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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