HomeMy WebLinkAbout555281 DENVER PRINT COMPANY - INSURANCE CERTIFICATE (3)A ^^ 7 0
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
7/21/2017
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
Compass Insurance Group
p p
7383 S Alton Way
Centennial CO 80112
CUNIAGI
NAME: Amanda Crawford
PHONE 3039969000 3039969001
AIC, No, Ext : (AIC, No):
r -MAIL
ADDRESS: amanda@quotecompass. corn
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A: TRAVELERS CAS INS CO OF AMER
19046
INSURED
Denver Print Company
10515 E 40th Ave
Ste 108
Denver CO 80239
INSURER B : TRAVELERS IND CO
25658
INSURER C :
INSURER D :
INSURER E :
INSURER F :
rnvFRAr_I=S CFRTIFICATF NIIMRFR: 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
;N_=ATED. ":OTW!THSTAND!NG ANY REQU!REMENT, TER: OR CONDMON 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
ALIULLTR
INSD
WVD
POLICY NUMBER
(MM/DD/PULIGYYYYY)
Fu
(MM/DD/YYYY)
LIMITS
A
�(
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE F;Z�1 OCCUR
Y
680-SD058832-42 -17
09/06/2017
08/06/2018
EACH OCCURRENCE
$ 1000000
PREMISES (Ea occurrence)
$ 300000
MED EXP (Any one person)
$ 5000
PERSONAL & ADV INJURY
$ 1000000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY JEI° LOC
OTHER:
GENERAL AGGREGATE
$ 2000000
PRODUCTS - COMP/OP AGG
$ 2000000
Hired/Non-Owned Auto
$ 1000000
AUTOMOBILE LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
I L
(Ea accident)
$
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PRUPLKUAMAUL
(Per accident)
$
$
B
X
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
CUP-2GO95986-42 -17
08/06/2017
08/06/2018
EACH OCCURRENCE
$ 1000000
H
AGGREGATE
$ 1000000
—
X
DED I IRETENTION $ 5000
PRDCO
$ 1000000
ORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE ❑
OFFICER/MEMBER EXCLUDED?
Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
TR -
STATUTE ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Per attached endorsement CGD 105, additional insured status extends from the general liability to the Holder wherein they are in written agreement with the
Insured. All policy terms, conditions, and exclusions apply.
City of Fort Collins
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
tf.Y+�D,itGl9� �o�
U 1VU13-20b AUUKU UUKYUKAI IVN. Ali rlgniS reserve0.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD