Liability, Automobile Liability and Employers Liability.
25.3
#513255192/M13255130