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HomeMy WebLinkAboutI-KOTA INC - INSURANCE CERTIFICATE (5)I-KOINC-01 DENESEB FACORO DATE (MM/DD/YYYY) �� CERTIFICATE OF LIABILITY INSURANCE 03/05/2018 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 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 CONTACT Virginia Shaw CCIG �5660 Greenwood Plaza Blvd. E-MAIL -M No, E:t): (720) 330-7903 FAX No :(303) 799-0156 Suite 500 ADDREs , G—i..n..n.yy—S@thinkccig.com Greenwood Village, CO 80111 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Westfield Insurance 124112 INSURED I -Kota Inc. 1060 Broadway Denver, CO 80203 Insurance INSURER F : r,n w rr u, uwovo. DCVICIr%KI All IIUIII vTHIS, 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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR CMM0982161 03/10/2018 03/10/2019 DAMAGE TOENTED MI ccue 500,000 $ MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY $ 1,000'000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑X PRJECOT Fx_� LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 $ BODILY INJURY Perperson) $ X ANY AUTO CMM0982161 03/10/2018 03/10/2019 BODILY INJURY Per accident $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NOoN-0V/NED AUTOS ONLY Al1TOS ONLY PROPERTY AMAGE Per accident $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE CMM0982161 03/10/2018 03/10/2019 EACH OCCURRENCE $ S,000,OOO AGGREGATE $ 5,000,000 DED I X I RETENTION $ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN/,Nj OFFICER/MEMBER EXCLUDED? N (Mandatoryin NH) — N/A 4138898 04/01/2018 04/01/2019 X PER OTH- T T TE ER E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE 1,000,000 $ E.L. DISEASE -POLICY LIMIT 1000,000 ' If yes, describe under DESCRIPTION OF OPERATIONS below C C Lease/Rented Equip RC Valuation IIH4959369305 IH4959369305 06/25/2017 06/25/2017 06/25/2018 06/25/2018 Limit Deductible 250,000 1,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) As required by written contract or written agreement, City of Fort Collins is included as Additional Insured under General Liability. City of Fort Collins PO Box 580 Fort Collins, CO 80522-0580 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