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Home My WebLink AboutBOULDER DESIGN ALLIANCE - INSURANCE CERTIFICATEACORD. CERTIFICATE OF LIABILITY INSURANCE JDC Pi DATE 12-01-2006 PRODUCER VAN GILDER INSURANCE CORP/PHS 341438 P: (866) 467-8730 F: (877) 905-0457 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE PO BOX 33015 SAN ANTONIO TX 78265 WSIRED INSURER A:Hartford Casualty Ins Co BOULDER DESIGN ALLIANCE MR. ROB INSURER B: INSURER C: DEKIEFFER INSURER D: 3002 MELISSA LN• INSURER E: BOULDER CO 80301 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED T THE INSURED NAMED ABOVE FOR HE 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. RMR TYPE OF LNSLNAAGE POUCY MAW6ER POLrCYETTECTNE POUCVEXPIRATLON LAMTS GENERAL LIARK(TV EACH OCCURRENCE $1 0 0 0 0 0 0 A COMMERCIAL GENERAL LIABILITY 34 SBA LJ 6 5 5 7 01 / 01 / 0 6 01 / 01 / 0 7 FIRE DAMAGE (Any me fire) Y 3 0 0 0 0 0 CLAIMS MADE FRI OCCUR MED EXP IArry errs Parsm) $10 0 0 0 PERSONAL &ADV INJURY $1 000 000 X Business Liab GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $2 0 0 O 000 POUCYF_Xj PRO LOC A AUTOMORRE LLABRLTY ANYAUTO 34 SBA LJ6557 01/01/06 01/01/07 COMBINED SINGLE LIMIT (Ea acciderK) $1 000000 T BODILY INJURY (Per Parsm) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per acciderd) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per acciderd) $ GARAGE UARlIfTY AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESSUABIUTV EACH OCCURRENCE $ AGGREGATE $ OCCUR ❑ CLAIMS MADE $ $ DEDUCTIBLE $ RETENTION S WORKERS COAVENSA TLONAAO WC STATU- OTH- EMPLOVERS' LLABKJTV E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE S E.L. DISEASE - POLICY LIMIT $ OTHER DFSCRPTLON OF OPERATLONSILOCATIONSNELKCLES/EXCYU.SLONS ADDED fiV EA0ORST-ME1VT/SPECAL PROWSIONS Those usual to the Insured's Operations. City of Fort Collins PO Box 580 Fort Collins, CO 80522 OULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 'IRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE 00 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE LDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO LIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 'RESENTATIVES. REPRESENTANVE Ak-UHU z5-a tII'd L) ® ACORD CORPORATION 1988 ACORD. CERTIFICATE OF LIABILITY INSURANCE pJGJ 12-o DATE PRODUCER VAN GILDER INSURANCE CORP/PUS 341438 P: (866) 467-8730 F: (877) 905-0457 PO BOX 33015 SAN ANTONIO TX 78265 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE WSWILI BOULDER DESIGN ALLIANCE MR. ROB DEKIEFFER 3002 MELISSA LN. BOULDER CO 80301 INSURER A: Hartford Casualty Ins Co INSURER B: INSURER C: INSURERD: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO HE 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 REOUCED BY PAID CLAIMS. AVSR TYPE OF INS[KWACE PoOCYMMBfR ROUCYEFFECTIVE POUCYEXPRATLON LLNPTS GENERAL LbiBRLTY EACH OCCURRENCE $1 0 0 O 0 0 0 A COMMERCIAL GENERALuABILITY 34 SBA LJ6557 01/01/07 01/01/08 FIRE DAMAGE (Any me fire) 000,000 CLAIMS MADE ERI OCCUR MED EXP (Arty me person) $10 0 0 0 PERSONAL &ADV INJURY $1 000 000 X Business Liab GENERAL AGGREGATE S2 000 000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO $2 0 0 O 000 POLICY X PRO LOC A AUTOMOBPLE LPABRTTY ANYAUTO 34 SBA LJ6557 01/01/07 O1/01/08 COMBINED SINGLE LIMIT (Ea accident) 41, OOO, OOO BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) S. GARACEUABLLLTY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS LPAB ITY EACH OCCURRENCE S AGGREGATE S OCCUR CLAIMS MADE S $ DEDUCTIBLE $ RETENTION $ WORKERS COAfENSA TIONANO TAT WC SUMI OTH- EMPLOYERS' LNIBBPTV E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY OMIT $ OTHER DESCRIP 7/ON OF OPERATIONS/[ OCA TIONS/VEW1FS1EXCI UMONS ADDED RV ENDORSEMENT/SPECIAL PROWSKLNS Those usual to the Insured's Operations. _� Uni lrlU lI C nUCUCn L I ADLRUONA( INSUMV;"SM&H ter PER' LAINCLLLAI IUN City of Fort Collins PO Box 580 Fort Collins, CO 80522 ACORD 25-S (7/97) DULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 'IRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE 00 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE LDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO IGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR 'RESENTATIVES. REPRESENTANVE ® ACORD CORPORATION 1988 AC080. CERTIFICATE OF LIABILITY INSURANCE DATE 11-01-2006 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION VAN GILDER INSURANCE CORP�PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 341438 P: (866)467-8730 F: (877)905-0457 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 33015 SAN ANTONIO TX 78265 INSURERS AFFORDING COVERAGE INSURED INSURERA:Hart Lord Casualty Ins Co BOULDER DESIGN ALLIANCE MR. ROB INSURERS: DEKIEFFER NsLRER C: 3002 MELISSA LN. INSURERD: BOULDER CO 80301 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 rypE OF INSURANCE LTR POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE MM/DDIYV DATE MM/DDIYV GENERAL LIABILITY I EACH OCCURRENCE I $1 r 000, 000 A COMMERCIAL GENERAL LIABILITY 34 SBA LJ6 5 5 7 01 / 01 / 0 7 O 1/ O 1/ 0 8 FIRE DAMAGE (Any one fire) 153 O O r O O O CLAIMS MADE U OCCUR MED EXP (Any one person) $10 r 000 X Business Liab PERSONAL &ADV INJURY $lr 000 r 000 GENERAL AGGREGATE s2 r 000, 000 PRODUCTS - COMP/OP AGG s2,000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY I X I PECT RO LOC J AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $lr OOO OOO A MANY AUTO 34 SBA LJ6557 01/01/07 / IEs accident) r 01/01 08 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON -OWNED AUTOS )per acc '0 PROPERTY DAMAGE S (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EBB LIABILITY EACH OCCURRENCE $ OCCUR a CLAIMS MADE I AGGREGATE $ $ _ DEDUCTIBLE $ RETENTION $ $ COMPENSATION AND EMPLOYERS' LIABILITY WC SLIMIT OR TATUWORKERS ORY LIMIT ER E.L. EACH ACCIDENT S i E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT s OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHIOLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Those usual to the Insured's Operations. I CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 45 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE City of Fort Collins HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO 256 W Mountain Ave OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Fort Collins, CO 80521 A ORUFkL I#D RFjR—ESEN AT ACORD 25-S 1171971 ® ACORD CORPORATION 1988 ACORD,M CERTIFICATE OF LIABILITY INSURANCE DAT 11-o1-zoo6 E PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION VAN GILDER INSURANCE CORP/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 341438 P: (866)467-8730 F: (877)905-0457 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 33015 SAN ANTONIO TX 78265 INSURERS AFFORDING COVERAGE INSURED BOULDER DESIGN ALLIANCE MR. ROB DEKIEFFER 3002 MELISSA LN. COVERAGES INSURERA:Hartford Casualty Ins Co INSURER B: INSURER C: 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 POLICY EXPIRATION LIMITS DATE MM/DO/YY OATS MM/DDlYY GENERAL LIABILITY EACH OCCURRENCE I $1, 0 0 0, 0 0 0 A COMMERCIAL GENERAL LIABILITY 3 4 SBA LJ6 5 5 7 01 / 01 / 0 7 01 / 01 / 0 8 FIRE DAMAGE (Any one fire) 1600, 000 CLAIMS MADE •' OCCUR MED EXP (Any one person) $1 0 , 0 0 0 X Business Liab (PERSONAL&ADV INJURY $1, 000, 000� GENERAL AGGREGATE s2,000,000 PRODUCTS - COMP/OP AGG y s2,000,0001 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO LOC JECT AUTOMOBILE LIABILITY COMBINEDSINGLELIMIT $1, 000, 000 A ANY AUTO 34 SEA LJ6557 01/01/07 01/01/08 (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY 4 X ' NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE 4 (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ �! ANY AUTO OTHER THAN EA ACC $ 71 AUTO ONLY: AGG $ ESS LIABILITY EACH OCCURRENCE $ OCCUR a CLAIMS MADE (AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND U-- TOWC VSTLIATM TS I I ERH EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Those usual to the insured's operations. CERTIFICATE HOLDER i ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL City of Fort Collins 45 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE Attn : Jan Elliott HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO 256 W. Mountain Avenue OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Fort Collins, CO 80521 AUNOR D R ES ^"wn" �U_� I f,a„ c ACORD CORPORATION 1988