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Home My WebLink About459604 SCHLOSSER SIGNS INC - INSURANCE CERTIFICATE (4)SCHLSIG-01 DIANAR TE ,acoRCl CERTIFICATE OF LIABILITY INSURANCE FD 08/30/2 YYYY) �---`� 08/30/2017 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 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 j this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRooucER - --� CONTACT Shawn Richards NAME; - _ CCIG I PHONE -- -- - - -FAX (A/c, No, eXt)(720) 212-2061 (FA/) No):(303) 799_0156 5660 Greenwood Plaza Blvd. Suite 500 AQE-MAIL $ShawnR thinkcci com 4RF— - --�— g --- -- Greenwood Village, CO 80111 - INSURERLSLAFFORDING COVERAGE NAIC # INSURED Schlosser Signs, Inc. 3597 Draft Horse Ct Loveland, CO 80538 COVFRAGFS CFRTIPICATF NI IMRFR• RFVICIrIAI NI IMRFR• 1 THIS IS TO CERTIFY THE T THE ?OLICIES 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_ MAY HAVE E BEEN REDUCED CLAIMS __SHOWN _AVE _B_YPAID INSR IADDLISUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD 1 MD POLICY NUMBER /DDfYYYY1 LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X CPA 3143281-24 09/01/2017 09/01/2018 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED MIFaoccurrence) $ __ 300,000 10,0001 MED EXP (Any one person_ PERSONAL & ADV INJURY $ $ 1,000,000 —__ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PE LOC GENERAL AGGREGATE $ 2,000,000 I PRODUCTS - COMPIOP AGG $ 2,000,000 OTHER $ A AUTOMOBILE X, LIABILITY ANY AUTO _ OWNED SCHEDULED AUTOS ONLY AUTOS _ ICPA 3143281-24 09/01/2017 09/01/2018 COMBINED SINGLE LIMIT nce _(E_a accide 1 $ $ 1,000,000 _ BODILY INJURY Per person) _ BODILY INJURY Per accident $ l;nANIAGE dNAUTOS $ A O�T A X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE EXCESS LIAB CLAIMS -MADE CPA 3143281-24 09/01/2017 09/01/2018 $ 5,000,000 DED I X I RETENTION $ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) yes, describe under DESCRIPTIOOF OPERATIONS b+:nx N / A 4064945 09/01/2017 09/01/2018 _ X PER OTH- T E E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1'000'000 I I i i I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) As required by written contract or written agreement, the City of Fort Collins is included as Additional Insured for ongoing operations under General Liability. i I t,Cr[ I It -It A I r r1VLutK GANGtLLA I IVN City of Fort Collins City Attorney 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 ----- 14 ACORO SCHLSIG-01 CERTIFICATE OF LIABILITY INSURANCE DIANAR DATE (MM/DD/YYYY) 08/30/2017 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 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 CCIG 5660 Greenwood Plaza Blvd. Suite 500 _ CONTACT Shawn Richards NAME;- PHONE - ------ - FAx tA/c No, Ex . (720) 212-2061 (NC, NNq.(303) 799-0156 1 Ipf°`R65S ShawnR thinkccig.com Greenwood Village, CO 80111 INSURERS AFFORDINGCOVERAGE ---- _ k NAICN INSURERA Acadia Insurance Com_ pany - 31325 _ INSURER B : Pinnacol Assurance 41190 INSURED Schlosser Signs, Inc. INSURER c_ 3597 Draft Horse Ct Loveland, CO 80538 INSURER D : _INSURER E : 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. _ INS R TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP r LIMITS A 7 X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CPA 3143281-24 09/01/2017 09/01/2018 DAMAGE TO RENTED CLAIMS -MADE X OCCUR PR GETO RE T en $ 1000,000 $ 300,000 MED EXP (Anyone person) $ _ 10,000 PERSONAL& ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY PE LOC PRODUCTS - COMP/0P AGG $ _ 2,000,000 2r000r000 $ OTHER. A AUTOMOBILE X LIABILITY 1 ANY AUTO AUTOSOWNE1—� SCHEDULED AUTOS ONLY AUTOS CPA 3143281-24 09/01/2017 109/0112018 COMBINED SINGLE LIMIT (Ea accident 1,000,000 $ $ _ $ INJURY Per rson _BODILY BODILY INJURY Par accident PROPERTY DAMAGE eraccdent)_ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY _ $ _ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE CPA 3143281-24 09/01/2017 09/01/2018 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DIED XI RETENTION $ 0 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If es, describe under DESCRIPTION OF OPERATIONS be!ow NSA 4064945 09/01/2017 09/01/2018 X PER 0TH- STATUTE E.L. EACH ACCIDENT 11000,000 $ E.L._DISEASE - EA EMPLOYEE _ $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1000 OOO $ i i 7 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) As required by written contract or written agreement, the Certificate Holder is included as Additional Insured for ongoing operations under General Liability. CERTIFICATE HOLDER — CANCELLATION City of Fort Collins Attn: Purchasing & Kathleen Benedict 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 rREPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD