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Home My WebLink About499821 STRUCTURES INC - INSURANCE CERTIFICATE (3)ACORO® CERTIFICATE OF LIABILITY INSURANCE D2/3mll/DD014 12/31/2014 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(ies) must be endorsed. H 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 Moody Insurance Agency, Inc. 8055 East Tufts Avenue Suite 1000 Denver CO 80237 CNAONTACT MEJulie Bell, CIC : '- PHONE (303)B24-6600 Fp�'No: (303)370-0118 E-MAILAppgEss.julie.bell®moodyins.com. INSURERS AFFORDING COVERAGE NAICN INSURER A:Travel ers Prop Cas Cc of-Amrca 25674 INSURED Structures, Inc. 4 Inverness Ct E Ste 250 EII lewood CO 80112 INSURER B:Phoenix Insurance Company 5623 INSUREHC: INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 14-15 w/ Forms 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 A POLICY NUMBER POLICY EFF MM/DDNYYY POLICY E%P MMMDNYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE S 11000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X DTC0324D84111TIL14 2/31/201412/31/2015 DAMAGE TO RENTED PREMISES IEa occurrence $ 300,000 MED EXP (Any one person) $ 5,000 PERSONAL& ADV INJURY $ 1, 000, 000 dditional Insured Status GENERAL AGGREGATE $ 2,000,000 applies only to the GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG S 2,000,000 ecictent provided in form POLICY X IPCT PRO- LOD GD246 — $ - AUTOMOBILE LIABILITY EO COMBINEDSINGLE LIMIT 1,000,00 X .BODILY INJURY (Per person) . $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS T8103241) 2/31/201412/31/2015 BODILY INJURY P (Per accident) ( ) S X PROPERTY DAMAGE Per accident $ HIRED AUTOS X NON -OWNED AUTOS Medical PeIvreents, S X I UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 81000,000 AGGREGATE $ 81000,000 A EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ 10, OOC $ OTSMCUP32SD280STIL14 2/31/2014 12/31/2015 B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR'PARTNERIEXECUTWE OFFICEIVMEMBER EXCLUDED? (Mandatory in NH) If yes. describe under N/A DTNUB6C39934014 /1/2015 /1/2016 X WC STATU- OTH- E.L. EACH ACCIDENT S 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1 000,000 E.L. DISEASE -POLICY LIMIT I S 1,000,000 DESC RIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS VEHICLES (Aftach ACORD 101, Additional Remarks Schedule, B more apace is required) Re: 7338 Troutman Court East #250 City of Fort Collins and State of Colorado are named as an additional insured with respect to General Liability. City of Fort Collins Financial Services Purchasing Division 215 N Mason St, 2nd floor 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 Bell, CIC/JULBEL c�� O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) INsu2D (201005).01 The ACORD name and logo are registered marks of ACORD