HomeMy WebLinkAbout132158 CTL/THOMPSON INC - INSURANCE CERTIFICATE (6)CTLTHO
Client# 10513
ACDRDT. CERTIFICATE
OF LIABILITY
INSURANCE
DATE
11/16107Dm)
PRODUCER
THIS CERTIFICATE
IS ISSUED AS A MATTER OF INFORMATION
Van Gilder Insurance Corp
700 Broadway, Suite 1000
Y,
ONLY
HOLDER
ALTER
AND CONFERS NO RIGHTS UPON THE CERTIFICATE
THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
THE COVERAGE AFFORDED BY THE POLICIES BELOW
Denver, CO 80203
303 837-8500
INSURERS AFFORDING COVERAGE
INSURED
CTL/Thompson, Inc
7306 & Alton Way
Centennial, CO 80112
INSURERA
Hartford Casualty Insurance
INSURER B
Pinnacol Assurance
INSURER
Lexington Insurance Company (AIG)
INSURER D
INSURER E
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 MM/DDIYY
POLICY EXPIRATION
DATE MMIDDm
LIMITS
A
_
GENERALLIABILITY
34UUNEX2070
10/01/07
10/01/08
EACH OCCURRENCE
$1000,000
FIRE DAMAGE (Any one fire)
$300,000
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
LxJ
MED EXP(Anyoneperson)
$10,000
PERSONAL B ADV INJURY
$1 000000
X PD Ded 1,000
GENERAL AGGREGATE
$2 000,000
GEN L AGGREGATE LIMIT APPLIES PER
PRODUCTS COMP/OPAGG
$2,000,000
POLICY PR� LOG
A
AUTOMOBILE
LIABILITY
ANY AUTO
34UENEX2190
10/01/07
10/01/08
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
X
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
X
BODILY INJURY
(Per accident)
$
HIREDAUTOS
NON OWNED AUTOS
PROPERTY DAMAGE
(Peracc,denl)
$
GARAGE LIABILITY
AUTO ONLY EA ACCIDENT
$
OTHER THAN EA ACC
$
ANV AUTO
$
AUTO ONLY AGG
A
EXCESS LIABILITY
34XHUEX1980
10/01/07
10101/08
EACH OCCURRENCE
$20001000
OCCUR CLAIMS MADE
AGGREGATE
s2,000,000
$
DEDUCTIBLE
$
X RETENTION $10000
RKERS COMPENSATION AND
PLOYERS LIABILITY
618052
10/01/07
10/01/08
X WC,9TATU OTTO
EAEL EACHACCIpENT
$500,000
EL DISEASE EA EMPLOYEE
$500,000
EL DISEASE POLICY LIMIT
$500,000
+Liability
ER Professional
5766204
11/22/07
10/01/08
$1,000,000 per claim
$2,000,000 annl aggr,
Claims Made
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
City of Ft Collins, Purchasing Division is listed as an Additional Insured,
under General Liability only, in respects to their interest in work performed
by the insured as per written specified contracts
City of Ft Collins
Purchasing Division
P O Box 580
Fort Collins, CO 80522
SHOULD ANY OF THE ABOVE D ESC RIB ED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30—DAYSWRrfrEN
NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTH FLEET, BUT FAILU RE TOD0 SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
REPRESENTATIVE
ACORD 25-5 (7/97)1 of 1 #M514622 MOG 0 ACORD CORPORATION 1988