HomeMy WebLinkAbout112468 FELSBURG HOLT & ULLEVIG INC - INSURANCE CERTIFICATEACORD. CERTIFICATE OF LIABILITY INSURANCE 06nz/07°m"
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 INSURER A: The Travelers Indemnity Co of Amer
Feisburg Holt & Ullevig, Inc. INSURER B. Hartford Underwriters Ins. Co.
6300 S. Syracuse Way, #600 INSURER c: Hartford Accident & Indemnity
Centennial, CO 80111 INSURER D: XL Specialty Insurance Company
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.
NSR
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDD
POLICY EXPIRATION
DATE MMIDD
LIMITS
A
GENERAL LIABILITY
68022781-711
06/21/07
06/21/08
EACH OCCURRENCE
$1 000 000
FIRE DAMAGE (Any one fire)
$1000000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE O OCCUR
MED EXP (Any one person)
$10 000
PERSONAL & ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2 000 000
GEN'L AGGREGATE LIM ITAPPL IES PER:
PRODUCTS-COMPIOPAGG
$2 000 000
POLICY X PRO LOC
B
AUTOMOBILE
LIABILITY
ANY AUTO
BA30081_260
06/21/07
06/21/08
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
X
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULEDAUTOS
X
BODILY INJURY
(Per accident)
$
HIREOAUTOS
NON -OWNED AUTOS
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
_
$
ANY AUTO
$
AUTO ONLY: AGG
A
EXCESS LIABILITY
CUP6540Y22A
06/21/07
06/21/08
EACH OCCURRENCE
$4 000 000
X OCCUR CLAIMS MADE
AGGREGATE
$4 000 000
$
DEDUCTIBLE
$
RETENTION $
C
WORKERS COMPENSATION AND
I34WEGPP3731
06/21/07
06/21/06
X WC STATU- OTH-
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
- ----
$1 000,000
E.L. DISEASE -EA EMPLOYEE
$1,000,000
E.L. DISEASE -POLICY LIMIT
$1,000,000
D
OTHER Professional
DPR9604545
06/21/07
06/21/08
$2,000,000 per claim
iability
$5,000,000 annl aggr.
laims Made
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
RE: #P-768 North College Corridor Improvements Phase I
City of Fort Collins
Administrative Services -Purchasing
215 N Marson St.,2nd Floor
PO Box 580
Fort Collins, CO 80522-0580
SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30-__DAYS WRITTEN
NOTICE TOTHE CERTIFICATE H OLD ER NAM ED TO TH E LEFT, BUT FAILURE TO DO SO SH ALL
IMPOSE NO OB LIGATION OR LIAB ILITY OF ANY KIND UPON THE INSU RER,ITS AGENTS OR
REPRESENTATIVE
iacurcu zas (iroi)l of 1 #M500364 EQC 0 ACORD CORPORATION 1988