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HomeMy WebLinkAbout557668 DAVIS PARTNERSHIP ARCHITECTS - INSURANCE CERTIFICATE (6),a►`oizo® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDYYY) /Y 9/29/2017 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 endorsements . PRODUCER CoBiz Insurance, Inc. - CO 1401 Lawrence St., Ste. 1200 Denver CO 80202 CONTACT NAME: PHONE 303-988-0446 FAX No): 303-988-0804 E-MAI L . COMail@cobizinsurance.com INSURERS AFFORDING COVERAGE NAIC # INSURER A:Lexington Insurance Company 19437 INSURED DAVIPAR-01 INSURERB:Hartford Casualty Insurance Co 29424 Davis Partnership P.C. Architects INSURERC:Pinnacol Assurance Company 41190 2901 Blake Street #100 Denver CO 80205 INSURERD: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 323563136 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. I�TR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD(YY YY) (MM/DDfYYYY LIMITS B X COMMERCIAL GENERAL LIABILITY 34SBAIK2034 10/1/2017 10/1/2018 EACH OCCURRENCE $1,000,000 CLAIMS -MADE a OCCURPREMISES DAMAGE (RENTED PREMISESSEa occurrence) $300,000 MED EXP (Any one person) $10,000 PERSONAL 8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY D PRO JECT ❑ LOC PRODUCTS - COMP/OP AGG $2,000,000 $ OTHER: B AUTOMOBILE LIABILITY 34SBAIK2034 10/1/2017 10/1/2018 Eaaccident) $1,000,000 BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED 'AUX AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS X AUTOS P RTYDAMA E Per accident $ B X UMBRELLA LIAB X OCCUR 34SBAIK2034 10/1/2017 10/1/2018 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 EXCESS LIAB CLAIMS -MADE DED X RETENTION $10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N 4033452 10/1/2017 10/1/2018 PER OTH- STATUTE I ER E.L. EACH ACCIDENT ANY PROPRIETOR/PARTNER/EXECUTIVE $1,000,000 OFFICER/MEMBER EXCLUDED? ❑ N/A E.L. DISEASE - EA EMPLOYEd (Mandatory in NH) $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below I I I _ --- - 1 $1,000,000 E.L. DISEASE - POLICY LIMIT A PROF 015448922 5/22/2017 5/22/2018 4,000,000 50,000 Retention DESCRIPTION OF OPERATIONS / LOCATIONS I 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. IZED REPRESENTATIVE 16611, . © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD