The URL can be used to link to this page

Home My WebLink AboutSTRUCTURE INC - INSURANCE CERTIFICATEDATE(MM/DD/YYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE 2/20/2016 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 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 Julie Quinn,CIC CRIS NAME: Moody Insurance Agency, Inc. PNONE _ (303) 824-6600 No: (303)370-0118 8055 East Tufts Avenue E-MAIL ADDRESS:3ulie. inn@mood ins.com y Suite 1000 INSURERS AFFORDING COVERAGE NAIC S Denver CO 80237 INSURERA:Travelers Prop Cas Co of America 25674 INSURED _ INSURER B :Travelers Indemmity Company 25658 Structures, Inc. INSURERC:Pinnacol Assurance 41190 4 Inverness Ct E Ste 250 INSURERD: J Englewood CO 80112 I INSURER F : CnVERAGFS CERTIFICATE NUMBER:16-17 w/forms 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 APPORDED 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 EFF POLICY OW LTR POLICY NUMBER MM/DD/YYYY MM D LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE F OCCUR DAMAGE ToREED PREMISES Ea occurrence) $ 300,000 MED EXP (Any one person) $ 5,000 X DTC0324D841116TIL 12/31/2016 12/31/2017 PERSONAL & ADV INJURY $ 1,000,000 Additional Insured status GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 applies only to the extent POLICY X JE C n LOC provided in form PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: CGD246 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ B X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS DT810324DB4111IND16 12/31/2016 12/31/2017 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED X HIRED AUTOS X AUTOS X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 A EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ 10,000 $ DTSDICUP325D280516TIL 12/31/2016 12/31/2017 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 4188248 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 11000,000 C OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA 1/1/2017 l/l/2018 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: 7338 Troutman Court East #250 City of Fort Collins and State of Colorado are named as an additional insured with respect to General Liability. CERTIFIGAIE HOLDER GANGtLLAIIUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Financial Services Purchasing Division ACCORDANCE WITH THE POLICY PROVISIONS. 215 N Mason St, 2nd floor PO BOX 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 _ J Quinn, CIC, CRIS/AM ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 (201401)