HomeMy WebLinkAboutBOULDER DESIGN ALLIANCE - INSURANCE CERTIFICATE (6)ACORD CERTIFICATE OF LIABILITY INSURANCE
N
DATE
u - 0;AT 007
PRODUCER
VAN GILDER INSURANCE CORP/PHS
341438 P: (866)467-8730 F: (877)905-0457 I
PO BOX 33015
SAN ANTONIO TX 78265
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
BOULDER DESIGN ALLIANCE MR. ROB
DEKIEFFER
3002 MELISSA LN
BOULDER CO 80301
INSURER AHartford Casualty Ins Co
INSURERS
INSURER C
INSURER
INSURER
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
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDDIYV
POLICY EXPIRATION LIMITS
DATE MMIDDIYV
A
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X I OCCUR
X General Liab
34 .SBA LJ6557
01/01/08
I EACH OCCURRENCE
01/01/09 FIRE DAMAGE (A, one fire)
VIED EXP IAny one V,r .nl
PERSONAL &ADV INJURY
GENERAL AGGREGATE
PRODUCTS COMP/OP AGG
1 $1, 0 0 0, O 0 0
s300,00 0
>10 , 000
$1, 000, 000
s2 , 000, 000
GEN L AGGREGATE LIMIT APPLIES PER
POLICY X I jECT LOC
s2,000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON OWNED AUTOS
34 SBA LJ6557
01/01/08
01/01/09
CIEaMa«ideDSINGLEUMIr
leenn
$l, 000, 000
BODILY INJURY
(Pe,perspnl
S
X
80DILY INJURY
IPer acclden0
S
X
PROPERTY DAMAGE $
IPer ac deml
GARAGE LIABILITY
AUTO ONLY EA ACCIDENT
ACC
OTHER THAN
AUTO ONLY AEG
$
5
__j
EXCESS LIABILITY
^- OCCUR a CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
AGGREGATE
$
s
S
$
$
WORKERS COMPENSATION ANDITY
EMPLOYERS LIABIL
WC LIMIJS O
TO RV IMI ER
E L EACH ACCIDENT
5
EEY
L DISEASE EA EMPLOY
5
'L DISEASE POLICLIMIT
$
OTHER
DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Those usual to the Insured's Operations.
CERTIFICATE HOLDER ADDITIONAL INSURED INSURER LETTER _ CANCELLATION
City of Fort Collins
PO BOX 580
Fort Collins, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL
45 DAYS WRITTEN NOTICE (10 DAYS FOR NON PAYMENT) TO THE CERTIFICATE
HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL IMPOSE NO
OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
REPRESENTATIVES
A ORI D RE ESEN ATI __
ACORD 25-S (7/97) i' ACORD CORPORATION 1988