HomeMy WebLinkAbout557668 DAVIS PARTNERSHIP ARCHITECTS - INSURANCE CERTIFICATE (2),ac�oRo® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/WYY)
9/24/2018
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. 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 CONTACT
NAME:
CoBiz Insurance, Inc. - CO PHONE FAX
1401 Lawrence St., Ste. 1200 (AIC, NQ, Exth 303-988-0446 Afc No)- 303-988-0804
Denver CO 80202 ADDAlRESS: COMail@cobizinsurance.com
INSURERIS) AFFORDING COVERAGE NAIC #
INSURER A: Lexington Insurance Company 19437
INSURED DAVIPAR-01 INSURERB: Hartford Casualty Insurance Co 29424
Davis Partnership P.C. Architects
INSURER Blake Street #100 suRER c : Pinnacol Assurance Company 41190
Denver CO 80205 INSURERD:
rr1V9RAr,FC CFRTIFICATF NIIMRFR• AQ93nQ5F',3 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 TYPE OF INSURANCE
LTR
ADDLSUBR,
POLICY NUMBER
EFF
MM/DPOLIDYY
MY EXP
MIDDY LIMITS
B X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE I X� OCCUR
N
N
34SBAIK2034
10/1/2018
10/112019
EACH OCCURRENCE
$ 1,000,000
DAMA E TO RENTED
PREM SES Ea occurrence
$ 300,000
MED EXP (Any one person)
$ 10,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY ❑ JECTPRO ❑ LOC
OTHER:
PERSONAL & ADV INJURY
$ 1,000,D00
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
B AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON-OX HIRED AUTOS X AUUTOS�ED
N
N
34SBAIK2034 10/1/2018
-
10/1/2019
COMBINED SINGLE LIMIT
Ea accident
$ 1 000 000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
.$
(PeraccPROiden MAGE
$
$
B X UMBRELLA LIAR
EXCESS LWB
X OCCUR
CL_AIMS-MADE
ii
34SBAIK2034 10/1/2018 10/1/2019 EACH OCCURRENCE
AGGREGATE
S 10,000,000
$
DED X I RETENTION $ l000ri �I
$
C WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? ❑' NIA
(Mandatory in NH)
If yes describe under
DESCRIPTION OF OPERATIONS below
N
40334,12
10/1/2018
10/1/2019
-
X TATUTE ERH
S
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYE0
$1,000,000
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
A Errors & Omissions
015448992
5/22/2018
5/22/2019
$5,000.000 Limit 50, 000 Retention
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Job: Pool Renovation at Mulberry Park.
P Mmr lcl!`ATc Uf'%l rlco r'ANrFI I ATWIPJ
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
215 North Mason Street, 2nd Floor
Fort Collins CO 80524
AUTHORIZED REPRESENTATIVE
U 1 VtW-ZU14 AGUKU L UKI'UKA 1 IUril. All ngnis reserveu.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD