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DAVIS PARTNERSHIP P.C. ARCHITECTS - INSURANCE CERTIFICATE (3)
A�® DATE (MM/DD/YYYY) iicc IiiCERTIFICATE OF LIABILITY INSURANCE F5/14/2018 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 toIC.No.Ext)m 303 988 0445 1 uuc,No►:303-988-0804 E-MAIL Denver CO 80202 ADDRESS: COMail@cobizinsurarice.com INSURERISI AFFORDING COVERAGE NAIC # INSURED Davis Partnership P.C. Architects 2901 Blake Street #100 Denver CO 80205 INSURER A: Lexington Insurance Company 19437 OAVIPAR-01 INSURERS: Hartford Casualty Insurance Co 29424 INSURER C : Pinnacol Assurance Company 41190 INSURER D : _ INSURER E : INSURER F : rnX/CDA!]C'C CERTIFICATE NI IMRFR• Arl?AA71A RFVIRION 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 ADL SUER r TYPE OF INSURANCE POLICY NUMBER MM/ DPOLICY/YYYY LIMITSLTR MM/DO/YYYY B li X COMMERCIAL GENERAL LIABILITY N N 34SBAIK2034 10/1/2017 10/1/2018 EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED CLAIMS -MADE _ _ OCCUR I PREMISES Ea occurrence) $ 300,000 $10,000 MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: $ 2,000,000 $ 2,000,000 POLICY PRO LOC JECT PRODUCTS -COMP/OP AGG $ OTHER: B AUTOMOBILE LIABILITY N N 34SBAIK2034 10/1/2017 10/1/2018 COMBINED INGLE LIMIT Ea accidentS $ 1 000 000 $ ANY AUTO BODILY INJURY (Per person) S ALL OWNED SCHEDULED BODILY INJURY (Per accident) AUTOS AUTOS $ —" NON -OWNED X PROPEERIC DAMAGE HIRED AUTOS _X AUTOS P $ B X UMBRELLA LIAR X OCCUR 34SBAIK2034 10/1/2017 10/1/2018 1 EACH OCCURRENCE $ 10,000,000 EXCESS LU\B CLAIMS -MADE AGGREGATE $10,0D0,000 DED X RETENTIONS $ C WORKERS COMPENSATION N 4033452 10/1/2017 10/l/2018 X PER OTH- STATUTE ER AND EMPLOYERS' LIABILITY Y / N _. _ _ ANY PROP RIETOR,PARTNER/EXECUTIVE E.L. EACH ACCIDENT _ _ _ _$_1,000,000 -- OFFICER./MEMBER EXCLUDED? ❑N/Ai (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 A Errors & Omissions 015448992 5/22/2018 5/22/2019 $5.000,000 Limit 50,000 Retention DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Job: Pool Renovation at City Park.Subject to all policy terms and conditions L.tl<I Ir'I`LA I t MULUMM VMIYVLLLM I IVI\ 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 blu rif,Glr� © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD