HomeMy WebLinkAboutARCHITECTURAL ENERGY CORP - INSURANCE CERTIFICATE (2)ACORD, CERTIFICATE
OF LIABILITY
INSURANCE
8/24/too '
PRODUCER (303)442-1484 FAX: (303)442-8822
Taggart & Associates, Inc.
1600 Canyon Boulevard
P. O. Box 147
Boulder CO 80306
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
NAIC#
INSURED
ARCHITECTURAL`ENERGY CORPORATION
2540 FRONTIER AVENUE #201
BOULDER CO 80301
INSURER A'. Hart ford Casualty
29424
INSURER B. Republic Ind Cc of
27561
INSURER c: Landmark American `
INSURER D.
INSURER E'.
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 H WN MAY HAVE BEE 4 REDUCED BY PAID CLAIMS.
INSR
ADD'L
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MM/DDIYY
POLICY EXPIRATION
DATE MM/DDNY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1. 000, 000
DAMAGE TO RENTED
PR M .occurrence
$ j00, 000
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
34SBADU5290
9/1/2007
9/1/2008
MED EXP (Any oneperson)
$ 1,000,000
PERSONAL & ADV INJURY
$ 1,000, 000
GENERAL AGGREGATE
S 2,000,000
GENT AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMPIOPA
$ 2,000,000
X POLICYFI PRO LOG
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$ -
.BODILY INJURY.
,(Per person)
'A
ALL OWNED AUTOS
"SCHEDULED AUTOS
34SBADU5290
9/1/2007
9/1/2008
X
.BODILY INJURY
(Per accident
-
F
'
_---
HIRED AUTOS ., _.... ..
NON -OWNED AUTOS ' -
- -
_
X
PROPERTY DAMAGE
(Per accident)_
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHERTHAN EAA
$
ANY AUTO
$
AUTO ONLY. AGG
EXCESS/UMBRELLA LIABILITY
X OCCUR CLAIMS MADE
EACH OCCURRENCE
$ 5,000,000
AGGREGATE
$ 5,000,000
$
g
A
DEDUCTIBLE
34SBA3U5290
9/l/2007
9/1/2008
$
X RETFNTION 10, 000
B
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
16434701/CO
1/1/2007
1/l/2008
x _ _ WC STATII-- GTH-
E L. EACH ACCIDENT
S 1,000,000
EL DISEASEEAEMPLOYEE$
11000,000
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
15359307/CA
34WECCKB4843/Hartford/IL
1/1/2007
2/1/2007
1/1/ 2008
2/1/2008
E. L. DISEASE -POLICY LIMIT
$ 11000,000
C
OTHER Errors &
LHR804629
10/1/2006
10/1/2007
Each Incident $1,000,000
Omissions
Aggregate $1,000,000
Deductible $5, 000
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Re: CSU Phase II / PO4-142
(970)221-6707
City of Fort Collins
Purchasing Division
Attn: James B. OlNeill II
215 North Mason Street 2nd Flo
PO Box 580
Fort Collins, CO 80522-0580
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
AUTHORIZED REPRESENTATIVE
7onnie Arellano/CLA C..�-M�sa-.tt. e�• iA�
m ACORD CORPORATION 1988
tE
INS0251o1oe).o8a Page 1 of 2
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this
certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an
endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such
endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing
insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively
amend, extend or alter the coverage afforded by the policies listed thereon.
INS0251oioBt.o8a Page 2 or 2