HomeMy WebLinkAboutINTERWEST - INSURANCE CERTIFICATEClient*- 46759
INTCON6
ACORD,M CERTIFICATE
OF LIABILITY
INSURANCE
02127107D"Y)
PRODUCER
THIS CERTIFICATE
IS ISSUED AS A MATTER OF INFORMATION
Van Gilder Insurance Corp.
700 Broadway, 1000
y
ONLY
HOLDER.
ALTER
AND CONFERS NO RIGHTS UPON THE CERTIFICATE
THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Denver, CO 80203
303 837-8500
INSURERS AFFORDING COVERAGE
INSURED
Interwest Consulting Group
1076 Lincoln Place
Boulder, CO 80302
INSURER A:
Hartford Casualty Insurance Co
INSURER B:
Hartford Accident and Indemnity Co
INSURER C:
XL Specialty Insurance Company
INSURER D:
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.
INSR
LTR
TYPE OF IN
POLICY NUMBER
POLICY EFFECTIVE
DATE MM/DD/YY
POLICY EXPIRATION
DATE MM
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 41 OCCUR
34SBAPA7634
06/01/06
06/01/07
EACH OCCURRENCE
$2 000 000
FIRE DAMAGE (Any one fire)
$1,000,000
MED EXP (Any one person)
$1 O 000
PERSONAL & ADV INJURY
$2 OOO OOO
GENERAL AGGREGATE
s4,000,000
GEN'L AGGREGATE LIM ITAPPLIES PER:
1-1 POLICYFI PEAF LOC
PRODUCTS -COMPIOPAGG
$4000000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
34UECTX5974
06/01/06
06/01/07
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
X
BODILY INJURY
(Per person)
$
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 LIABILITY
X OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $10000
34SBAPA7634
06/01/06
06/01/07
EACH OCCURRENCE
$1 OOO OOQ
AGGREGATE
$1,000,000
$
$
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
34WEGKC7038
06/01/06
06/01/07
X VJC sTM oER
--- ERR
--,000,
E.L.EACH ACCIDENT
_--
$1,000,000
E.L. DISEASE -EA EMPLOYEE
$1,000,000
E.L. DISEASE -POLICY LIMIT
$1,000,000
C
OTHER Professional
!ability
laims MAde
DPR9414356
11/14/06
11/14/07
$2,000,000 per claim
$5,000,000 annl aggr.
DESCRIPTION OF OPERATIONS/LOCATIONSA/EHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
City of Fort Collins
Attn: James B. O'Neill
281 N. College Avenue
Fort Collins, CO 80521
SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED B EFORE TH E EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL 30_ DAYSWRITTEN
NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL
IMPOSE NOOBLIGATION OR LIABILITYOF ANYKIND UPON THE INSURERATS AGENTS OR
REPRESENTATIVE
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