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HomeMy WebLinkAboutDAVIS PARTNERSHIP PC ARCHITECTS - INSURANCE CERTIFICATE (2)DATE (MM/DD/YYYY) ACORDe CERTIFICATE 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 CoBiz Insurance, Inc. - CO PHONE FAX 1401 Lawrence St., Ste. 1200 • 303-988-0446 JAIC, No : 303-988-0804 Denver CO 80202 ADDRESS: COMaiIQcobizinsurance.com INSURED Davis Partnership P.C. Architects 2901 Blake Street #100 Denver CO 80205 INSURERS) AFFORDING COVERAGE NAIC 9 INSURERA: Lexington Insurance Company 19437 DAMPAR-01 INSURER B: Hartford Casualty Insurance Co 29424 INSURER C : Pinnacol Assurance Company 41190 INSURER D:___ INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 557562236 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 ADDLSUBRI POLICY EFF POLICY EXP TYPE OF INSURANCE LTR POLICY NUMBER MM/DD/YYYY MM/DDIYYYY LIMITS B X COMMERCIAL GENERAL LIABILITY Y N 34SBAIK2034 10/1/2017 10/1/2018 EACH OCCURRENCE S 1.000.000 X _ _ DAMAGES CLAWS -MADE_ -___ OCCUR (RENTED PREMISES (Ea occurrence)_ _$ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 7-7 PRO- I 7 POLICY _ JECT -- LOC PRODUCTS -COMP/OP AGO - $ 2.000,000 OTHER. $ B AUTOMOBILE LIABILITY Y N 34SBAIK2034 10/1/2017 10/1/2018 COMBINED SINGLE LIMIT $ 1,000,000 I Ea accidenti. $ ANY AUTO BODILY INJURY (Per person) ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS ROPE X X_ AUTO -OWNED TY (Pe HIRED AUTOS _ - a cRdentDAMAGE S B X UMBRELLA LIAO X_ OCCUR 34SBAIK2034 10/1/2017 10/1/2018 EACH OCCURRENCE $ 10.000,000 EXCESSLWB CLAIMS -MADE AGGREGATE S10.000.000 DED X RETENTION $ S C WORKERS COMPENSATION N 4033452 10/1/2017 10/1/2018 X PER OTH- AND EMPLOYERS' LIABILITY Y / N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N / A ❑ -- (Mandatory in NH) E L. DISEASE - EA EMPLOYEE $1,000,000 If yes describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 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) Re: EPIC Pool Renovation Project. The City, its officers. agents and employees are included as Additional Insureds as respects to General Liability and Auto Liability. Subject to all policy terms and conditions. CERTIFICATE HOLDER CANCELLATION 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. RIZED REPRESENTATIVE 'Wla . © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD