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HomeMy WebLinkAbout212187 WEATHERSURE SYSTEMS INC - INSURANCE CERTIFICATE (11)WEATH-1 OP ID: JDB ,4. O CERTIFICATE OF LIABILITY INSURANCE �-�'� DATE/01/2015Y) 07/01 /2015 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 endorsements . PRODUCER CRS/Surescape Ins. Services 6600 E. Hampden Ave. Denver, CO 80224 Douglas J. Rothey CONNAME CT Jessica Batten PHONE FAX A/C No Ext : 303-996-7800 A/C No): 303-996-7851 l -ADDRESS: Jbatten@crsdenver.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Plnnacol Assurance INSURED WeatherSure Systems, Inc. INSURER 8:CNA 3333 S Platte River Drive Sheridan, CO 80110 INSURERC: Hanover Insurance Co. INSURERD: Nat'l Union Fire Ins/Pitts PA 19445 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMRFR- 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 TYPE OF INSURANCE ADDL IN SUB POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X PMT6013803211 07/01/2015 07/01/2016 EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTED PREMISES Ea occurrence $ 100 00 MED EXP (Any one person) $ 5,00 X PD Ded: $10,000 PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY a JERK LOC GENERAL AGGREGATE $ 2,000,00 PRODUCTS - COMP/OP AGG $ 2,000,00 $ OTHER. C+ AUTOMOBILE LIABILITY ANY AUTO AW4877561805 07/01/2015 07/01/2016 Ea BINEDtSINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident ( ) $ NON -OWNED HIRED AUTOS X AUTOS X PROPERTY DAMAGE Per accident $ $ UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 5,000,00 X AGGREGATE $ 5,000,00 D EXCESS LAB CLAIMS -MADE 067888050 07/01/2015 07/0112016 DED I X 1 RETENTION $ 0 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE D? OFFICER/MEMBER EXCLUDE N/A 3471401 07/01/2015 07/01/2016 PER OTH- X STATUTE ER E.L. EACH ACCIDENT $ 1,000,00 E L DISEASE - EA EMPLOYEE $ 1,000,00 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E L. DISEASE - POLICY LIMIT $ 1,000,00 C Leased/Rent Equip IH4A39434402 07/01/2015 07/01/2016 Limit 150,00 Special Form/ACV Ded 1,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: 6064 Civic Center 8r Old Town Parking Garage The certificate holder is included as additional insured on the General Liability with respect to ongoing operations of the named insured for the certificate holder as required by written contract. All policy terms, conditions and exclusions apply. IiGR I Ir-IVA 1 C r7VLUCR (,:ANGtLLA I IUN CITFTCO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. Attn: James B O Neill II PO Box 580 AUTHORIZED REPRESENTATIVE 215 N Mason Street 2nd Floor G+ fl-in — rn unc,),3 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD