HomeMy WebLinkAboutHUDSPETH R2 INC - INSURANCE CERTIFICATEMAR.12.2001'12,35PM.FORSBERG ENGERMAN C(
acoR . CERTIFICATE OF LIABILII
Forsberg Engexmaa Company
3575 S. Sherman St.
Englewood CO 80113
Phone:303-762-1717
Hudspeth & Associates Inc
Ano
ttn- Robert Lgvitt
Iaod001537 #E-124
ggetioCO 12-6
yr ,r
Y INSURANCE N0. 933 P. 311
HOpsP- 03 12 07
THIS CERTIFICATE M ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDEli THIS cE RTIFICATE DOES NOT AMEND, EXTEND OR
ALTERTHE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC
INSURER A: Azmvi R Int•1 sp"mi;x LLB
INSURERS: Finnacol Assurance
INSURER C: D,piRpwrA NodIAL dAtalLy Ce
wsuRER C:
INSURER E:
AVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEM ISSUEDTO THE INSURED NAMED AWfi FOR THE POLICY PERICD INDICAI
ANY REQUIREMENT, TERM OR COMMON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE L
MAY pvmAW, THE INSURANCE APFORDED BY THE POLICIES DESCRIBED HEREIN 16 SUEJECT TO ALL THE TERMS, EXCLUSIONS AND
POUCIE& AGGREGATE LIMNS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
.TR TYPE OF INSURANCE POUCYRUMBER DATE braW WDATE WD
GIENIMAL LIABILITY
A X $xcommERcIALaaNERALLmuN
PR03778989 12/17/06 12/17/07
CLAMS MADE ® OCCUR
ilutiun Liab PRO3770909 12/17/06 12/17/07
GENLAGGREGATE LIMIT APPLIES PER
X POLICY SEBT M LQQ
,AUTOMOBILE LIAINUTY
C g ANYAUTO 298546608 02/04/07 02/04/08
ALL QvmEO AUTOS
SCHEDULED AUTOS
C X IUREDAUTOG
C X NON -Oro AUTOS
GARAGE LIABB-ITY
ANYAUTO
BXCW&UMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
YYO ERS COMPENSATION AND
EMPLOYERS' UABILRY
B ANY PROPRRETORMARTNEWEXACUTAW 4064674 01/01/07 Ol/01/OB
OFFICEPA MSERECCLUDED7
C 9PP / 12AII549608 l 02/09/071 02/04/08
C Le2L a Reated Btftiip 200MONO DEDM'I=X $ent I 02/04/07 I 02 04/08
DESCRIPTION OF OPERATIONS I LOCATIONS l VEHICLES EXCLUSIONS ADDED BY ENDORSEIREITTJ SPECIAL PROVISIONS
City of Foxb Collins is named as an Additional Insured with respec
General Liability coverage.
City of 'Fort Collins
215 N Mason st, 2nd Floor
PO Bom 580
Fort Collins CO 80522-0580
W.NOTYATHSTANDING
AY BE ISSUED OR
ANDmONS OF SUCH
LIMITS
EACH OCCURRENCE 86000000
'11PR9ALRE5 PA6W"j)W
$ 100000
VIED EXP YUW em PAn+f)
525000
PERSONAL A,AUYINJURY
$6000000
GENERAL AGGREGATE
S 6000000
PRODUCTS-COMP/OP AGO
$6000000
Prof Liab
6000000
COMBINED SINGLE LIMIT
11000000
(Ea Weldem)
BDDLYINJURY
S
(Far poftm)
BODILY INJURY
S
(Per 8=91mm
PROPERTY DAMAGE
S
(Peramkionq
AUTO ONLY.EAACCIDRW
s
OTHERTHAN EAACC
$
a
AUTO ONLY: AGG
EACH OCCUARENCE
S
AGGREGATE
S
i
S
s
x TQR LTa I X ER
LL EACH ACCIDENT
$1000000
LLWIM-SE-EA EMPLOYE
4710000DO
E.LDISEASE - POLICY LIMIT 161000000
Limit $25500
T,imit $349000
:s to
CI1i , ORT SHOULD ANY OF THEASOYE DMORRED POLICIES BE CANCELLED BErORETIE EMRATIOI
DATE THEREOF. THE ISSUBIG WSURERWILL ENDEAVOR TO MAIL 30 DAYSPIRTREN
NOTICE TO THECE RTIRCATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SOSHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
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