HomeMy WebLinkAboutARCHITECTURAL ENERGY CORP - INSURANCE CERTIFICATEDATE
JACORP. CERTIFICATE OF LIABILITY INSURANCE 1 09/25/20 6)
PRODUCER (303)442-1484 FAX (303)442-8822 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Taggart &Associates, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1600 Canyon Boulevard ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P. 0. Box 147
Boulder, CO 80306
INSURED ARCHITECTURAL ENERGY CORP
2540 FRONTIER AVENUE #201
BOULDER, CO 80301
INSURERS AFFORDING COVERAGE NAIC #
INSURERA Hartford Casualty Insurance Co 29424
INSURERB. Republic Ind Co of America 27561
INSURERC: Landmark American Insurance Co
INSURER D:
INSURER E.
VtKAfjtb
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.
II T R
AR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTVE
POLICY EXPIRATION
LIMITS
GENERAL LIABILITY
34SBADU5290
09/01/2006
09/01/2007
EACH OCCURRENCE
$ 2,000,000
DAMAGMiqE TO RENTED
$ 300 r OD
X COMMERCIAL GENERAL LIABILITY
MED EXP (Any one person)
$ 10,000
CLAIMS MADE O OCCUR
PERSONAL & ADV INJURY
$ 2,000,000
A
GENERAL AGGREGATE
$ 4,000,00
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMPIOP AGG
$ 4,000,000
X POLICY PROJECT M LOC
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$
ANY AUTO
34SBADU5290
09/01/2006
09/01/2007
(Ee accident)
11000,00
BODILY INJURY
$
ALL OWNED AUTOS
(Per person)
A
SCHEDULED AUTOS
X
HIREDAUTOS
BODILY INJURY
$
NON -OWNED AUTOS
(Per accident)
X
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESSIUMBRELLA LIABILITY
34SBADU5290
09/01/2006
09/01/2007
EACH OCCURRENCE
$ 1,000,00
AGGREGATE
$ 1,000,000
X OCCUR CLAIMS MADE
$
A
$
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
15359305/CALIFORNIA
01/01/2006
01/01/2007
X WC STATU- OTH-
E.L. EACH ACCIDENT
$ 1,000,000
EMPLOYERS' LIABILITY
16434701/COLORADO
01/01/2006
01/01/2007
B
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED? 34
ECCKB4843/HARTFORD/IL
02/01/2006
02/01/2007
E.L. DISEASE - EA EMPLOYEEI
$ 1,000,000
E.L. DISEASE -POLICY LIMIT
$ 1,000,00
I yes, describe under
SPECIAL PROVISIONS below
OTHER
LHR804629
10/01/2006
10/01/2007
Each Incident $1,000,000
C
rOTessional Liability
Aggregate $1,000,000
Deductible $5000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS
e: CSU Phase II / PO4-142
City of Fort Collins
Purchasing Division
Attn: James B. O'Neill II
215 North Mason Street 2nd Flo
PO Box 580
Fort Collins, CO 80522-0580
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 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE n %) /1
/ 1
ACORD 25 (2001/08) FAX: (970)221-6707 OACORD CORPORATION 1988
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, certain 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.
ACORD 25 (2001/08)
DATE
ACOWt CERTIFICATE OF LIABILITY INSURANCE 1 09/25/2 6)
PRODUCER (303)442-1484 FAX (303)442-8822 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Taggart & Associates, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
1600 Canyon Boulevard HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Y ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P. 0. Box 147
Boulder, CO 80306 INSURERS AFFORDING COVERAGE NAIC #
INSURED ARCHITECTURAL ENERGY CORPORATION INSURERA: Hartford Casualty Insurance Co 29424
2540 FRONTIER AVENUE #201 INSURERS: Republic Ind Co of America 27561
BOULDER, CO 80301 INSURERC: Landmark American Insurance Co
INSURER D:
INSURER E:
rnveeAn-ve
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
kDD'L
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
GENERAL LIABILITY
34SBADU5290
09/01/2006
09/01/2007
EACH OCCURRENCE
$ 2,000,000
X COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTED
$ 300, 00
CLAIMS MADE FX OCCUR
MED EXP (Any one person)
$ 10,00
A
PERSONAL & ADV INJURY
$ 2,000,000
GENERAL AGGREGATE
$ 4,000,000
GENT AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGO
$ 4,000,000
X POLICYF—j PRO-
JECT LOC
AUTOMOBILE
LIABILITY
ANYAUTO
34SBADU5290
09/01/2006
09/01/2007
COMBINED SINGLE LIMIT
Ea accident)
$ 1,000,00
BODILY INJURY
(Per person)
$
A
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNEDAUTOS
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY -EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESSIUMBRELLA LIABILITY
34SBADU5290
09/01/2006
69/61/2007
EACH OCCURRENCE
$ 1,000,000
X OCCUR CLAIMS MADE
AGGREGATE
$ 1,000,000
A
$
$
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
15359305/CALIFORNIA
01/01/2006
01/01/2007
X WC STATU- OTH-
TORY I WITS ER
B
EMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? 34
If yes, describe under
SPECIAL PROVISIONS below
16434701/COLORADO
ECCKB4843/HARTFORD/IL
01/01/2006
02/01/2006
01/01/2007
02/01/2007
E.L.EACHACCIDENT
$ 1,000,00
E.L. DISEASE - EA EMPLOYEE1
$ 1,000,0
E.L. DISEASE -POLICY LIMIT
1 S 1,000,00
C
ro essional Liability
LHR804629
10/01/2006
10/01/2007
Each Incident $1,000,000
Aggregate $1,000,000
Deductible $5000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
e: CSU Phase II / PO4-142
City of Fort Collins
Purchasing Division
Attn: James B. O'Neill II
215 North Mason Street 2nd Flo
PO Box 580
Fort Collins, CO 80522-0580
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 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE /,) A^ 4, /1
ACCIRD 2512001/ORI FAX: (970)221-6707
tMAnnDn e-nll20n0ATInL1 4111122
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, certain 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.
ACORD 25 (2001/08)