HomeMy WebLinkAboutCOOVER CLARK - INSURANCE CERTIFICATEL, Bemx D>oroDATE
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ACO . CERTIFICATE OF
LIABILITY
INSURANCE
10/22/07 (MMIDOnY)
PRODUCER
Van Gilder Insurance Corp
700 Broadway, Suite 1000
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
Denver, CO 80203
303 837-8500
INSURED
INBURERA
Hartford Casualty Insurance Co
INSURER B
Hartford Ins Co of the Mid West
Coover-Clark & Associates, Inc.
INSURERC
CL-St Paul Fire & Marine Insurance
1936 Market Street
INSURER
Denver, CO 80202
INSURER E
6VV1,KAUCJ
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
YPE OF INSURANCE
POLICY NUMBER
POLCY EFFECTIVE
DATE MMIDDIYY
POUCYEXPIRATIONLIMIT$
DATE MMIDDIYYLLIABILITY
MERCIAL GENERAL LIABILITY
CLAIMS MADE 51 OCCUR
34SBAIH5910
10/20/07
10/20/08
EACH OCCURRENCE
$2000000
FIREDAMAGE(Anyonefile)
$300.000
MED EXP (Any one person)
$10 000
PERSONAL & ADV INJURY
$2 000 000
GENERAL AGGREGATE
$4 000 000
PRODUCTS-COMPIOP AGO
$4000000
GREGATE LIM ITAPPLIES PER
LICY PROT LOCBILE
LIABILITY
AUTO OWNED AUTOS
HEDULED AUTOSEDAUTOS
F
34SBAIH5910
10/20/07
10/20108
COMBINED SINGLE LIMIT$$200Q000
(Ea accident)
BODILY INJURY
(Per person)
$
BODILY INJURYN-OWNEDAUTOS (Per accident)
PROPERTY DAMAGE
(Per accident)
$
E LIABILITY
Y AUTO
AUTO ONLY -EA ACCIDENT
$
OTHERTHAN EA ACC
AUTO ONLY AGO
$
$
A
EXCESS LIABILITY
X OCCUR CLAIMS MADE
DEDUCTIBLE
X RETENTION $10 000
34SBAIH5910
10/20/07
10/20/08
EACH OCCURRENCE
$2 000,000
AGGREGATE
$2 000 000
$
S
R
`VCR"E-S COW,-ENSATiON AND
EMPLOYERS LIABILITY
341AIECA05050
10/20/07
10/2/1118
X WC STATU OTH-
W
EL EACH ACCIDENT
$500,000
EL DISEASE -EAEMPLOYEEI
$500,000
EL DISEASE -POLICYLIMIT
11500,000
C
OTHER Professional
Liability
Claims Made
QP03812857
10/20/07
10/20/08
$1,000,000 per claim
$2,000,000 annl aggr
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Employee Benefits Liability $2,000,000 Each Claim, $4,000,000 Aggregate Limit
(34SBAIH5910)
City of Ft Collins
P O Box 580
Fort Collins, CO 80522
SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30—DAYS WRITTEN
NOTICETOTHE CERTIFICATE HOLDERNAMEDTOTHE LEFT, BUTFAILURE TODOSOSHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
REPRESENTATIVE
ACORD 25-S (7/97)1 of 1 #M512392 MAM " —.1- "-' --"-" '"""