HomeMy WebLinkAbout132158 CTL/THOMPSON INC - INSURANCE CERTIFICATE (5)Client# 10513
CTLTHO
ACORDT. CERTIFICATE
OF LIABILITY
INSURANCE
10/01/o,°""'
PRODUCER
Van Gilder Insurance Corp
700 Broadway, Suite 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 Casualty Insurance
INSURER B
Pinnace[ Assurance
INSURERC
Lexington Insurance Company (AIG)
INSURER D
INSURER E
r nVFRAGFS
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 IMAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR
LTR
rypE OF
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDDNY
POLICY EXPIRATION
DATE MMIDD
LIMITS
A
GENERALUASILITY
34UUNEX2070
10/01/07
10/01/08
EACH OCCURRENCE
$1,000000
FIRE DAMAGE (Any one fire)
$300,000
COMMERCIAL GENERAL LIAR ILITY
MED EXP (Any one person)
$10 000
CLAIMS MADE FX7 OCCUR
PERSONAL B ADV INJURY
$1,000,000
X PD Ded 1,000
GENERAL AGGREGATE
$2 0-00,000
GEN L AGGREGATE LIM IT APPLIES PER
PRODUCTS-COMP/OPAGG
$2000000
POLICY F7 PRO LOC
A
AUTOMOBILE
LIABILITY
ANY AUTO
34UENEX2190
10/01/07
10/01/08
COMBINED SINGLE LIMIT
E. accident)
$1000,000
X
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Per acadenQ
$
HIRED AUTOS
NON OWNED AUTOS
X
PROPERTY DAMAGE
(Per acadent)
$
GARAGE LIABILITY
AUTO ONLY EAACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY AGO
A
EXCESS LIABILITY
34XHUEX1980
10/01/07
10/01/08
EACH OCCURRENCE
$2000,000
AGGREGATE
$2,000,000
X OCCUR CLAIMS MADE
$
_ DEDUCTIBLE
____
$
X RETENTION $10000
B
WORKERS COMPENSAT,ON AND
618052
10/01/07
10/01/08
X RY LIMr5WC STATU OTH
IT I
EL EACH ACCIDENT
$500,000
EMPLOYERS' LIABILITY
EL DISEASE EA EMPL OVEE
$500,000
E L DISEASE -POLICY LIMIT
$50Q,000
C
OTHER Professional
4697481
11/22/06
11/22/07
$1,000,000 per claim
Liability
Claims Made
$2,000,000 annl aggr
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS 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 ANYOF TH E ABOVE D ESC RIB ED POLICIES BE CANCELLED BEFORE TH E EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL30—DAYSWRI TEN
NOTICE TOTHE CERTIFICATE HOLD ERNAMED TOTH E LEFT BUT FAILURE TOD0 SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
REPRESENTATIVE
ACORD 25-S (7/97)1 of 1 #M510304 MOG 0 AUUKU L.UKYUKA I IUIN TBBB