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HomeMy WebLinkAbout102722 JUPITER I LLC DBA OFFICESCAPES - INSURANCE CERTIFICATE (6)ACO CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 3/1/2017 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 NTA NAME: T Client Manager_ USI Colorado, LLC _ 5295 P.O. Box 7050 E-MAIL - 7 A!C No : - - Englewood CO 80155 ADDREss: en. rtifi to usi. m INSURER A INSURED JUPITI Jupiter I, L.L.C. dba OfficeScapes 4950 S. College Ave., Unit A Fort Collins, CO 80525 INSUfiEK E : INSURER F COVERAGES CERTIFICATE NUMBER: 641562880 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 LTR TYPE OF INSURANCE AWOL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS A GENERAL LIABILITY Y Y GLO980918303 3/1/2017 3/1/2018 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DA AGE To RENTED PRE" SES Ea occurrence) $300,000 CLAIMS -MADE OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 $ X POLICY PRO X LOC A AUTOMOBILE LIABILITY Y BAP980918403 3/1/2017 3/1/2018 Ea accident GLEIN�� S1.000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X NON -OWNED HIRED AUTOS X AUTOS B X UMBRELLA LIAB X OCCUR Y ZUP11S1702017NF 3/1/2017 3/1/2018 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 EXCESS LIAB CLAIMS -MADE DED X 1 RETENTION $10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N Y WC980918203 3/1/2017 3/1/2018 X WC STATU ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMEER 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 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Project: 8230 Moving Support Services Additional Insured per written notice or contract to General Liability: The City of Fort Collins, Colorado, a Municipal Corporation, its officers, agents and employees CERTIFICATE HOLDER CANCELLATION The City of Fort Collins, a Municipal Corporation Attn: Director of Purchasing & Risk Management P.O. 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 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD