HomeMy WebLinkAboutSKUMATZ - INSURANCE CERTIFICATE (5)ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE
01-23-2007 I
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
SAN ANTONIO TX 78265
INSURED
SKUMATZ ECONOMIC RESEARCH ASSOCIATES,
INC.
762 ELDORADO DR. STE 100
COVERAGES
INSURERS AFFORDING COVERAGE
INSURERA:Hartford Casualty Ins Co
INSURERB:Twin City Fire Ins Co
INSURER C:
INSURER D:
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.
INSfl rypE OF INSURANCE POLICY NUMBEfl
LTR
POLICY EFFECTIVE POLICY EXPIRATION LIMITS
DATE MM/DD/YY DATE MM/DDIVV
GENERAL LIABILITY
EACH OCCURRENCE s2,000,000
A
COMMERCIAL GENERAL LIABILITY 34 .SBA PA510 0
03/12/07
0 3 / 12 / 0 8 FIRE DAMAGE (Any one fire) ! s300, 000
CLAIMS MADE 'a OCCUR
VIED EXP (Any one person) $1 0 , 000
B X usiness Liab li
PERSONAL &ADV INJURY 52, 000, 000
GENERAL AGGREGATE s4,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG s4,000,0 O O
POLICY JER& X LOC I
i
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT s2, 000, 000
A
ANY AUTO
34 SBA PA5100
03/12/07
03/12/08 (Ea accident)
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS
(Per person) S
X
HIRED AUTOS
BODILY INJURY
X
NON -OWNED AUTOS
(Per accident) $
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT $
ANY AUTO
OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY _
EACH OCCURRENCEI. $
OCCUR CLAIMS MADE
AGGREGATE 'S
$
DEDUCTIBLE
I$
RETENTION $
$
WORKERS COMPENSATION AND
,
X WC STATU- OTH-j
TDRY LIMITS ER
B
EMPLOYERS' LIABILITY
34 WEC GM5199
03/12/07 03/12/08
E.L. EACH ACCIDENT
$100, 000
E.L. DISEASE - EA EMPLOYEE
$1 0 0 , 0 0 0
E.L. DISEASE - POLICY LIMIT
9500.000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSKINS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Those usual to the Insured's Operations.
• cn I Iri .A 1 C rIULUCM I A I ADDITIONAL INSURED; INSURER LETTER: H CANCELLATION
City of Fort Collins
Attn: James B. O'Neill
PO Box 580
Fort Collins, CO 80522
OULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
PIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
DAYS WRITTEN NOTICE 00 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
LDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
LIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
'RESENTATIVES.
A ORI R ESEN�ATIYF
ACORD 25-S (7/97)
® 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)