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Home My WebLink AboutHUDSPETH AND ASSOCIATES - INSURANCE CERTIFICATEACORD, CERTIFICATE OF LIABILITY INSURANCE CSR GD DATE (MMIDD/07 HUDSP -1 12 18 07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Forsberg Engerman Company HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3575 S Sherman St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Englewood CO 80113 Phone 303-762-1717 INSURERS AFFORDING COVERAGE NAIC At INSURED INSURER Amarr CAe rntll SPec.alty Linea Hudspeth & Associates Inc INSURERS Pinnacol Assurance R2 Inc Attn• Robert Levitt INSURER C Employers Mutual Casualty Co 4775 S Santa Fe, Circle INSURERD I - Englewood CO 80112 INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REOUIREMENI, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICA rE 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 IN PO-f_1CV EFFf TI P LGYE PIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DDIYY DATE MM/DO/YV LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X X COMMERCIAL GENERAL LIABILITY PROP3778989 12/17/07 12/17/08 PREMISEAG STO(EaEoccuEence) $3�D DDD CLAIMS WOE lil (OCCUR MED EXP(My one person) $ 25000 X Pollution Liab PROP3778989 12/17/07 12/17/08 PERSONAL B ADV INJURY $ 1000000 X XCU Included GENERAL AGGREGATE $ 1000000 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $1000000 PROJECT LOG X I POLICY F7 Prof Liab 1000000 C AUTOMOBILE LIABILITY ANY AUTO i 2E8548608 02/04/07 02/04/08 COMBINED SINGLE LIMIT (Ea accident) $1000000 X BODILY INJURY (Per Person) $ ALL OWNED AUTOS SCHFDULEDAUTOS C C X HIRED AUTOS NON OWNED AUTOS 2E8548608 2EB548608 02/04/07 02/04/07 02/04/08 02/04/08 BODILY INJURY (Per accident) $ 1000000 X- PROPERTY DAMAGE (Per accident) $1000000 GARAGE LIABILITY AUTO ONLY - EA ACC (DENY $ OTHERTHA,I EA ACC $ ANY AUTO $ AUTO ONLY AGO EXCESSIUMIRELLALIABILITY EACH OCCURRENCE s4000000 A X OCCUR CLAIMSMADE PROU9964023 12/17/07 12/17/08 AGGREGATE $4000000 $ DEDUCTIBLE $ X RETENTION $ 10000 B WORKERS COMPENSATION AND EMPLOYER^u'LIABILITY ANY PROPRIETCR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED' 4064674 01/01/08 01/01/09 X TORYLIMITS X ER EL EACH AL.CIDENT $ 1000000 EL DISEASE- EA EMPLOYE $1000000 If yes dcribe under SPECAL PROVISONS below EL DISEASE -POLICY LIMIT $1000000 OTHER C BPP 2A8548608 02/04/07 02/04/09 Limit $25500 C Lease/Rented Ecrumn 2CS548608 DEDUCTIBLE $500 02/04/07 02/04/03 Limit $345000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS City of Fort Collins is'named as an Additional Insured with respect to General Liability coverage CERTIFICATE CITFORT SHOULD ANY OF THE ABOVE DES( RIBED POLICIES BE CANCELLED BEFORE THE EXPIRA DATETHFREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITT City of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO $O SH 215 N Mason St, 2nd Floor IMPOSE NO OBLIGATION OR LIABIL ITY OF ANY KIND UPON THE INSURER ITS AGENTS OF PO Box 580 Fort Collins CO 80522-0580 REPRESENTATIVES