HomeMy WebLinkAboutTRITON AT MACKENZIE PLACE DBA TRITON COMMUNITIES - INSURANCE CERTIFICATEP52Wn2WU2
A� �® CERTIFICATE OF LIABILITY INSURANCE
11/06/2014Y1
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(tes) 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 endorsemenl(s).
PRODUCER 1-303-534-4567
CONTACT
NAME:
INI,, Inc. - Colorado Division
PHONE FAX
170517th SCLBBC
E-MAIL denyamOimaCOrD.COm
ADDRESS:__ ._.___
Suite 100
INSURER(S)AFFORDINGCOVERAGE_____ -_ ____NMCB
Denver, CO 80202
INSURER A: NAVIGATORS SPBCIALTY INS CO (All R18ka, 36056
_ _
INSURED
INSURER B
_
Triton at McKenzie Place, LLC
dbe Triton Communities
INSURER C:
--
------ - ---
1490 South Santa Pe Drive, Suite 100
INSURER D:
INSURERE:
INSURER F:
Denver, CO 80223
r.nVFRARFS CFRTIFICATF NIIMRFR- 42055711 RFVIRInN NHMRFR-
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCF,USTED REI OW -HAVE BEEN ISSUED TO T14E 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.
INTRR----TYPE OFINSURANLE ADDLISUBR POLICY EFF II -------- POLICY NUMBER MMIDDIYYYY NMNDIYYYYLIMITS
A
B
I COMMERCIAL GENERAL LIABILITY
SF12CCLO1908400
11/02/12
05/02/15
EACH OCCURRENCE
f 5,000,000
�
CLAIMS -MADE K OCCUR
DAMAGE TO RENTED
PREMISES (Ea=umnce)_
f EXCLUDED
_
A
Ded: $25,000
_ME EXP(A_ny om person)_
$ MCLUDBD
_ ___
$ 2,000,000
_
PERSONAL S ADV INJURY
GENERAL AGGREGATE
S 5,000,000
GENL
AGGREGATE LIMIT "PLIES PER.
1 RO
� 1 PT RP
POLICY I I LOC
_
PRODUCTS - COMPIOP AGO
f 5000,000
$ —
OTHER:
AUTOMOBILELNBBRY
COMBINED SINGLE LIMIT
(Eaecs%m)_.__ __
f
S
_
ANY AUTO
BODILY INJURY (Per Person)
f
AU-00—ED SCHEDULED
S
BODILY INJURY (Perewdonl)
$
HIRED AUTOS _I AOT NOR,OWNEO
I
PRO PE iDMMGE
f
I—
UMBRELLA U B
_
OCCUR
EACH OCCURRENCE
f
_
AGGREGATE
f
EXCESS LIAR
CLAIMS -MADE
DED I RETENTIONS
_-__--
S
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
PER
iUTE_I__ ERH—
_
ANY PROPRIETORIPARTNERIEXECUTIVE
E.L. EACH ACCIDENT
S
OFFICERRAEMBER EXCLUDEDi
NIA
(Mandatory In NH)
E.L. DISEASE - EA EMPLOYE
$
OEIf SCRIPdo N OF OPERATIONS under
Cabw
E.L. DISEASE -POLICY LIMIT
f
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, A kfidwal RameMa Schedule, may M atuched H moo •Pao is re9ulmd)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Port-Colline THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
700 Wood Street AUTHORQEDREPRESENTATIVE /J
Port Collins, CO 80524
USA
®1988-2014 ACORD CORPORATION. All rights reserver
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
®eando
42055711