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HomeMy WebLinkAboutCOOVER CLARK - INSURANCE CERTIFICATEL, Bemx D>oroDATE ----- 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- "-' --"-" '"""