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Home My WebLink About375464 DAVINCI SIGN SYSTEMS INC - INSURANCE CERTIFICATE (10)DAVISIG-01 CERTIFICATE OF LIABILITY INSURANCE I It-ARADGCl I DATE (MM/DD/YYYY) 06/27/2017 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). CONTACT ISSU PRODUCER NAME: PFS Insurance Group 97 4848 Thompson Parkway Suite 200 (A//C, No, Ext): ( 0) 635-9400 FAX N0):(970) 635-9401 Johnstown, CO 80534 A DREss. Anfo@mypfs1nsurance.com INSURED DaVinci Sign Systems, Inc. 4496 Bents Drive Windsor, CO 80550 C: COVERAGES CERTIFICATE NUMBER: 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. INS' TYPE OF INSURANCE INDL SUER, POLICY NUMBER IMPOMILDICDYNEYFYFYPOLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PRE I ES Ea occurrenc $ 300,000 CLAIMS -MADE X OCCUR X CPA3050394 07/01/2017 07/01/2018 MED EXP An one arson $ 5,000 PERSONAL & ADV INJURY 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: ElPOLICY jpCor LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER A AUTOMOBILE LIABILITY COMBINED S INGLE LIMIT (Ea accidentl $ 1,000,000 $ _ X ANY AUTO X CPA3050394 07/01/2017 07/01/2018 BODILY INJURY (Per person $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED X NON -OWNED AUTOS ONLY _: AUTOS ONLY BODILY INJURY Per accident rFU-OERTX ' (Peraccdent) GE $ is A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE I $ S,000,000 EXCESS LIAB CLAIMS -MADE CPA3050394 07/01/2017 07/01/2018 AGGREGATE $ 5,000,000 DED X RETENTION $ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE pFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) 4081336 _ STATUTE OR _ 07/01/2017 07/01/2018 E.L. EACH ACCIDENT $ E.L. DI ISEASE - EA EMPLOYEE $ 1,000,000 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below CPA3050394 E.L. DISEASE -POLICY LIMIT 67/01/2017 07/01/2018 Limit 1,000,000 100,000 A Equipment Floater A Installation CPA3050394 07/01/2017 07/01/2018 Limit 70,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) If required by written contract, the Certificate Holder is included as Additional Insured for ongoing operations under General Liability and Designated Insured under Automobile Liability (except Hired and Non -Owned Automobile). The City of Fort Collins Purchasing Department PO Box 580 Fort Collins, CO 80522 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 ACORD 25 (2016103) © 1988-2015 ACORD CORPORATION. All rights reservea. The ACORD name and logo are registered marks of ACORD DAVISIG-01 JCAMPBELL CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06/27/2017 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 CONTACT ISSU NAME: PIPS Insurance Group 4848 Thompson Parkway Suite 200 (A//C,Nr o, Ext): (970) 635-9400 aC, No):(970) 635-9401 Johnstown, CO 80534 aooiiESs• info@mypfsinsurance.Com INSURED DaVinci Sign Systems, Inc. 4496 Bents Drive Windsor, CO 80550 A: INSURER D : INSURER E ., INSURER F : 41190 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X I COMMERCIAL GENERALLIABLITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE C, OCCUR CPA3050394 07/01/2017 07/01/201$ DAMAGE TO RENTED 300,000 PREMISES�a�s�urrgns $ L AGGREGATE LIMIT APPLIES PER: POLICY jffT D LOC ...on... a env w u Gov I t yvvv,vvvl GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OP AGG $ 2,000,000 P% AUTOMOBILE LIABILITY ------- acclden�_ -- --- ----- CEa $ — X ANY AUTO CPA3050394 07/01/2017 07/01/2018 BODILY INJURY (Per person) _ $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per. accident) $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY Pe0axitleTMntDAMAGE ( - - $ -- - A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB M CLAIMS CPA3050394 07/01/2017 07/01/2018 5,000,000 -MADE _AGGREGATE $ DED RETENTION $ B WORKERS COMPENSATION PER OTH- TAT AND EMPLOYERS' LIABILITY Y / N 4081336 07/01/2017 07/01/2018 1,000,000 $ ANY ECUTIVE N / A E.L. EACH ACCIDENT 1,000,000 OFFICER/MEMBEER/EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE 1,000000 If yes describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT' A Equipment Floater CPA3050394 07/01/2017 07/01/2018 Limit 100,000 A Installation CPA3050394 07/01/2017 07/01/2018 Limit 70,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Old Town Garage - If required by written contract or written agreement the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The Certificate Holder, is included as as Additional Insured for ongoing operations under General Liability and Designated Insured under Automobile Liability (except Hired and Non -Owned Automobile). A Waiver of Subrogation applies to those named above for Workers' Compensation. The issuing Insurer will endeavor to mail 30 days written notice to the certificate holder, but failure to do so shall impose no obligation or liability of any kind upon the insurer, its agents or representative. 10 days notice for non-payment. P`CDTICIP`ATC LIr1I nCD CAAIRFI I ATInM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins ty THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Purchasing Director P.O. Box 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD