Loading...
HomeMy WebLinkAbout375464 DAVINCI SIGN SYSTEMS INC - INSURANCE CERTIFICATE (9)�-, DAVISIG-01 JWITHERSPO ACORO" DATE (MM/DDIYYYY) �� CERTIFICATE OF LIABILITY INSURANCE 0E(MMID IYY 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 PFS Insurance Group 4848 Thompson Parkway Suite 200 Johnstown, CO 80534 INSURED DaVinci Sign Systems, Inc. 4496 Bents Drive Windsor, CO 80550 :T PFS Insurance Ext): (970) 635-9400 1,v , Nol:(970) 635-9401 INSURER D : INSURER E : INSURER F : CC]VERAGES 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. INSR TYPE OF INSURANCE AFL SUER POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X I CPA3050394-27 07/01/2018 07/01/2019 EACH OCCURRENCE $ 1,000,000 $ 300,000 $ 5,000 DAMAGE TO RENTED once)_ MED EXP (Any one PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY F_V_1 jP& LOC OTHER: GENERALAGGREGATE $ 2,000,000 PRODUCTS-COMPIOP AGG 2,000,000 A AUTOMOBILE LIABILITY X ANY AUTO AAURTEO�S ONLY SCHEDULED AUTOS AUTOS ONLY X AUTOS ONLY X CPA3050394-27 07/01/2018 07/01/2019 COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY Perperson) $ $ $ BODILY INJURY Per accident P O:cEg t AMAGE A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE CPA3050394-27 07/01/2018 07/01/2018 EACH OCCURRENCE AGGREGATE Personal 8r Adve $ 5,000,000 $ S 5,000,000 DIED I X I RETENTION $ 0 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY IANY FFICEWMEMBEREXCLUDED7ECUTIVE Y❑ (Mandatory In NIE.L. If yes, describe under DESCRIPTION OF OPERATIONS below NIA 4081336 07/01/2018 07/01/2019 X PTR T OTERH E.L. EACH ACCIDENT - 1,000,000 $ - - 1 OOO,OOO ' DISEASE - EA EMPLOYE IE.L. DISEASE -POLICY LIMIT _ 1,000,000 T DESCRIPTION OF OPERATIONS I LOCATIONS I 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 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD