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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