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HomeMy WebLinkAbout557668 DAVIS PARTNERSHIP ARCHITECTS - INSURANCE CERTIFICATE (3)A ^ 1 ® 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 CoBiz Insurance, Inc. - CO 1401 Lawrence St., Ste. 1200 Denver CO 80202 CONTACT NAME: PHONE FAX (A/C,No._ • 303-988-0446 Arc No:303-988-0804 ADDRESS: COMail@cobizinsurance.com INSURE S AFFORDING COVERAGE NAIC q INSURER A: Lexington Insurance Company 19437 INSURED DAVIPAR-01 INSURER B: Hartford Casually Insurance Co 29424 Davis Partnership P.C. Architects 2901 Blake Street #100 INSURER C'. Pinnacol Assurance Company 41190 Denver CO 80205 INSURER D : INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 1106278646 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 I TYPE OF INSURANCE ADDL SUBR'�i POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDD/YYYY LIMBS B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR N N 34SBAIK2034 10/1/2018 10/1/2019 EACH OCCURRENCE $ 1,000,000 DAMAGE PREMISES EaEoN ence $300,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO JECT ❑ LOC POLICY 0 OTHER: GENERAL AGGREGATE $ 2,000,D00 PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS Ix HIRED AUTOS X NON -OWNED AUTOS N N 34SBAIK2034 10/12018 10/1/2019 COMBINED SINGLE LIMIT Ea accident $ 1 000.000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ POP TYDAMAGE $ $ B I X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE 34SBAIK2034 10/1/2018 10/1/2019 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ DED X RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑ OFFICER/MEMBER EXCLUDED OFFICER/MEMBER EXCLUDED?? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A N 4033452 10/12018 10/1/2019 H X STATUTE ER E.L. EACH ACCIDENT $.1,000,000 _ E.L. DISEASE - EA EMPLOYEE $1,000,D00 , $ 1,000,000 E.L. DISEASE - POLICY LIMIT A Errors & Omissions 015448992 5/222018 5/22/2019 $5,000,000 Limit 50,000 Retention DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Job: Pool Renovation at City Park.Subject to all policy terms and conditions CERTIFICATE HOLDER CANCELLATION 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 Idl�/rl © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD