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HomeMy WebLinkAbout403948 SOLARGLASS WINDOW - INSURANCE CERTIFICATESSORENSE SOLALLC-01 ACORN CERTIFICATE OF LIABILITY INSURANCE `..--� DATE(MM/DD/YYYY) 12/27/2016 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 CoBiz Insurance, Inc. - CO 1401 Lawrence St., Ste.1200 Denver, CO 80202 CONTACT NAME: PHONE FAX (A/C, No, Ext): (303) 988-0446 A/C, No :(303) 988-0804 A pR'E . CoBizinsurance@cobizinsurance.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Travelers Indemnity Co of America 25666 INSURED INSURER B : Travelers Casualty Insurance Company Of Americ 19046 Solarglass, LLC. dba SolarGlass Window & Door INSURER C : Pinnacol Assurance Company 41190 3002 Sterling Circle, Suite 101 INSURER D : INSURER E : Boulder, CO 80301 INSURER F : COVERAGES 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 ADDL SUBR fVD POLICY NUMBER POLICY POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X 6806G670792 01/01/2017 01/01/2018 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMI$$a occu. Ten 300,000 $ ME EXP (Any oneperson) $ 6,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑X JECT LOC OTHER. GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG , $ Z OOO,OOO B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY _ AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY(Per BA6G577075 01/01/2017 01/01/2018 COMBcd ntD SINGLE LIMIT $ 1,000,000 BODILY INJURY Perperson) $ $ BODILY INJURY Per accident PROPERTY DAMAGE accdent $ A X UMBRELLA ILIAB EXCESS LWB X OCCUR CLAIMS -MADE CUP5735Y64A 01/01/2017 01/01/2018 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 DED X RETENTION $ 10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE FFICER/MEMBER EXCLUDED? I!J andatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 4110513 01/01/2017 01/01/2018 X PER TA OTH- ER E.L.EACHACCIDENT 1,000,000 E.L. DISEASE - EA EMPLOYE 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins Utilities AUTHORIZED REPRESENTATIVE Attn: Kaye Mathea PO Box 580 Fort Collins. CO2 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD