HomeMy WebLinkAbout50-50 GROUP LLC - INSURANCE CERTIFICATEACORD- CERTIFICATE OF LIABILITY INSURANCE DATE 10/15/07
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
THE HARTFORD
HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1-888-466-9765
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
INSURERS AFFORDING COVERAGE
INSURER Properly and Casualty Insurance Company of Hartford
INSURED 50-50 GROUP LLS,
825 TURMAN DRIVE
INSURER
FT COLLINS, CO B0525
INSURER
INSURER D
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 TYPE OF INSURAICE
LTR
POLICY NUMBER
POLICY EFFECTIVE
DATEIMNiDDYY)
POLICYEXPIRATION
DATE(MWED")
LIMITS
_
GENERAL LIABILITY
® COMMERCIAL GFNERALLIABIL17Y
❑ CLAIMS MADE ® OCCUR
p
GENL AGGREGATE LIMIT APPLIES PER
0 POLICY ❑ PROJECT ❑ LOC
55RBH233564
11/21/06
11/21/07
EACH OCCT RP CE
$ 1,000,000
FIRE DAMAGE(MYone fire)
$1000000
MED EXP(My one Person)
$ 10,000
PERSONAL a ADV INJURY
$ 1 000,000
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS-COMP/OP AGG
$ 2 000,000
AUTOMOBILE LIABILITY
❑ ANY AUTO
❑ ALL OWN ED AUTOS
❑ SCHEDULED AUTOS
❑ HIRED AUTOS
❑ NON OWNED AUTOS
El
CGIVBINED SINCLE LIMIT
(Ea,NYdenp
BODILY INJURY
(Per peron)
$
BODILY INJURY
(P,w,ident)
$
PROPERTY DAMAGE
(Peraxidonp
$
GARAGE LIABILITY
❑ ANY AUTO
AUTO ONLY - EA ACC
$
OTIIERTHAE EAACC
AUTO ONLY AGG
$
$
EXCESS LIABILITY
❑ OCCUR ❑ CLAIMS MADE
❑ DEDUCTIBLE
[]RETENTION $
EACH OCCURANCE
$
AGGREGATE
$
$
$
WORKERS COMPENSATION AND
EMPLOYERS LIABILITY
❑ WC STATI DOT+
ICRr LIMITS EP
E L EACH ACCIDENT
EL DISEASE 5
ENIPLO IEE
$
$
EL DISEPSE-POLPY
LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
Computer Consulant BPP ON PREMISES $10 000 BPP OFF PREMISES $5 003
CERTIFICATE HOLDER n ADDITIONAL INSURED INSURER LETTER CANCELLATION
CITY CF FORT COLLINS CO ITS OFFICERS AND EMPLOYEES ARE
ADDITIONAL INSUREDS AS RESPECTS LIABILITY ARISING OUT OF
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
THE WORK PERFORMED BY THE NAMED INSURED FOR OR ON
EXPIRATION DATE THEROF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30
BEHALF OF THE CERTIFICATE HOLDER
DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT
CITY OF FORT COLLINS CO
FAILURE TO DO 50 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND
P O BOX
FORT COLLINSLI CO 80522
UPON THE INSURER ITS AGENTS OR REPRESENTATIVES
1-tt�no�. l.#
ACORD 25-S (7/97) - @ ACORD CORPORATION 1988
ACORD-
CERTIFICATE OF LIABILITY INSURANCE DATE 10/15/07
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
THE HARTFORD
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1-888-466-9i65
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
INSURERS AFFORDING COVERAGE
INSURED
50-50 GROUP LLC
INSURER Property and Casualty Insurance Company of Hartford
825 TURMAN DRIVE
INSURER B
FT COLLINS, CO 80525
INSURER C
INSURER D
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
wsa TYPE OF INSURANCE
LTR
POLICYNIUMBER
POLICY EFFECTIVE
DATE(MMI
POLICYEXPIRATION
DATE (MMDDA'YI
LIMITS
GENERAL LIABILITY
0 COMMERCIAL GENERAL LIABILITY
❑ CLAIMS MADE S OCCUR
❑
❑
GEN L AGGREGATE LIMIT APPLIES PER
S POLICY ❑ PROJECT ❑ LOC
55RBH233564
11/21/06
11/21/07
EACH°IIuR°CE
$1,000,000
FIREDAMAGiE(Anyonehre)
$1000,000
MED EXP(Any cne oermn)
$ 10,000
PERSWN- c ADV IN.IJRY
$ 1 000 000
GENERAL AGGREGATE
$ 2 000,000
PRODUCTS-COMPlOP AGO
$2,000,000
AUTOMOBILE LIABILITY
❑ ANY AUTO
❑ ALL OWNED AUTOS
❑ SCH EDULED AUTOS
❑ HIREDAUTOS
❑ NON OWNED AUTOS
❑
COMBINED SINGLE LIMIT
(Ee aaidorrc)
BODILY INJURY
(Per Person)
$
BODILY INJURY
(PI,,..Wenl)
$
PROPERTY DAMAGE
(Per Ycadon0
$
GARAGE LIABILITY
❑ ANY AUTO
❑
A-fTOONLY-EAACC
$
OTHER THAN EA ACC
ALTO ONLY AGG
$
$
EXCESS LIABILITY
❑ OCCUR ❑ CLAIMS MADE
❑ DEDUCTIBLE
[]RETENTION $
EACH OCCURANCE
$
AGGREGATE
$
$
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
❑ "C STATO ❑OTH
TORYLIMITS EP
E L EACH ACCIDENT
EL DISEASE EA
EMPLOYEE
$
$
EL DISEASE POLICY
LIMP
$
OTHER
DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
Computer Con sula nt BPP ON PREMISES $10000 BPP OFF PREMISES $5000
CERTIFICATE HOLDER 9 ADDITIONAL INSURED INSURER LETTER CANCELLATION
CITY OF FORT COLLINS CO ITS OFFICERS AND EMPLOYEES ARE
ADDITIONAL INSUREDS AS RESPEC I-S LIABILITY ARISING OUT OF
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
THE WORK PERFORMED BY THE NAMED INSURED FOR OR ON
EXPIRATION DATE THEROF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30
BEHALF OF THE CERTIFICATE HOLDER
DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT
CITY OF FORT COLLINS CO
FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND
P O BOX 580
FORTCOLLINS CO 80522
UvyP�O�N THE INSURER ITS AGENTS OR REPRESENTATIVES
7yw'—Ci.Lo C.#
ACORD 25-S (7/97) 6) ACORD CORPORATION 1988