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Home My WebLink About398304 LAUREL HILL GIS INC - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) -+ M O1/12/2011 PRODUCER 970.679. 7333 FAX 866.456.4265 Ewing -Leavitt Insurance Agency 4025 St. Cloud Dr. Suite 100 Loveland, CO 80538 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 NAIC # INSURED LAUREL HILL GIS INC. 307 BROSS ST LONGMONT, CO 80501-5427 INSURER A: Assurance Company of America 19305 INSURER : Pinnacol Assurance 41190 INSURERC: Philadelphia Insurance Company 023850 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 ADD'L NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDWYYYY POLICY EXPIRATION DATE MM/DD/YYYY LIMITS GENERAL LIABILITY PPS037575108 02/01/2011 02/01/2012 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 �LIABILITY CLAIMS LADE I ^ OCCUR HIRED & NON-OWNF_.D AUTO, MPD EXP (Any one person) $_ 10,000 A $1, 000 , 000 INCLUDED PERSONAL & ADV INJURY _ $ Excluded GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY ECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY PPS037575108 02/01/2011 02/01/2012 EACH OCCURRENCE $ 1,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ A $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION�04/01/2011WC AND EMPLOYERS' LIABILITY Y/NANYPROPRIETOR/PARTNER/EXECUTIVEr��JX i/l'FICERi.N,1006ER EXCLUDED? - (Mandatory in NH) LJ 4091796 04/O1/2010 STATU- TH- TORY LIMITS ER .L. EACH ACCIDENT .-. ...__ .__..___..__.__ .. ___.t__.-___—. E.L. DISEASE - EA EMPLOYEE $ 1,000,000 _._..._—.__— $ 1,000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 C OTHER Errors & Omissions PHSD557587 10/26/2010 10/26/2011 $1 000 000 per claim $7,500 deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION City of Fort Collins Attn: John Stephens PO BOX 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Katie McAvoy/KAMCAV ACORD 25 (2009/01) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) -+ M O1/12/2011 PRODUCER 970.679. 7333 FAX 866.456.4265 Ewing -Leavitt Insurance Agency 4025 St. Cloud Dr. Suite 100 Loveland, CO 80538 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 NAIC # INSURED LAUREL HILL GIS INC. 307 BROSS ST LONGMONT, CO 80501-5427 INSURER A: Assurance Company of America 19305 INSURER : Pinnacol Assurance 41190 INSURERC: Philadelphia Insurance Company 023850 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 ADD'L NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDWYYYY POLICY EXPIRATION DATE MM/DD/YYYY LIMITS GENERAL LIABILITY PPS037575108 02/01/2011 02/01/2012 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 �LIABILITY CLAIMS LADE I ^ OCCUR HIRED & NON-OWNF_.D AUTO, MPD EXP (Any one person) $_ 10,000 A $1, 000 , 000 INCLUDED PERSONAL & ADV INJURY _ $ Excluded GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY ECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY PPS037575108 02/01/2011 02/01/2012 EACH OCCURRENCE $ 1,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ A $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION�04/01/2011WC AND EMPLOYERS' LIABILITY Y/NANYPROPRIETOR/PARTNER/EXECUTIVEr��JX i/l'FICERi.N,1006ER EXCLUDED? - (Mandatory in NH) LJ 4091796 04/O1/2010 STATU- TH- TORY LIMITS ER .L. EACH ACCIDENT .-. ...__ .__..___..__.__ .. ___.t__.-___—. E.L. DISEASE - EA EMPLOYEE $ 1,000,000 _._..._—.__— $ 1,000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 C OTHER Errors & Omissions PHSD557587 10/26/2010 10/26/2011 $1 000 000 per claim $7,500 deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION City of Fort Collins Attn: John Stephens PO BOX 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Katie McAvoy/KAMCAV ACORD 25 (2009/01) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD