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ACORD,. CERTIFICATE OF LIABILITY INSURANCE 05/06103Drv)
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Van Gilder Insurance Corp. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
700 Broadway Suite 1000 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
r
Denver, CO 80203
303 837-8500
INSURED
Rothberg, Tamburini and Winsor, Inc.
1576 Sherman St., Suite 100
Denver, CO 80203
INSURERS AFFORDING COVERAGE
INSURER A. Hartford Insurance (Service Center)
INSURER B: Security Ins_Co of Hartford
INSURER C: __ -- --
INSURER D: - -
INSURER E:
COVERAGES
ISSUED TO THE INSURED NAMED ABOVE
FOR THE POLICY
PERIOD INDICATED. NOTWITHSTANDING
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN
DOCUMENT WITH
RESPECT TO WHICH
THIS CERTIFICATE MAY BE ISSUED OR
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
- -- - - - - POLICY EFFECTIVE
POLICY E%PIRATION
LIMITS
INSR POLICY NUMBER DATE MM/DD/YY
LTR TYPE OF INSURANCE
DATE MM/DD/YY
OCCURRENCE �$
GENERAL LIABILITY
_
FIACH
RE DAMAGE (Any one tire) $
COMM ERCIAL GENERAL LIABILITY
-- - -
!
MED EXP (Any one person) $
CLAIMS MADE OCCUR
PERSONAL & ADV INJURY $
[GENERAL AGGREGATE $
— —
�II
PRODUCTS COMP/OP AGG $
AGGREGATE LIM IT APPLIES PER:
--
�GEN'L
PE O
LOC
POLICY
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $
ANY AUTO
(Eaaccident)
— ALL OWNED AUTOS
-.
BODILY INJURY (Per
(Per person)
SCHEDULED AUTOS
-
HIRED AUTOS
I
BODILY INJURY $
I (Per accident) I
.i NON -OWNED AUTOS
I
PROPERTY DAMAGE
-'
(Per accident)
AUTO ONLY - EA ACCIDENT ,
$
GAR AGE LIABILITY
-- ---- _--- -
-- _ --
ANY AUTO
OTHER THAN EA ACC
Y
L$ --
----
AUTOONLY: AGG
$
EACH OCCURRENCE_
$
EXCESS LIABILITY �
_ _ - I
f
_
1 OCCUR _ I CLAIMS MADE
AGGREGATE
- —
$ -
DEDUCTIBLE
I I
$
RETENTION $
34WEGKC3171 05/01/03
I�
WC STATU- IOTH
05/01/04 X ',TORYLIMITS Ii ER
A
MPEN A
S COMPENSATION AND
00,000
FORKERSs
EMPLOY
t.I. EACH ACCIDENT
E.L. DISEASE-EAEMPLOYEEI$100,000
$4.
E.L. DISEASE - POLICY LIMIT
$500,000
B
OTHER Professional AEE0224444 12/27/02 12/27/03 $2,000,000 per claim
$4,000,000 annl aggr.
(Liability
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
City of Ft. Collins
Attn; Opal Dick
PO Box 580
Fort Collins, CO 80522-0580
SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3V DAYSWRITTEN
NOTICE TOTHE CERTIFICATE HOLD ERNAM ED TOTHE LEFT, BUT FAILURE TO DO SO SHALL
IM POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TH E INSURER,ITS AGENTS OR
REPRESENTATIVE
AL:UKL1 La-b [11VI)1 oT 1 FFMLaaDF 1
cl n ACORD CORPORATION 1988