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HomeMy WebLinkAboutFELSBURG HOLD ULLEVIG - INSURANCE CERTIFICATEACORD,M CERTIFICATE OF LIABILITY INSURANCE 12/01/06DfYY)
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Van Gilder Insurance Corp. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
700 Broadway, Suite 1000 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Denver, CO 80203 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
303 837-8500 INSURERS AFFORDING COVERAGE
INSURED Felsburg Holt & Ullevig, Inc. INSURER A: St. Paul Insurance (Med/A&E)
6300 S.INSURER B: Hartford Insurance Group
Centennial,
Syracuse Way, #600 INSURER C: XL Specialty Insurance Company
Centnial, CO 80111 INSURER D:
INSURER E:
L,UVrKA sts
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 (MMfDDfYYI
POLICY EXPIRATION
DATE MMIDDIYY
LIMITS
A
GENERAL LIABILITY
BK02193557
06/21/06
06/21/07
EACH OCCURRENCE
$1 QQQ QQQ
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 41 OCCUR
FIRE DAMAGE (Any we fire)
$1000000
MED EXP (Any one person)
$10QQQ
PERSONAL S ADV INJURY
$1 QQQ QQQ
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIM IT APPLIES PER:
PRODUCTS-COMP/OPAGG
$2000000
POLICY PRO-JECT F] LOC411
_
B
AUTOMOBILE
LIABILITY
ANY AUTO
34UECFW5245
. -
s _ 1,
"" `�
COMBINED SINGLE LIMIT
(Ea accident)
$1 ,QQQ ,000
X
BODILY INJURY
(Per Person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NON -OWNED AUTOS
;-' �'] 'Y
pusk
",'
X
BODILY INJURY
(Per accident)
$
X
-
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTOONLY: AGG
A
EXCESS LIABILITY
X1OCCUR CLAIMS MADE
BK02193557
06/21/06
06/21/07
EACH OCCURRENCE
s4,000.000
AGGREGATE
$4 00Q 000
$
DEDUCTIBLE
$
RETENTION $
B
WORKERS COMPENSAI ION AND
EMPLOYERS' LIABILITY
34WEGPP3731
06/21/06
06/21/07
X We srnru- DER TH-
I I '
E.L. EACH ACCIDENT
$500OOO
E.L. DISEASE -EA EMPLOYEE
s500,000
EL. DISEASE - POLICY LIMIT
$500000
C
OTHER Professional
DPR9417648
06/21/06
06/21/07
$2,000,000 per claim
Liability
laims Made
$4,000,000 annl aggr.
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
CANCELS AND REPLACES #474393 DATED 11120/06
RE: #131027 Mason Transportation Corridor Trail Upgrade Separated Crossing
As required by written contract or written agreement, the Certificate Holder is included
as Additional Insured under General Liability with respect to the above referenced.
City of Fort Collins
215 N Mason St.,2nd Floor
PO Box 580
Fort Collins, CO 80522-0580
SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30.__ DAYSWRITTEN
NOTICE TO TH E CERTIFICATE HOLDER NAM ED TOTH E LEFT, BUT FAILURE TO 00 SO SH ALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURERJTS AGENTS OR
REPRESENTATIVE
ACORD 25S (7/97)1 of 1 ALQA7A97R/IUd7QGR7