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HomeMy WebLinkAboutAYRES ASSOCIATES - INSURANCE CERTIFICATEACORD- CERTIFICATE OF LIABILITY INSURANCE 1/05/MIDD/YYYY) 01/05/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION WAUSAU SIGNATURE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 3430 OAKWOOD MALL DR - STE 300 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. EAU CLAIRE, WI 54701 715 835-6174 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: WAUSAU BUSINESS INSURANCE COMP NY AYRES ASSOCIATES INC INSURERS: EMPLOYERS INSURANCE COMPANY OF NAUSA ATTN: TOM STUMM INSURERC: WAUSAU UNDERWRITERS INSURANCE CO. PO BOX 1590 INSURER D: EAU CLAIRE, WI 54702-1590 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 INSRN TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MWDD/YY POLICY EXPIRATION DATE MMIDD LIMITS A GENERAL LIABILITY YYJY91503188067 01/01/07 01/01/08 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 51OCCUR DAMAGE TO RENTED $300 000 MED EXP (Any one person) $5 QQQ PERSONAL & ADV INJURY $1 QQQ QQQ GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2000000 POLICY 7PRO- LOC A AUTOMOBILE LIABILITY ANY AUTO ASKY91503188027 01/01/07 01/01/08 COMBINED SINGLE LIMIT (Ea accident) E1,000,OOO X BODILY INJURY (Per person) E ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON-OWNEDAUTOS X BODILYINJURY (Per accident) E X PROPERTY DAMAGE (Per accident) E GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG B EXCESSIUMBRELLA LIABILITY X I OCCUR CLAIMS MADE THCY91503188037 01/01/07 01/01/08 EACH OCCURRENCE s5,000,000 AGGREGATE s5,000.000 S DEDUCTIBLE XI RETENTION $ 10000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WCKY91503188047 01/01/07 01/01/08 X I WC STATU- OTH- E.L. EA CH ACCIDENT $100000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYEE $100000 E.L. DISEASE - POLICY LIMIT $500 000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS PROJECT: CITY OF FORT COLLINS CONSULTING ENGINEERING SERVICES. NORTH COLLEGE DRAINAGE IMPROVEMENT PROJECT AND FUTURE WATER, WASTE WATER AND STORM WATER FACILITIES CAPITAL IMPROVEMENTS - PROJECT #P959. THE CITY OF FORT COLLINS IS INCLUDED AS AN ADDITIONAL INSURED UNDER THE GENERAL (See Attached Descriptions) PCD"M^Ate Un. ne. CITY OF FORT COLLINS PURCHASING DEPT PO BOX 580 FORT COLLINS, CO 80522 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 'An DAYS WRITTEN �E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL iE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AcnDr% �C 1anra4rnoi . REPRESENTATIVE • .. nnrrw-ry VLS O ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. Amon 9C_Q MM4Ina% vl. vm• &W-fo DESCRIPTIONS (Continued from Page 1) LIABILITY POLICY PER GLO566 AND AS LIMITED INSURED UNDER THE AUTO PER CA2048. AUQ �9 9 Mnn4In*% _s The INA Financial Group, Inc. INA of Colorado, Inc. e 1550 17th Street Suite 600 Denver, CO 80202 City of Pt Collins PO Box 580 Port Collins, CO 80522 USA USA If you have que3tioLs regarding the content of this document, please contact the Producer/Agent listed on the certificate of insurance. cc: The data included in this notice and in the attached document is confidential to ConfirmNet and the party responsible for bringing you this information. 'mm'sd ByCertlBcatesNow7m