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%
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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.
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