HomeMy WebLinkAboutSKUMATZ - INSURANCE CERTIFICATE (4)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 INSURERS AFFORDING COVERAGE
SAN ANTONIO TX 78265
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:
COVERAGES
THE POLICIES O 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.
INS"
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
PATE MM/DDIVY
POLICY EXPIRAnON I LIMITS
DATE MMIDDNV
A
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE a OCCUR
X Business Liab
34 SBA PA510 0
03/12/07
I EACH OCCURRENCE I
0 3 / 12 / 0 8 1 FIRE DAMAGE (Any one fire) 111300,000
1 MED EXP (Any om person!
(PERSONAL&AOV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
s2 , 000, 000
I $10 , 0 0 0
I42, 000, 000
$4 , 000, 000
GENT AGGREGATE LIMIT APPLIES PER:
POLICY PRO-
JECT X LOC
s4,000,000
A
AUTOMOBNE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
34 SBA PA5100
03/12/07
03/12/08
(Es BWEDSINGLELIMIT
(Es eccideMl
s2,000,000
BODILY INJURY
(Per pwr l
$
X
BODILY INJURY
IPer °cadent)
$
X
PROPERTY DAMAGE
IPer accident)
$
OAMOE LWMLITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
EXCESS LIAMUTY _
OCCUR u CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
8
$
$
B
WORKERS COMPENSATION AND
EMPWYERS' lN1MUTY
34 WEC GM5199
03/12/07
03/12/08
X WC SLIM OTH-
RY LINI FEL
E.L. EACH ACCIDENT
$100, 000
E.L. DISEASE - EA EMPLOYEE
$10 0 , 0 0 0
E.L. DISEASE - POLICY LIMIT
0500,000
OTHER
DESCRH'TION OF OPERATKINSILOCATKINSNEHWLESIEXCLUSKINS ADDED BY ENDORSEMENTISPECIAL PROVISION$
Those usual to the Insured's Operations.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Fort Collins
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE 110 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
Attn : James B . O'Neill
HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
PO BOX 580
OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
Fort Collins, CO 80522
AuORID R�RESEN A
Aawnv LDa I/JEIA) a ACORD CORPORATION 1988
TAGGART & ASSOCIATES, INC/PHS
PO BOX 33015
SAN ANTONIO TX, 78265
City of Fort Collins
Attn: James B. O'Neill
PO Box 580
Fort Collins, CO 80522
ACORD 25-S (7/97)