HomeMy WebLinkAbout132158 CTL/THOMPSON INC - INSURANCE CERTIFICATE (2)DATE
ACORD,M CERTIFICATE OF LIABILITY INSURANCE 11/16106Dm>
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Van Gilder 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
CTL/Thompson, Inc.
7306 S. Alton Way
Centennial, CO 80112
COVERAGES
INSURER B: Pinnacol Assurance -1
INSURER c: Lexington Insurance Company (AIG)
INSURER D:
INSURER E:
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.
INSR
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE IMM DDDATE
POLICY EXPIRATION
D
LIMITS
A
GENERAL LIABILITY
34UUNEX2070
10/01/06
10/01/07
EACH OCCURRENCE
$1000000
FIRE DAMAGE (Anyone fire)
_
$300000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [i] OCCUR
MED EXP (Any we person)
_
$10 000
PERSONAL BADVINJURY
_
$1000000
X PDDed-.1,000
GENERAL AGGREGATE
_
$2 000000
GEN'L AGGREGATE LIM IT APPLIES PER:
PRODUCTS - COMPIOP AGG
_
$2000000
POLICY PRO- LOC
_
A
AUTOMOBILE
LIABILITY
ANY AUTO
34UENEX2190
10/01/06
10101/07
COMBINED SINGLE LIMIT
(Ea accident),
$1 000 O00
r
X
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
$
ANY AUTO
$
AUTO ONLY: AGG
A
EXCESS LIABILITY
_X1 OCCUR 0 CLAIMS MADE
34XHUEX1980
10/01/06
10/01/07
EACH OCCURRENCE
$2 000 00-0
AGGREGATE
s2,000,000
a
$
DEDUCTIBLE
$
X RETENTION $10000
B
WORKERS COMPENSATION AND
618052
10/01/06
10/01107
X WC STATU- OTH-
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$500,000
E.L. DISEASE -EA EMPLOYEE
s500,000
E.L. DISEASE - POLICY LIMIT-1
s500,000
C
oTHER Professional
4697481
11/22/06
11/22/07
$2,000,000 per claim
lability
$4,000,000 annl aggr.
laims Made
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS 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
I
ACORD 25-S (719711 . f I 44RAA7AnA7
SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -If) DAYSWRITTEN
NOTICE TO TH E CERTIFICATE HOLDER NAM ED TOTH E LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANYKIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVE
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