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HomeMy WebLinkAbout109315 COLORADO DOORWAYS INC - INSURANCE CERTIFICATE (18)�-� COLOR01 DATE (MM/DD/YYYY)08/28/2018 ACORO CERTIFICATE OF LIABILITY INSURANCE 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 have ADDITIONAL INSURED provisions or 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 endorsements . PRODUCER 303-831-7100 Thomas J. Sisk & Company, Inc. 1700 Broadway, Suite 1000 Denver, CO 80290 Trevor Gilstrap-Accts Reassign CONTACT Trevor Gilstrap NAME: PHONE 303-831-7100 FAX 303-831-7377 (A/c, No, Ext): (A/C, No): E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # _ INSURER A: Travelers #25615 _ INSURED Colorado Doorways Inc. INSURER B : Plnnacol Assurance #41190 41190 INSURERC: Doorway Solutions Doorways of Wyoming 5151 Bannock Street #17 Denver, CO 80216-2322 INSURER D : INSURER E INSURER F : CnVFRAnPQ CERTIFICATE NUMBER: RFVISION Nt1MRFR[ 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 ILTR TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF POLICY EXP(MMIDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE [X]OCCUR y y Y6304D394909COF 09/01/2018 09/01/2019 PREMI SES (Ea ETORENTED occurrence) $ 300,000 X MED EXP (Any oneperson) $ 10,000 A Contractual Y6304D394909COF 09/01/2018 09/01/2019 A X XCU Y6304D394909COF 09/01/2018 09/01/2019 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY � JECT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER AUTOMOBILE LIABILITY COMBINEA D SINGLE LIMIT Ee accident) $ 1,000,000 BODILY INJURY Perperson) $ X ANY AUTO y y Y8104D394909TIL 09/01/2018 09/01/2019 BODILY INJURY Per accident $ OWNED SCHEDULED AUTOS ONLY AUTOS PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS -MADE YSMCUP4D394909TIL 09/01/2018 09/01/2019 AGGREGATE $ 10,000,000 DED I X I RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑N (Mandatory in NH) N / A Y 4195139 09/01/2018 09/01/2019 X PER OTH- E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 L, DISEASE- POLICY LIMIT 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below A Blanket BPP 6304D394909COF 09/01/2018 09/01/2019 BPP 6,975,000 A Blanket Stock Y6304D394909COF 09/01/2018 09/01/2019 Stock 7,700,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City, its officers, agents and employees are additional insureds on all policies except Workers' Compensation Including ongoing & completed operations as required by written contract. Insurance Is primary and non-contributory. Waiver of subrogation applies to all policies. CERTIFICATE HOLDER CANCELLATION CITYOFF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins Attn: John Stephen PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522.- ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD