HomeMy WebLinkAbout132158 CTL/THOMPSON INC - INSURANCE CERTIFICATEa IJUITW. Ivaro yr rnv
9121/
ACORD.a CERTIFICATE OF LIABILITY INSURANCE M/DDIYY)
09/21/O6
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Van Glider Insurance Corp. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
700 Broadway, 1000 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
y ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Denver,- CO 80203
303 837-8500 INSURERS AFFORDING COVERAGE
INSURED INSURER A: Hartford Insurance Group
CTL/Thompson, Inc. INSURERS: Pinnacol Assurance
7306 S. Alton Way INSURER c: Lexington Insurance Company (AIG)
Centennial, CO 80112
... INSURER- D:
- . INSURER E _.. _..
:OVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
NSR
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DA E D
POLICY EXPIRATION
DATE (MWODIYYI
LIMITS
A
GENERAL LIABILITY
34UUNEX2070
10/01/06
10/01/07
EACH OCCURRENCE
$1000000
FIRE DAMAGE (Any one fire)
$300000
X COMM ERCIALGENERAL LIABILITY
CLAIMS MADE Fx_1 OCCUR
MED EXP (Any one Person)
$10 000
PERSONAL 6 ADV INJURY
$1 000 000
X PD Ded:1,000
GENERAL AGGREGATE
$2 000 000
GEN'L AGGREGATE LIM ITAPPL IES PER:
PRODUCTS -COMP/OPAGG
$Z 000000
POLICY,. , PRO-:..--.. LOC.
.
A
AUTOMOBILE_
X
LIABILITY
ANY AUTO._
34UENEX2190
10/01/06
10/01/07
OOMBINED.SINGLELIMIT
(Ea accident)
$1-000,000 - .
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Per accident)
$
HIREDAUTOS
NON -OWNED AUTOS
X
X
PROPERTY- DAMAGE
(Per accident)
$ ,
Drive Other Car
ri
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
ANY AUTO
$
A
EXCESS LIABILITY
X1 OCCUR CLAIMS MADE
34XHUEX1980
10/01/06
10/01/07
EACH OCCURRENCE
s2 000 000
AGGREGATE
$2 000 000
S
$
DEDUCTIBLE
$
X RETENTION $10000
B
WORKERS COMPENSATION AND
618052
10/01/06
10/01/07
X WC STATIU JOTH-
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
s500 000
E.L. DISEASE -FA EMPLOYEE
$500,000
E.L. DISEASE -POLICY LIMIT
$500,000
C I
OTHER Professional
4649299
11122/05
11122I06
$2,000,000 per claim
lability
$4,000,000 annl aggr.
laims Made
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
City of Ft. Collins, Purchasing Division is listed as an Additional Insured,
under General Liability only, in respects to their interest in work performed
by the insured as per written specified contracts.
City of Ft. Collins
Purchasing Division
P.O. Box 580
Fort Collins, CO 80522
SHOULD ANYOFTH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30DAYS WRITTEN
NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INS URER,ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Nj(jG"' O ACORD CORPORATION 196
sr,. Y.