HomeMy WebLinkAboutSOLARGLASS LLC DBA SOLARGLASS WINDOW & DOOR - INSURANCE CERTIFICATESOLALLC-01 SANDERSO
,4CORO DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE F1/4/2016
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 303 988-0446 FAX
821 17th St.(A/C,No Ext : ( ) A/C No): (303) 988-0804
Denver, CO 80202 AEI RIESS: CoBizlnsurance@cobizinsurance.com
INSURED
SolarGlass, LLC dba
SolarGlass Window & Door
3002 Sterling Circle, Suite 101
Boulder, CO 80301
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A: Travelers Indemnity Co of America
25666
INSURER B : Travelers Casualty Insurance Company Of America
19046
INSURER C:Pinnacol Assurance Company
41190
INSURER D : Everest Indemnity Insurance Co
10851
INSURER E :
INSURER F :
COVFRAnFR CFRTIFICATF NIIMRFR- REVISION NIIMRFR-
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
INSD
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE Lx_ I OCCUR
6809088C881162
01/01/2016
01/01/2017
DAMAGET
PREMISES Ea occurrence
$ 300,000
MED EXP (Any one person)
$ 6,000
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
POLICY JE LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
OTHER
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
BODILY INJURY (Per person)
$
B
X ANY AUTO
BA613577075 01/01/2016
01/01/2017
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
NON -OWNED
HIRED AUTOS AUTOS
X
UMBRELLA LIAB
X
OCCUR
EACH OCCURRENCE
$ 2,000,000
AGGREGATE
$ 2,000,000
A
EXCESS LIAB
CLAIMS -MADE
CUP5735Y64A
01/01/2016
01/01/2017
DED I X I RETENTION $ 10,000
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y
ANY PROPRIETOR/PARTNER/EXECUTIVE �
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
N/A
110613
01/01/2016
01/01/2017
PER OTH-
X STATUTE ER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
' If yes, describe under
DESCRIPTION OF OPERATIONS below
1 000 000
$ , ,
E.L DISEASE -POLICY LIMIT
D
Pollution
EF4P004144151
06/25/2015
06/25/2016
Aggregate 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
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.
AUTHORIZED REPRESENTATIVE
City of Fort Collins
300 LaPorte Ave.
` p"~"(•
(Fort Collins CO 80521
@ 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD