HomeMy WebLinkAboutBOULDER DESIGN ALLIANCE - INSURANCE CERTIFICATE (4)ACORD. CERTIFICATE OF LIABILITY INSURANCE P1Dc 12-0DA 1 T2006
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
VAN GILDER INSURANCE CORP/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
341438 P: (866) 467-8730 F: (877) 905-0457 ALTER THE COVERAGE AFFORDED BY THE POLICIES RFI OW.
PO BOX 33015
SAN ANTONIO TX 78265 INSURERS AFFORDING COVERAGE
INSURED INSURER A:Hartford Casualty Ins Co
BOULDER DESIGN ALLIANCE MR. ROB INSURER B:
DEK I E F FER NSURER C:
3002 MELISSA LN. INSURER D:
UU V QSAbCJ
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.
IYSR
TYPE OF INSLA7ANCE
POUCY MIAWBER
P00CYEFFECTIVE
ft7UCVEXARATION
LAfRS
GENERAL LIABKITY
EACH OCCURRENCE
41 0 0 O 0 O O
A
COMMERCIAL GENERAL LIABILITY
34 SBA LJ 6 5 5 7
01 / 01 / 0 7
01 / 01 / 0 8
FIRE DAMAGE (Any Me fire)
4 3 0 0 O O O
MED EXP (Any om parson)
$10 0 0 O
CLAIMS MADE FRI OCCUR
X Business Liab
PERSONAL &ADV INJURY
$1 000 000
GENERAL AGGREGATE
a2 OOO 000
GENT AGGREGATE
UMIT APPLIES
PER:
PRODUCTS - COMPIOP AGO
$2 000 00O
POUCyFX1
PRO
LOC
AUTOMOBILE
LMRBITY
A
ANVAurD
34 SBA LJ6557
01/01/07
01/01/08
COMBINED SINGLE UMIT
(Eaaaaitlerrt)
$1 0 0 0 0 0 0
'
ALL OWNED AUTOS
BODILY INJURY
$
SCHEDULED AUTOS
(Par person)
HIRED AUTOS
X
BODILY INJURY
$
X
NON -OWNED AUTOS
)Per acciderrt)
PROPERTY DAMAGE
$
(Per acciderri)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
4
ANY AUTO
$
AUTO ONLY: AGO
EXCESS LIABILITY
EACH OCCURRENCE
3
AGGREGATE
$
OCCUR CLAIMS MADE
S
$
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSA TION AND
WC STATU- OTH-
EMPLOYERS' LIABKITYORY
E.L. EACH ACCIDENT
4
E.L. DISEASE - EA EMPLOYEE
4
E.L. DISEASE - POLICY UMIT
$
OTHER
OESCIBPTKMI OF OPERA 77OWL OCA TKLNWVEHICLESfEXCI USIONS ADDED BY FMUORSEMENT/SPECIAL PROWSIDNS
Those usual to the Insured's Operations.
CFRTIRCATFNfII nFLI .............. .......M,.. ,......,._...�_�_ ,...,.-.�,. ._.....
City of Fort Collins
PO Box 580
Fort Collins, CO 80522
.1• nn I n II —I
DULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
'IRATION 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
-IGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVE
® ACORD CORPORATION 1988