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Home My WebLink About113275 ALLER-LINGLE-MASSEY ARCHITECTS PC - INSURANCE CERTIFICATEFrom: Valerie Mathiason At: Front Range Insurance Group FaxID: 970-225-6596 To: Purchasing Dept Date: 4/3/1007 10:35 AM Page: 2 of 3 ,CORD_ CERTIFICATE OF LIABILITY INSURANCE OF ID DATE(MMIDDIYYW) ALLER-1 04/03/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Front Range Insurance Group HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1109 Oak Park Drive Suite 101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins CO 80525 Phone: 970-223-1804 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA. The Hartford Aller-LINSURER Architects PC L B: III Sanpshlrr, Imurance Co. INSURER Michael Al Michael L Aller, ALA 712 Whalgrs Way Suite B-100 wsuRBRD. Ft. Collins CO $0525 INSURER E 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 INSRE TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDI DATE (MMIDDM') LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 A X X COMMERCIAL GENERAL LIABILITY 34 SBA KJ7716 DX 04/09/06 04/09/07 PPEMISES(Eaoocurence) $300,000 CLAIMS MADE [�fl OCCUR MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 X Hired & nonowned GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $2,000,000 POLICY X PEC LOC AUTOMOBILE LIABILITY A X ANY AUTO 34UECIQ8390 10/12/06 04/09/07 COMBINED SINGLE LIMIT (Ea accident $ 1 000 ,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) A X HIRED AUTOS 34UECIQ8390 10/12/06 04/09/07 A X NON -OWNED AUTOS 34UECIQ8390 10/12/06 04/09/07 BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY, AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY. AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 A X OCCUR CLAIMSMADE 34SBAKJ7716DX 10/12/06 04/09/07 AGGREGATE $ 1,000,000 DEDUCTIBLE RETENTION $ 10000 $ WORKERS COMPENSATION AND - EMPLOYERS' LIABILITY TORY LIMITS ER E.L. EACH ACCIDENT $ ANY PROPRIETONPARTNERJEXECUTIVE OFF ICER/MEMBER EXCLUDED? E.L. DISEASE- EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below OTHER B Pro. Liability 468611701 12/14/06 12/14/07 E&O $1,000,000 $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS The City of Fort Collins is named as additional insured with regards to general liabitity. �CC7..11.11 .�. n-- City of Fort Collins Purchasing Department FAX 221-6707 PO Box 580 Fort Collins CO 80522 CITY OF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. r (2001/08) From: Valerie Mathiason At: Front Range Insurance Group FaxID: 970-225-6596 To: Purchasing Dept Date: 4/3f2007 10:35 AM Page: 3 of 3 04/03/2007 10:31AM Pinnacol Assurance PAGE 2 OF 3 ACORD „ CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD 0410312007Y PRODUCER Pinnacol Assurance 7501 E Lowry Blvd DENVER CO 80230-7006 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED ALLER - LINGLE ARCHITECTS PC 712 WHALERS WAY B-100 FORT COLLINS CO 80525 INS UPERA: Pinnacol Assurance 4119 INSUPFR B: NSURER C: NSURER D. I NSMER 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADDrL INSR) TYPE OP INSURANCE POLICY NUMBER POLICY EFFECTIVE DATEIMMODNYYYI POUCY EXPRATION DATEIMM,DDNYTYI OMITS GENERAL UABIIKTY COMMERCIAL GENERAL LIABILITY CLAIMS MADE11 OCCUR EACH OCCURRENCE DAMAGE TO RENTED PREMISES (E..awn.A MED EXP IArq ... Pm..I PERSONAL L ADV INJURY GEN-L AGGREGATE UNIT APNJERS PER: POLICY PROJECT LOC GENERAL AGGREGATE PRODUCTS-COMP/oPAGG AUTOMONLE LIAMM ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NDN-0WNED AUTOS COMBINED SINGLE LIMIT IE..—id.n EMILY INJURY IPr IF.r..W BODILY INJURY IPr.c d.e0 PROPERTY DAMAGE W...dd. 0 OMASE LIA6ILRT ANY AUTO AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC AUTO ONLY: AGO EXCEFSNMBRFLLALLAULrTY OCCUR CLAMS MADE DEDUCTIBLE RETENTION t EACH OCCURRENCE AGGREGATE A WORK ERE COMPENSATION AND EMPLOYERSLIABILITY ANY PROPRIETOR/PARTNERRXECUTIVE OFFICEMMEMBEREXCLUDEOr If Y., Plr.. d.aib. rmd.r SPECIAL PROVISIONS bA.w 1951272 I 04/01/2007 04/01/2008 X WCSTATU- OTHER TORY UNITS El EACH ACCIDENT 3500,000 PLO E.L. DISEASEEA EMYEE SSOO,000 E.L. DISEASE POLICY UNIT S5D0 DDD OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS SEE BACK OF CERTIFICATE FOR CLASS COVERAGE AND OWNERSHIP COVERAGE DETAIL CERTIFICATE HOLDER CANCELLATION 979147 City of Fort Collins Attn: Purchasing PO Box 580 Fort Collins CO 80522 ACORD 25 (2001108) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIV AUTHORIZED REPRESENTATIVE Rodney Postillion Underwriter ACORD CORPORATION 1988 PINNAWESE.,—.IIEMPR..rd Only MMA710:27'.55 1951272 UPd.r.d'. 12/1 S/199612:00.0) UW135 04/03/2007 10:31AM Pinnacol Assurance PAGE 3 OF 3 CERTIFICATE HOLDER COPY City of Fort Collins Attn: Purchasing PO Box 580 Fort Collins CO 80522 POLICY NUMBER: 1951272 BUSINESS LOCATION: ALLER- LINGLE ARCHITECTS PC CLASSIFICATION OF OPERATION CLASS DESCRIPTION Affiliate Coverage:DAVID LINGLE 860105ENGINEERS OR ARCHITECTS Affiliate Coverage:MICHAEL ALLER 860105ENGINEERS OR ARCHITECTS Affiliate Coverage:BRADLEY MASSEY 860105ENGINEERS OR ARCHITECTS 86010SENCINEERS OR ARCHITECTS 881005EXCLUSIVELY OFFICE 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, certian 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. COVERAGE COVERAGE RATI EFFECTIVE EXPIRES TYPE 04/01/2007 04/01/2008 CO 04/01/2007 04/01/2008 CO 04/01/2007 04/0112008 CO 04/01/2007 04/01/2008 EM 04/01/2007 04/01/2008 EM