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HomeMy WebLinkAbout557668 DAVIS PARTNERSHIP P.C. ARCHITECTS - INSURANCE CERTIFICATEACORO® DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 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 CONTACT NAME: COBiz Insurance, Inc. - CO PHONE 303-988-0446 F4X 303-988-0804 1401 Lawrence St., Ste. 1200 E-MAIL Denver CO 80202 ADDRESS: COMail@cobizinsurance.com INSURED Davis Partnership P.C. Architects 2901 Blake Street #100 Denver CO 80205 INSURERS AFFORDING COVERAGE NAIC # INSURER A:Lexington Insurance Company 19437 DAVIPAR-01 INSURERB:Hartford Casualty Insurance Co 29424 INSURER C: Pinnacol Assurance Companv 41190 rnvi;PAnPR rFRTIFI(_ATF NI IMRFR• 2017143295 RGVISInm 1111 IMRPI?• 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. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDY/YYYY) (MMtDD1YYYYJ LIMITS B X COMMERCIAL GENERAL LIABILITY 34SBAIK2034 10/1/2017 10/1/2018 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X� OCCUR A A RENTED PREMISES Ea 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 POLICY E] PROJECT C LOC X PRODUCTS - COMP/OP AGG $2,000,000 $ OTHER: B AUTOMOBILE LIABILITY 34SBAIK2034 10/1/2017 10/1/2018 Eaaccdent $1,000,000 BODILY INJURY (Per person) $ ANY AUTO AUTOS OWNED SCHEDULED BODILY INJURY (Per accident) $ HIRED AUTOS X NON -OWNED AUTOS X AMA 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 DIED X RETENTION $10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY �, / N 4033452 10/1/2017 10/1/2018 PER TH- STATUTE ER E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 A PROF 015448922 5/22/2017 5/22/2018 4,000,000 50,000 Retention DESCRIPTION OF OPERATIONS / LOCATIONS / 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. an=11AILiiy_I17i1#141:4 91t1 C I"a A Wt11I NJ e 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 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD