HomeMy WebLinkAboutTEAMMATES COMMERCIAL INTERIORS - INSURANCE CERTIFICATE (2)'4t��i CERTIFICATE OF LIABILITY INSURANCE
DATE f ono 9YY)
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 certifieate_does.not confer, rl hts to.the certificate holderin lieu of.such.endorsement(s).
PRODUCER
Commercial Risk Solutions
6600 E Hampden Ave Ste 200
Denver CO 80224
NAME: Valens 6TOWn
PHONE
• 303-996-7847 . Alc No):303-757-7719..
.. ..
ADDRESS: vbrown@crsdenver.com
INSURE S AFFORDING COVERAGE
NAACO
INSURER A: Westfield Insurance
24112
'INSURED TEAMM i
Teammates Commercial Interiors
'INSURERS: Plnnacd Assurance
41190
320 S Teller'Street, Suite 250
INSURERC:
INsURERD:
Lakewood CO 80226-3237
. ... -
INSURER E:
INSURER F :
COVERAGES CERTIFICATE NUMBER: 1n92A97A3A REVISION 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 TOWHICH 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; UMITS,SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IN5R'
_TYPEO
AV
RI
WD
POUCYNUMBER
PWDrr�WYY
MD/
MY
LMRSLTR .
A
X I COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
Y
CV03177709
-
10/1/2019
1011'/2020
.EACH000URRENCE
$1;000,000 .
PREMISES Ea occurrence
$500,000
MED rtxp,(Ay oneperson)
$5,000
PERSONAL$AOVINJURY
$1.000.000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY T JECT LOC
OTHER:
GENERAL AGGREGATE
sZ000,000
PRODUCTS -COMP/0PAGG
$2,000,060
$
A.
Atrrogo
ILEUABLLITY
ANY AUTO
OWNED - SCHEDULED
AUTOS ONLY AUTOS..
HIRNON-OWNED
AUTOS ONLY A OSONL
Y
6WP317-7709
-
-
1011/2019
10/12020
CCOpMMBINEDSINGLE 'LMIT
{Eaacodent7
$1,000.000
X
BODILY INJURY (Per parson)
_
$
BODILY INJURY(Pa aocident)
$.
PeadDAAGEX
ron
$
.-
$
A
X-
UMBRELLALAB
EXCESS LAB
X
OCCUR
CLAIMS -MADE
CVYP3177709
10/1/2019
10/1R020
EACHOCCURRENCE
$5,000:000
I AGGREGATE
$5,000,000
DEO I X I RETENTION in
Is
a
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y f N
ANYPROPRIETOF/P4RTNER7EXECUTIVE a..N/A.
OFFICERIMEMBEREXCLUDEDi
(Mandatory In NH) -
If Ics describe order
DSCRIPTION OF PERATIONS WIDW
4062360
101112019
10/1/2020
X STATUTE
-
: ER
E.L. EACH ACCIDENT
$:1;000;000
E.L. DISEASE-- EA EMPLOYEE
$1,000,000
E.L. DISEASE: -POLICY OMIT
$1,060,000
DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, AddItf0nal.Rarmrke Schedule, maybe attaehad N more apace Ie required)
Re: 8026 Furniture for New Utilities Administration Building. The City of Fort Collins. its Officers, agents and employees are included as additional insured for
ongoing operations on the General Liability and included as additional insured on the Auto Liability with respect to,operations Of the named insured for the
certificate holder as required by written contract. All policy terms, conditions and exclusions apply.
SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE' THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Fort Collins Financial Services Purchasing Devision
P.O. Box 580
Fort Collins CO 80522 A!>rHo1 14f ESENTATIVE R
®1
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
2 of 2 26047