HomeMy WebLinkAbout495782 ABOVE ALL DENVER WINDOW CLEANING - INSURANCE CERTIFICATE (3)ACCWRQ CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY
8/10/2017
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NO
AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOE
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 condition
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
Heritage General Agency
6 Inverness Court East, Su lte 110
Englewood CO 80112
ONTACTNAME: Bradley Insurance Group
NONE: 303-48-5005 FAX: 303-458-5857
-MAILADDRESS:
RODUCER
USTOMER ID #
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURED
Tim Quintana DBA:
Above All Denver Window Cleaning
4457 Clay Street
Denver, CO 80211
NSURER A: Scottdale Insurance Company
NSURER B:
NSURER C:
NSURER D:
NSURER E:
NSURER F:
COVERAGES
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, EXCLUSION
AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR
LTR
TYPE OF INSURANCE
ADDL
INSD
SLIER
WVD
POLICY NUMBER
POLICY EFF
(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY)
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X OCCUR
X
CPS2902098
8/17/2017
8/17/2018
EACH OCCURRENCE
$1 000 00
DAMAGE TO RENTED PREMISES (Ea
occurrence)
$100,00
MED PAY (Any one person)
$5,00
PERSONAL & ADV INJURY
$1,000,00
GENERAL AGGREGATE
$2,000,00
GEN'LAGGREGATE LIMIT APPLIES PER:
PRO-
[ POLICY JECT LOC
PRODUCTS - COMP/OPAGG
Incl in Gen Agg
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
COMBINED SINGLE LIMIT (Ea
accident)
BODILY INJURY (Per person)
BODILY INJURY (Per accident)
PROPERTY DAMAGE (Per accident)
$
$
UMBRELLA LIA
EXCESS LIAB
3
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
DEDUCTIBLE
RETENTION $
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY (Ea accident)
OTHER THAN (Ea accident)
AUTO ONLY: (Aggregate)
-13
Commercial Excess Liability
XBS0086277
8/17/2017
8/17/2018
Each Occurrence
$3,000,00
AGGREGATE
$3 000 00
DESCRIPTION OF OPERATIONS / LOC*35 / VEHICLES:
Window Cleaning
Certificate holder is additional insured
CERTIFICATE HOLDER GANGLLLA I IUN
City of Fort Collins
215 N Madison St. 2nd Floor
Fort Collins, CO 80524
fOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Th
,PIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
FT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
4Y KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
®
ACERTIFICATE OF LIABILITY INSURANCE
ft U
DATE (MM/DD/YYYY
8/10/2017
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NO
AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOE
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 condition
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
Heritage General Agency
6 Inverness Court East, Suite 110
Englewood CO 80112
ONTACT NAME` Bradley Insurance Group
NONE` 303-48-5005 FAX: 303-458-5857
-MAIL ADDRESS:
RODUCER
USTOMER ID #
INSURER(S) AFFORDING COVERAGE
INSURER
NAIC #
INSURED
Tim Quintana DBA:
Above All Denver Window Cleaning
4457 Clay Street
Denver, CO 80211
NSURER A: Scottdale Insurance Company
NSURER B:
NSURER C:
NSURER
NSURER
F:
COVERAGES
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, EXCLUSION
AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR
LTR
TYPE OF INSURANCE
ADDL
INSD
SUBR
NND
POLICY NUMBER
POLICY EFF
(MMIDDIYYYY)
POLICY EXP
(MMIDD/YYYY)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$1 000 00
A
X COMMERCIAL GENERAL LIABILITY
X
CPS2902098
8/17/2017
8/17/2018
DAMAGE TO RENTED PREMISES (Ea
a ante)
$100,00
CLAIMS MADE FTIOCCUR
MED PAY (Any one person)
$5,00
PERSONAL & ADV INJURY
$1 ,000,00
GENERAL AGGREGATE
$2,000,00
GEN'LAGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OPAGG
Incl in Gen Agg
PRO -
X POLICY JECT LOC
$
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT (Ea
accident)
$
ANY AUTO
BODILY INJURY (Per person)
$
ALL OWNED AUTOS
BODILY INJURY (Per accident)
SCHEDULED AUTOS
PROPERTY DAMAGE (Per accident)
HIRED AUTOS
NON -OWNED AUTOS
H
1
1
$
UMBRELLA LIA
OCCUR
EACH OCCURRENCE
$
EXCESS LIAB
CLAIMS -MADE
AGGREGATE
$
DEDUCTIBLE
$
RETENTION $
GARAGE LIABILITY
AUTO ONLY (Ea accident)
ANY AUTO
OTHER THAN (Ea accident)
AUTO ONLY: (Aggregate)
Commercial Excess Liability
XBS0086277
8/17/1017
8/17/2018
JEach Occurrence
$3,000,00
AGGREGATE
$3 000 00
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES:
Window Cleaning
Certificate holder is additional insured
ULK I inWh I L. nvLULK L;ANGtLLA I IUN
Front Range Retail Company LLC
Bayer Properties LLC
2729 Council Tree Ave Ste 160
Ft. Collins, CO 80525
HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Th
XPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
EFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
.NY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.