HomeMy WebLinkAboutCORRESPONDENCE - GENERAL CORRESPONDENCE - INSURANCE CERTIFICATEACORn� CERTIFICATE OF LIABILITY INSURANCE 05/06103°°!"'
PRODUCER 7ALTER
RTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Van Gilder Insurance Corp. AND CONFERS NO RIGHTS UPON THE CERTIFICATE
. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
700 Broadway, Suite 1000 THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Denver, CO 80203
303 837-8500
INSURED-_-
Felsburg Holt & Ullevig, Inc.
7951 E. Maplewood Avenue, #200
Englewood, CO 80111
INSURERS AFFORDING COVERAGE
INSURERA:St. Paul Insurance
INSURER,,:Hartford Insurance Group
INSURER C:Hartford Insurance (Service Center)
INSURER D:Security Ins Co of Hartford
INSURER E:
GUVtHAUt,
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
THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
MAY PERTAIN,
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PA ID MS.
- -
_ --- ----- _._ _..
_. I -EN _. T
- ---- _--- -- -- POLICY EFFECTIVE POLICY EXPIRATION
INSFIT
T TYPE OF INSURANCE POLICYNUMBER DATE(MM/DD! ATE MM/DD/
LIMITS
T —
GENERAL LIABILITY05/01/03 05/01/04
ICOMMEBILIGENERAL
EACH OCCURRENCE 1$1,000,000
X LIABILITY IBK01421523
FIRE DAMAGE (Any one tire) $1,000,000
-_
1
_II
CLAIMSMADEI X I OCCUR
MEDEXP(Anyoneperson) $10,000
'.
PERSONAL & ADV INJURY $1-,000,000
GENERAL AGGREGATE - I $2,000,000_
GEN'L AGGREGATE LIMIT APPLIES PER: �
PRODUCTS-COMP/OP AGG, $2,000,000
POLICY PRO- LOC
�I,05101/03
B AUTOMOBILE LIABILITY �;34UECFW5245 05/01/04
COMBINED SINGLE LIMIT $1,000,ODD
- -
(Eaaccident)
X- ANY AUTO 1I
r__.
ALL OWNED AUTOS
BODILY INJURY $
(Per person)
I SCHE DULED AUTOS
- - ----
X HIRED AUTOS
BODILY INJURY 1' $
(Per acc i dent)
L-
X NON -OWNED AUTOS
-- --- - — -
PROPERTY DAMAGE $
-
(Per accident)
GARAGE LIABILITY
AUTO ONLY- E_A_ ACCIDENT;$ -
- — - - -
ANY AUTO,
OTHER THAN EA ACC.'1 $
--
AUTO ONLY: AGG I $
A EXCESSLIABILITY BKO1421623 05/01/03 05/01/04
EACH OCCURRENCE 34,000,000 _
_
I X'OCCUR CLAIMSMADEI
AGGREGATE_ $4,000,000
,
_ _.
DEDUCTIBLE
$
-- -
X RETENTION $10000
C 1 WORKERS COMPENSATION AND �'134WEGKC2800 05/01/03 i05101/04
$
WCSTATU-
X ORYLMTS1_. OER i----
EMPLOYERS' LIABILITY
vl r-ACti; ,ACCIn'ENT =500,000
E L DISEASE EA EMPLOYEE'. $500,000
E.L. DISEASE -POLICY LIMIT $500,000
D OTHERArchitects & PL704382DEX704382 06/21/00 06/21/03
$2,000,000 Ea Claim
$4,000,000 Aggregate
Engineers
1Professional Liab
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
RE: #P-768 North College Corridor Improvements Phase I
City of Fort Collins
Administrative Services -Purchasing
215 N Marson St.,2nd Floor
PO Box 580
Fort Collins, CO 80522-0580
SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATETHEREOF,THE ISSUING INSURER WI LLENDEAVORTO MAIL3O DAYSWRITTEN
NOTICETOTHE CERRFICATE HOLDER NAMED TOTHE LEFT, BUTFAILURE TO DOSOSHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANYKIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVE
AGUHU zo-a (/rJ/)T OT T #Fmzaayoa
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