HomeMy WebLinkAbout132158 CTL/THOMPSON INC - INSURANCE CERTIFICATE (3)ACORDA, CERTIFICATE OF LIABILITY INSURANCE DATE /06
11/1606 DIYY)
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Van Gilder Insurance Corp. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
700 Broadway, 1000 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Y ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Denver, CO 80203
303 837-8500 INSURERS AFFORDING COVERAGE
INSURED INSURERA: Hartford Insurance Group
CTUThompson, Inc. INSURERS: Pinnacol Assurance
7306 S. Alton Way INSURER c: Lexington Insurance Company (AIG)
Centennial, CO 80112
INSURER D:
C[TVFRAr:FC
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
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDD
POLICY EXPIRATION
DATE fMWDDIYYI
LIMITS
A
GENERAL LIABILITY
34UUNEX2070
10/01/06
10/01/07
EACH OCCURRENCE
$1 000 000
FIRE DAMAGE (Any one fire)
$300 000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [i] OCCUR
IVIED EXP (Any one person)
$10 000
PERSONAL AADVINJURY
$1 000 000
X PD Ded:1,000
GENERAL AGGREGATE
$Z OOO O00
GEN'L AGGREGATE LIMITAPPLIES PER:
PRODUCTS - COMPIOP AGG
$2000000
POLICY PE� LOC
A
AUTOMOBILE
LIABILITY
ANY AUTO
34UENEX2190
10/01/06
10/01/07
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
X
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Per accident)
$
HIREDAUTOS
NON -OWNED AUTOS
X
X
Drive Other Car
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - FA ACCIDENT
$
OTHER THAN FA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
A
EXCESS LIABILITY
X OCCUR CLAIMS MADE
34XHUEX1980
10/01/06
10/01/07
EACH OCCURRENCE
$2 000,000
AGGREGATE
s2,000,000
a
DEDUCTIBLE
X RETENTION $10000
$
WORKERS COMPENSATION AND
618052
10/01/06
10/01/07
X WC STATU- O B-
LIMIB
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$500000
E.L. DISEASE - EA EMPLOYEE
s500,000
E.L. DISEASE -POLICY LIMIT-
$500,000
C
OTHER Professional
4697481
11/22/06
11/22/07
$2,000,000 per claim
lability
$4,000,000 annl aggr.
laims Made
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSKTNS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
City of Ft. Collins, Purchasing Division is listed as an Additional Insured,
under General Liability only, in respects to their interest in work performed
by the insured as per written specified contracts.
City of Ft. Collins
Purchasing Division
P.O. Box 580
Fort Collins, CO 80522
SHOULD ANYOFTH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30—DAYSWRITTEN
NOTICE TOTHE CERTIFICATE HOLDERNAM ED TOTHE LEFT, BUTFAILURE TODOSOSHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURERJTS AGENTS OR
REPRESENTATIVE
ACORD 25-S f7/971i ..F I AI111A7AnA0
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