HomeMy WebLinkAboutFELSBURH HOLT ULLEVIG - INSURANCE CERTIFICATEClient#: 5684 FELHOL
ACORDTM CERTIFICATE OF LIABILITY INSURANCE 12/01/06Dm)
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 INSURER A: St. Paul Insurance (Med/A8:E)
Felsburg Holt & Ullevig, Inc. INSURER B: Hartford Insurance Group
6300 S. Syracuse Way, #600 INSURERC: XL Specialty Insurance Company
Centennial, CO 80111 INSURER D:
INSURER E'.
COVERAGES
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 MMIDDfY
POLICY EXPIRATION
DATE MMIDDIYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE rx� OCCUR
BK02193557
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06121/06
06121/07
EACH OCCURRENCE
s1 ODD 000
FIRE DAMAGE (Any me fire)
$1000000
MED EXP (Any one Perwn)
$10 000
PERSONAL & ADV INJURY
$1 00O 000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO LOC
PRODUCTS - COMP/OP AGG
$2000000
B
AUTOMOBILE
X
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NON-OWhIED AUTOS
34UECiFW5245
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izls
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-
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
BODILY INJURY
(Per person)
$
X
BODILY INJURY
accident)
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
A
EXCESS LIABILITY
-il OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
BK02193557
D6/21/06
06/21/07
EACH OCCURRENCE
s4 000,000
AGGREGATE
s4,000,000
8
$
$
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
34WEGPP3731
06/21106
06121107
1 RSTAYLITu- oITS TH-
E.L. EACH ACCIDENT
$500O00
E.L. DISEASE - EA EMPLOYEE
$500,000
E.L. DISEASE -POLICY LIMIT
$5OO OOO
C
OTHER Professional
Liability
Claims Made
DPR9417648
06121106
06121107
$2,000,000 per claim
$4,000,000 annl aggr.
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
CANCELS AND REPLACES #474393 DATED 11/20/06
RE: #P1027 Mason Transportation Corridor Trail Upgrade Separated Crossing
As required by written contract or written agreement, the Certificate Holder is included
as Additional Insured under General Liability with respect to the above referenced.
City of Fort Collins
215 N Mason St.,2nd Floor
PO Box 580
Fort Collins, CO 80522-0580
SHOULD ANY OF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30—, DAYS WRITTEN
NOTICETOTH E CERTIFICATE HOLD ER NAM ED TO TH E LEFT, B UT FAILURE TO DO SO SH ALL
IM POSE NO OBLIGATION OR LIABILITY OF ANY HIND UPON TH E INSURERJTS AGENTS OR
ACORD 2" (7/97)1 of 1 #S475276/M473967
REPRESENTATIVE
DPL (D ACORD CORPORATION 1988