HomeMy WebLinkAboutSKUMATZ - INSURANCE CERTIFICATEACORD,M CERTIFICATE OF LIABILITY INSURANCE
DATE —
01-23-2007
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
TAGGART & ASSOCIATES, INC/PHS
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
342321 P: (866)467-8730 F: (877)905-0457
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
PO BOX 33015INSURERS
J
SAN ANTONIO IO TX 78265
AFFORDING COVERAGE i
INSURED
INSURER A:Hartford Casualty Ins Co
SKUMATZ ECONOMIC RESEARCH ASSOCIATES,
INSURERB:TW1n City Fire Ins Co
1. INC.
INSURER C:
J
762 ELDORADO DR. STE 100
INSURER D:
LOUISVILLE CO 80027
INSURERE:
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
lTfl TYPE OF INSURANCE POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIgATION
DATE IMM/DD/YYI DATE IMM/DD/YYI LIMITIS
GENERAL LIABILITY
EACH OCCURRENCE s2, 000, O O O
A
1 COMMERCIAL GENERAL LIABILITY
34 SBA PA510 0
03/12/07
0 3 / 12 / 0 8 i FIRE DAMAGE (Any one fire) s300, 000
CLAIMS MADE _ X OCCyU,R
MED EXP (Any one person) $1 0 , 000
X Business Li all
PERSONAL &ADV INJURY 52, 000,000
GENERAL AGGREGATE 54 , 000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG s4,000,000
POLICY I PROECT - X LOC
J
A
AUTOMOBILE LIABILITY
ANY AUTO 34 SBA PA5100
03/12/07
COMBINED SINGLE LIMIT
03/12/08 (Ea accident)
s2,000,000
ALL OWNED AUTOS
BODILY INJURY
�',
$
SCHEDULED AUTOS
(Per person)
X HIRED AUTOS
X NON -OWNED AUTOS',
BODILY INJURY
(Per accident)
$
$
PROPERTY DAMAGE
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT $
ANY AUTO
OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY
EACH OCCURRENCE 5
OCCUR CLAIMS MADE
AGGREGATE $
S
DEDUCTIBLE
$
RETENTION $
'�, $
WORKERS COMPENSATION AND
X TWC STATU- : OTH
DRY LIMITS ER
B
EMPLOYERS' LIABILITY
34 WEC GM5199
03/12/07
03/12/08
E.L. EACHAccIDENT
s100, 000
E.L. DISEASE - EA EMPLOYEE
510 0 , 0 0 0
E.L. DISEASE - POLICY LIMIT
$ 5 0 0, 0 0 0
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Those usual to the Insured's Operations.
City of Fort Collins
Attn: James B. O'Neill
PO Box 580
Fort Collins, CO 80522
JULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
'IRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
LDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
JGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
RESENTATI V ES.
An�Isnrft • c, n 111n1.
A Ofll D fl ESENiATI1(�
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c ACORD CORPORATION 1988