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HomeMy WebLinkAboutCOLORADO DOORWAYS INC - INSURANCE CERTIFICATE^1 COLOR01 FDATE (/ 08I29/2017 Y) 017 CERTIFICATE OF LIABILITY INSURANCE 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 endorsements . PRODUCER 303-831-7100 Thomas J. Sisk & Company, Inc. 1700 Broadway, Suite 1000 Denver, CO 80290 Trevor Gilstrap-Accts Reassign CONTACT Trevor Gilstrap PHONE 303-831-7100 FNAME AX 303-831-7377 (A/C, No, Ext): (A/C, No): E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Travelers #25615 INSURED Colorado Doorways Inc. Doorway Solutions INSURER B : Plnnacol Assurance Doorways of Wyoming INSURERC: INSURER D : 5151 Bannock Street #17 Denver, CO 80216-2322 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER- RFVISION NI IMRFR• 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 ADDL SUB POLICY NUMBER POLICY EFF YYYY POLICY EXP 09/01/2018 LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE LX] OCCUR X X Y6304D394909COF 09/01/2017 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Eance $ 300,000 X MED EXP (Any oneperson) $ 10,000 A Contractual Y6304D394909COF 09/01/2017 09/01/2018 X XCU PERSONAL & ADV INJURY $ 1,000,000 A Y6304D394909COF 09/01/2017 09/01/2018 GEN'L AGGREGATE LIMIT APPLIES PER POLICY 7X7 jplRef F7 LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $PI 2,000,000 Emp Ben. 1,000,000 OTHER A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a accident 1,000,000 $ X BODILY INJURY Perperson) $ ANY AUTO X X Y8104D394909TIL 09/01/2017 09/01/2018 BODILY INJURY Per accident $ OWNED SCHEDULED AUTOS ONLY AUTOS PROPERTY DAMAGE Peraccident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 EXCESS LIAR CLAIMS -MADE YSMCUP4D394909TIL 09/01/2017 09/01/2018 DED I X I RETENTION $ 0 B WORKERS COMPENSATION X I PER OTH- AND EMPLOYERS' LIABILITYSTAT ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA X 4195139 09/01/2017 09/01/2018 LITE ER E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT 1,000,000 A Blanket BPP Y6304D394909COF 09/01/2017 09/01/2018 IBPP 2,675,000 A Blanket Stock Y6304D394909COF 09/01/2017 09/01/2018 Stock 4,200,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City, its officers, agents and employees are additional insureds on all policies except Workers' Compensation Including ongoing & completed operations as required by written contract. Insurance is primary and non-contributory. Waiver of subrogation applies to all policies. CITYOFF City of Fort Collins Attn: John Stephen 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 � ��;, ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD