HomeMy WebLinkAbout132158 CTL/THOMPSON INC - INSURANCE CERTIFICATE (4)Client#: 10513
CTLTHO
ACORU CERTIFICATE OF LIABILITY
INSURANCE
09/21/06D
PRODUCER
Van Gilder Insurance Corp.
700 Broadway, 1000
y
Denver, CO 80203
303 837-8500
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
INSURED
CTL/Thompson, Inc.
7306 S. Alton Way
Centennial, CO 80112
_
INSURER A: Hartford Insurance Group
INSURER B: Pinnacol Assurance
INSURER C: Lexington Insurance Company (AIG)
INSURER D:
INSURER E:
COVERAGES
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
rypE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
A M D
POLICY EXPIRATION
DATE (MWDDIYYI
LIMITS
A
GENERAL LIABILITY
34UUNEX2070
10/01/06
10101/07
EACH OCCURRENCE
$1 000000
FIRE DAMAGE (Any one fire)
$300 000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE NIOCCUR
MED EXP (Any one person)
$10 000
PERSONAL & ADV INJURY
$1 OOO 000
X PD Ded:1,000
GENERAL AGGREGATE
$2 000 000
GEN'L AGGREGATE LIM ITAPPLIES PER:
PRODUCTS -COMP/OPAGG
$2 000000
PR0. D LOC-
- POLICY -- JECT
-
--
A
AUTOMOBILE
LIABILITY
- -
ANY AUTO
34UENEX2190
-
10/01/06 _
10/01/07
--
cOMBmED smGLE LIMIT
(Ee accident)
$t000,000
-
X
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULEDAUTOS
X
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
X
X
Drive Other Car
PROPERTY- DAMAGE.. _.
(Per accident)
-$ ..
GARAGE LIABILITY
AUTO ONLY -EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
A
EXCESS LIABILITY
X OCCUR CLAIMS MADE
34XHUEX1980
10/01/06
10/01/07
EACH OCCURRENCE
s2,000,000
AGGREGATE
s2,000,000
$
$
DEDUCTIBLE
X RETENTION $10000
$
B
WORKERS COMPENSATION AND
618052
10/01/06
10/01/07
X WC STATU- OTH-
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$5OO OOO
E.L. DISEASE -EA EMPLOYEE
$500,000
E.L. DISEASE - POLICY LIMIT
s500 000
C
OTHER Professional
4649299
11/22/05
11/22/06
$2,000,000 per claim
lability
$4,000,000 annl aggr.
laims Made
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS 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 ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_ DAYSWRrTTEN
NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL
IMPOSE NOOBLIGATION OR LIABILITY OF ANYKIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVE
0ACORD CORPORATION 1988