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HomeMy WebLinkAboutTRAMWAY 1 2013 LLC - INSURANCE CERTIFICATECUSTS-2 OP ID: TV , hft� R CERTIFICATE OF LIABILITY INSURANCE °A TE 1D01 1111112014 v1 11vzala 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 terns 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 Commercial Risk Solutions DBA 6600 E. Hampden Ave. Denver, CO 80224 CONTACT NAME: Pahc°Na Ea:303-996-7801 Fac No: 303-757-7719 ADDRESS: Jeffrey Berven INSURERS AFFORDING COVERAGE NAIC N INSURER A: Westfield Insurance 24112 INSURED Tramway 12013, LLC INSURERS: P1nnacol Assurance 2840 Wilderness Place, Ste F Boulder, CO 80301 INSURER C 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 ADDL SUER POLICY NUMBER MMI DD1`YYYY MM/D rD/YYYY LIMITS A7 X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,00 CLAIMS -MADE FX] OCCUR X CWP0126513 11/10/2014 1111012015 PREMISES Ea occurrence S 600,00 MED EXP (Any one Person) $ 6,00 PERSONAL It ADV INJURY $ 1,000,00 GENT AGGREGATE LIMIT APPLIES PER. GENERALAGGREGATE S 2,000,00 POLICY JEo LOC PRODUCTS-COMP/OPAGG $ 2,000,00 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Eaa od.re $ 1,000,00 X BODILY INJURY (Per Person) S A ANY AUTO X CWPO126513 11/1012014 1111012015 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per amkJerr) $ X PROPERTY DAMAGE Peraccdad $ X NON -OWNED HIREDAUTOS AUTOS S X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,00 AGGREGATE $ 1,000,00 A E%OESS LIAR CLAIMS -MADE CWPO126513 1 1111012014 11110/2015 DE, X RETENTION$ 0 $ B WORKERS COMPENSATION ANDEMPLOYERS'LWBILITY ANY PROPRIETORRARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? FT (Mandatory In NH) NIA 4160305 12/01/2014 12101/2015 X PER OTHER - STATUTE E.L. EACH ACCIDENT $ 1,000,00 E. L. DISEASE EA EMPLOYEE $ 1,000,00 rc yea. tlewibe under DESCRIPTION OF OPERATIONS W. E.L. DISEASE- POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Ramerlm Sehadula, may be attached I1 Mora apace Is rapulrec ) City of Fort Collins, its officers, agents and employees are included as additional insured for ongoing operations on the General Liability and included as additional insured on the Auto Liability with respect to operations of the named insured for the certificate holder as required by written contract. All policy terms, conditions and exclusions apply. CITYOFF City of Fort Collins Purchasing & Risk Management 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 9 9)1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD