The URL can be used to link to this page

Home My WebLink AboutBOULDER DESIGN ALLIANCE - INSURANCE CERTIFICATE (7)ACORD. EVIDENCE OF PROPERTY INSURANCE PT 3I 11-12f—E2007 THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY PROD UCEF I P(q/HOCNEo x0 ( 8 6 6) 4 6 7— 8 7 3 0 COMPANY Nf_ VAN GILDER INSURANCE CORP/PHS Hartford Casualty Ins Co PO BOX 33015 SAN ANTONIO TX 78265 INSURED BOULDER DESIGN ALLIANCE ROB DEKIEFFER 3002 MELISSA LANE BOULDER CO 80301 PROPERTY INFORMATION LOANNUMBER POLICY NUMBER 34 SBA EFFECTIVE DATE ENPIRATIDNDAT 01/01/2, 01/01/20 THIS REPLACES PRIOR EVIDENCE DATED CONTINUED UNTIL TERMINATED IF CHECKED LOCATIOWDESCRIPTION Location. 001, Building: 001 CONSULTANT - NOC 3002 MELISSA LANE BOULDER CO 80301 COVERAGE INFORMATION COVERAGEIPERILS/FORMS AMOUNT OFINSURANCE DEDUCTIBLE Policy Coverages: Special Form Including Theft Loss of Income(Business Income with Extra Expense) j Equipment Breakdown - ENH96 i Location Level Coverages. Business Personal Property - Replacement Cost $18,900 $500 REMARKS (including Special Condmonsl CANCELLATION THE POLICY IS SUBJECT TO THE PREMIUMS, FORMS, AND RULES IN EFFECT FOR EACH POLICY PERIOD SHOULD THE POLICY BE TERMINATED, THE COMPANY WILL GIVE THE ADDITIONAL INTEREST IDENTIFIED BELOW 30 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT), AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT INTEREST, IN ACCORDANCE WITH THE POLICY PROVISIONS OR AS REQUIRED BY LAW NAM£ AND ADDRESS City of Fort Collins Attn Jan Elliott 256 W. Mountain Avenue Fort Collins, CO 80521 X LOSS PAYEE I` ADDITIONAL INSURED LOAN N AU\THORIZEED•REPREESENTATIVE ACORD 27 (3/93) 0 ACORD CORPORATION 1993 ACORD. CERTIFICATE OF LIABILITY INSURANCE °"'E u-o7-2007 PRODUCER I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION VAN GILDER INSURANCE CORP/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 341438 P: (866)467-8730 F: (877)905-0457 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW PO BOX 33015m ^^^ r INSURERS AFFORDING COVERAGE BOULDER DESIGN ALLIANCE MR. ROB INSURERS DEKIEFFER INSURERC 3002 MELISSA LN. INSURER0 BOULDER CO 80301 INSURER COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO HE 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 ILIA TYPE OF INSURANCE POLICY NUMBER ppT IN MI,,I Y) DA EYIMMPIODIVVN LIMITS A GENERAL MBIUTY COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR I X General Liab 34 SBA LJ6557 01/01/08 I EACH OCCURRENCE 01/01/09I FIRE DAMAGE( Any om lira) MED EXP (Any one Perron) (PERSONAL &ADV INJURY IS1, GENERAL AGGREGATE I PRODUCTS COMP/OP AGG $1, 0 0 0, 000 s300, 000 $10 , 000 000, 000 s2,000,000 GEN L AGGREGATE LIMIT APPLIES PER POLICY X JEPO ST LOC S2 , 000, 000 A AUTOMOBILE MBILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS 34 SBA LJ6557 01/01/08 01/01/09 COMBINED SINGLE LIMIT IEes°'dent) $1, 000, 000 BOLY INJURY IPe! DIperson) $ X BODILV INJURY (Per ec."d nO $ X PROPERTY DAMAGE (Pn acadentl $ GARAGE MINUTY ANY AUTO I AUTO ONLY EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY AGG 5 5 EXCESS LIABILRY OCCUR I CLAIMS MADE DEDUCTIBLE RETENTION $ I EACH OCCURRENCE 5 I AGGREGATE $ I IS $ 5 WORKERS COMPENSAMN AND EMPLOYERS LU181LITY WC S T A T U OTH I IT EL EACH ACCIDENT $ E L DISEASE EA EMPLOYEE $ E L DISEASE POLICY LIMIT $ OTHER DESCRIPTH)N OF OPFAATIONSIWCAMNSIVE111Cl IUCLUSIONS ADDED BY ENDORSEMENT/SPECWL PROVISIONS Those usual to the insured's operations. City of Fort Collins Attn: Jan Elliott 256 W. Mountain Avenue Fort Collins, CO 80521 JULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE '(RATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE LDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO _IGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR ACORD 25-S 17197) - ACORD CORPORATION 1988