HomeMy WebLinkAbout109315 COLORADO DOORWAYS INC - INSURANCE CERTIFICATE (19)DATE (MMOD.'YYYY)
ACORO� CERTIFICATE OF LIABILITY INSURANCE
1%./_ 8/2T12019
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 endorsement(s).
PRODUCER
AssuredPartners Colorado
4582 S. Ulster St.. Suite 600
Denver CO 80237
INSURED-- --
Colorado Doorways, Inc.: Doorway Solutions
Doorways of Wyoming
5151 Bannock Street #17
Denver CO 80216
:0 25615
Co of America 25674
41190
,omDanv 16535
COVERAGES CERTIFICATE NUMBER:7B4245817 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.
7?ODL';SUHRi POLICY EFF POLICY EXP
LTRI TYPEOFINSURANCE ynr i POLICY NUMBER MMDD/YVYY MMID LIMITS
A
X I. COMMERCIAL GENERAL LIABILITY
_
Y
I Y
Y6304D394909COF19 9/1/2019 9/112020
EACH OCCURRENCE
$1,000,000
CLAIMS -MADE X OCCUR
DAMAGE TO RENTED
PREMISES (Ea
$300,000
_
MED EXP (Any ore arson)
$10,000
PERSONAL d ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$2,000,000
POLICY[K JE&_ "LOC
PRODUCTS - COMP/OP AGG
52,000,000
S
OTHER:
B
AUTOMOBILE LIABILITY Y Y -� 8104N2685201914G 9112019
9112020
�OMBINEDSINGLEUMn
Ea acatlam)__ _
51,000.000
BODILY INJURY (Per person)
S
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
L�
BODILY INJURY Per accident)
S
X HIRED NON -OWNED
AU OS ONLY X AUTOS ONLY
DAMAGE
(.ER DAMAGE
S
-----
$
B
X L BRELLAUAB X OCCUR
CUP7.162989A1914 9/12019 9/12020 EACH OCCURRENCE
$10.000,000
$10,000,000
EXCESS LIAB •--f ClA1MS-MADE
AGGREGATE
DEC X RETENTIONS
I
$
C WORKERS COMPENSATION Y 4191111 9/112019 911202C X SPER I
TATUTE ERH
o AND EMPLOYERS'LIABILITY YIN WC1036917-03 9/1/2019 911/2020 —
ANYPROPRIETOR, PARTNERIEXECUTIVE N] NIA E.L. EACH ACCIDENT
OFFICERIMEMBER EXCLUDED?
(Mandatory In NH) E.L. DISEASE EA EMPLOYEE
$1,000,000
$ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS Delow E.L. DISEASE - POLICY LIMIT
d 1 000,000
A Blanket BPP Y6304D394909COF19 9112019 9/112020 BPP Limit
Blanket Stock Stock
7,190,000
7,700,000
DESCRIPTION OFOPERATIONS I LOCATIONS i VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It 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.
City of Fort Collins
Attn: John Stephen
PO Box 580
Fort Collins CO 80522
USA
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 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
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