HomeMy WebLinkAboutSKUMATZ - INSURANCE CERTIFICATE (2)ACORD. CERTIFICATE OF LIABILITY INSURANCE °A'�
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
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
342321 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 INSURER A: Hartford Casualty Ins Co
SKUMATZ ECONOMIC RESEARCH ASSOCIATES, INSURERB:Twln City Fire Ins Co
INC. INSURER C:
762 ELDORADO DR. STE 100 INSURER D:
LOUISVILLE CO 80027 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.
WSR
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMlDDJYY
POLIOY EXPIRATION 11MIT5
DATE MMA)D/YY
A
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE u OCCUR
X Business Liab
34 SBA PA510 0
0 3 / 12 / 0 7
I EACH OCCURRENCE I
0 3 / 12 / 0 8 FIRE DAMAGE (Any . fire) 1000,000
MED EXP (Any orw person) 1$10,000
PERSONAL &ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMPIOP AGG
s2 , 000, 000
s2, OOO 000
S4 , 000, 000
GENT AGGREGATE LIMIT APPLIES PER:
POLICY ' j C07 I X I LDC
s4,000,000
A
AUTOMOBILE
LIAINIITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
34 SBA PA5100
03/12/07
03/12/08
COMBINED SINGLE LIMIT
(Eaa=idern)
s2,000,000
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per a=tdenL)
$
X
PROPERTY DAMAGE
(Per a=iderrt)
$
GARAGE LIABNJTY
ANY AUTO
AUTO ONLY - EA ACCIDENT
I $
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
EXCESS lU1RNOTY _
OCCUR u CLAIMS MADE
DEDUCTIBLE
RETENTION S
EACH OCCURRENCE
$
I AGGREGATE
s
9
S
$
B
WORKERS COMPENSATION AND
EMPLOYERS LIABILITY
34 WEC GM519 9
0 3/ 12 / 0 7
0 3/ 12 / 0 8
-
X WC DRYSTALIMTU- I OTHER
E.L. EACH ACCIDENT
$10 0, 0 0 0
E.L. DISEASE - EA EMPLOYEE
$10 0 , 0 0 0
E.L. DISEASE -POLICY LIMIT
s500, OOO
OTHER
DESCRIPTION OF OPERATIONSAOCATIONSNEHICLES/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
DLILD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
oIRATION DATE i HEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
DAYS WRITTEN NOTICE 110 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
A OR D R E`SENiATR(
rawnu cDa vnPi1 0 ACORD CORPORATION 1988