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HomeMy WebLinkAboutDAVIS PARTNERSHIP P.C. ARCHITECTS - INSURANCE CERTIFICATE (2)-� ® DATE IMM/DD/YYYY) ACOROCERTIFICATE OF LIABILITY INSURANCE 5/14/2018 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 FAX 1401 Lawrence St., Ste. 1200 (A/C, No, EXU: 303 988-0446 f'C, Noll: 303-988-0804 Denver CO 80202 ADDRESS: COMail@cobizinsurance-com INSURED Davis Partnership P.C. Architects 2901 Blake Street #100 Denver CO 80205 INSURER D : INSURER E : INSURERS AFFORDING COVERAGE _1C # Lexington Insurance Company 19437 Hartford Casualty Insurance Co 29424 Pinnacol Assurance ComDanv 41190 r0VFRAr;FS C_FRTIFICATF Nt1MBFR: 1n79R51g0? 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. INSR 1 POLICY AINqn DDL W V LTR TYPE OF INSURANCE POLICY NUMBER MMIDDY� LIMITS B X COMMERCIAL GENERAL LIABILITY Y N 34SIlAIK2034 1011/2017 10/1/2011 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE RENTED PREMISES(E.occurrence) $300,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY Ra C LOC PRODUCTS - COMP/OP AGG S2000,000 OTHER S B AUTOMOBILE LIABILITY Y N 34SBAIK2034 10/1121111 10/1/2018 COMBINED SINGLE LIMIT s ', (Ea accident) _ 1,000.000 ANY AUTO BODILY INJURY (Per person) S ALL OWNED SCHEDULED BODILY INJURY (Per accident) S AUTOS AUTOS X X NON -OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS {Per accident) B X UMBRELLA LIAB X OCCUR N N 34SBAIK2034 10/1/2017 10/1/2018 EACH OCCURRENCE _ $ 10,000,000 _ EXCESS LIAB CLAIMS -MADE AGGREGATE s 10,000,000 X DED RETENTION $ s C WORKERS COMPENSATION N 4033452 10/1/2017 10/1/2018 X PER OTH- ER AND EMPLOYERS' LIABILITY Y / N _ _ _STATUTE ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? ❑ N / A' - (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $ 1,D00,000 If yes describe under - DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000.000 A Errors & Omissions 015448992 5/22/2018 1 5/22/2019 $5,000,000 Limit 50,000 Retention DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Project: City of Fort Collins - Mulberry Pool Chlorine Replacement. City of Fort Collins is included as an Additional Insured as respects to General Liability and Auto Liability. Subject to all policy terms and conditions. CERTIFICATE HOLDER CANCELLATION City of Fort Collins 215 North Mason Street, 2nd Floor Fort Collins CO 80524 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 %G s'tir..>� © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD