HomeMy WebLinkAbout405749 MANAGEMENT PARTNERS - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OP ID
DATE (MAL DD VVYY)
MAN-P-1
12 11 06
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
THE HAUSER GROUP
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
8260 Northcreek Dr. Suite 200
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Cincinnati OR 45236
Phone: 513-745-9200 Fax: 513-745-9219
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
INSURER A: The Hartford Casualty Ins.
o22357
INSURER B:
Mans, ement Partners, Inc.
Gerayd Newfarmer
INSURER C:
INSURER D:
1730 Madison Road
Cincinnati OH 45206
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.
LTR
SR
TYPEOFINSURANCE
POLICY NUMBER
EFFECTIVE
DATE MM/DD/Y
DATEPOLICY EXPIRATION
POLICY MM/DD/YY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE FX ] OCCUR
X Contractural
339BALU7089
09/28/06
09/28/07
EACH OCCURRENCE
$ 1, 000, 000
PREMISES (Ea occurence)
$ 300,000
MED EXP (Any one person)
$ 10,000
PERSONAL B ADV INJURY
$ 1, 000, 000
Liability
GENERAL AGGREGATE
$ 2, 000, OOO
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY X PRO-LOC
JECT
PRODUCTS - COMP/OP AGG
s2,000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
33UECTI2490
09/28/06
09/28/07
COMBINED SINGLE LIMIT
(Ea accident)
$ 1, 000, 000
X
BODILY INJURY
(Per person)
$
X
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN _EA ACC
AUTO ONLY: AGG
$
$
A
EXCESS/UMBRELLA LIABILITY
X I OCCUR CLAIMSMADE
DEDUCTIBLE
X RETENTION $10,000
33SBALU7089
09/28/06
09/28/07
EACH OCCURRENCE
s2,000,000
AGGREGATE
$ 2, 000, 000
$
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
TORY LIMITS ER
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
Normal operations of the Named Insured.
FORT CO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
City of Fort Collins Attn: Purchasing Dept. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
P . O. Box 580 REPRESENTATIVES.
Fort Collins CO 80522 A D fEPRE`4ENTATIVE n
25 (2001/08) — 0 ACORD CORPORATION 1988
ACORD_ CERTIFICATE OF LIABILITY INSURANCE OP ID DATE (MFUDD Y06
MAN-P-1 12 11
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
THE HAUSER GROUP HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
8260 Northcreek Dr. Suite 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Cincinnati OR 45236
Phone:513-745-9200 Fax:513-745-9219
Management Partners, Inc.
Gerald Newfarmer
1730 Madison Road
Cincinnati OH 45206
rnvcoer_cc
INSURERS AFFORDING COVERAGE
INSURER A: The Hartford Ca
INSURER B:
INSURER C:
INSURER D:
NAIC #
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.
INUM
LTR
Ulu
NAN
TYPE OF INSURANCE
POLK:Y NUMBER
DAPOLICY TE MAVDDNY
DATE MM/DDN ICY EXPIRATION
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [j] OCCUR
X Contractural
33SEALU7089
09/28/06
09/28/07
EACH OCCURRENCE
$ 1, 000, 000
PREMISES Eaoccurenca
$ 300,000
VIED EXP (Any one person)
$ 10,000
PERSONAL &ADV INJURY
$ 1, 000, 000
Liability
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PX PRO LOC
OLICY JECT
PRODUCTS-COMP/OP AGO
$ 2, 000, 000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NON -OWNED AUTOS
33UECTI2490
09/28/06
09/28/07
CO accident)
(EaCOMBINED SINGLE LIMIT
$1,000,000
X
BODILY INJURY
(Per person)
$
X
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GAR AGE LIABILITY
ANY AUTO
1
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGO
$
$
A
EXCESSIUMBRELLA LIABILITY
X I OCCUR CLAIMSMADE
DEDUCTIBLE
X RETENTION $10, 000
33SBALU7089
09/28/06
09/28/07
EACH OCCURRENCE
s2,000,00
AGGREGATE
s2,000,000
$
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
Des, describe under
SPECIAL PROVISIONS below
rAl
TORY LIMITS ER
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
Normal operations of the Named Insured.
�=n i iria. i c nvwcn UAINGtLLAI IIJIN
BRENTNO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
City of Brentwood Accounting Mgr. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
708 Third Street REPRESENTATIVES.
Brentwood CA 94513 A �IVE
ACORD 25 (20011081 CJ ACORD CCIRPORATIAN 1QRR