HomeMy WebLinkAboutCORRESPONDENCE - GENERAL CORRESPONDENCE - INSURANCE CERTIFICATE (3)ACORD CERTIFICATE OF LIABILITY INSURANCE 0107f04°D,Y>,
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Van Gilder Insurance Corp. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
700 Broadway, Suite 1000 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Denver, CO 80203
303 837-8500 INSURERS AFFORDING COVERAGE
INSURED INSURER A: Hartford Insurance (Service Center)
Rothberg, Tamburini and _ - - - - -
NSURER BAL Specialty Insurance Company
1576 Sherman St., Suite 100 — -- - - - - ----
Denver, CO 80203 INSURERC:
INSURER D:
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.
—��---_
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLAICYEFFECTIVE
POLICY EXPI pATlO
----- LIMITS
GENERAL LIABILITY
EACH
_--
$
OM
CMERCIAL GENERAL LIABILITY
CLAIMS MADE _ OCC'JRII
FIRE DAMAGE An one fire
(Anyone
y
MED EXP(Anyone person) $
PERSONAL& ADV INJURY $
GENERAL GREGATE $
_R:
i
PRODUCTS-COMPIOP AGG-
G_EN LIMIT APPLIES PER:
PAOLGCREGATE
PRO-
YL CT
-.-
AUTOMOBILE
LIABILITYI
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
j NON -OWNED AUTOS
BODILY INJURY
(Peraccident)
$
- -
j
PROPERTY DAMAGE
(Per accident)
�$
GARAGE LIABILITY
ANYAUTO
--
'
(AUTO ONLY- E_A_AC—C-ID-E-NT
OTHERTHAN EA A--
$ _
---- - -
AUTO ONLY:
AGG
$
EXCESS LIABILITY
I EACH OCCURRENCE
Is
OCCUR CLAIMS MADE
AGGREGATE
S
$
DEDUCTIBLE
_
-$ _-
RETENTION $.---
A
WORKERS EMP OYERSCOMPENSATION aND I34WEGKC3171
05/01/03
05101104
TA
X LCEO
EACH ACCIDENT $100,000
E.L. D ISEASE-EA EMPLOYEE $100,000
E.L. DISEASE-POLICYLIMI
$500,000
B
OTHER Professional
j DPR9401013
12127/03 12/27/04
$2,000,000 Per Claim
Liability
$4,000,000 Aggregate
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
City of Ft. Collins
Attn; Opal Dick
PO Box 580
Fort Collins, CO 80522-0580
SHOULDANYOFTHE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVORTO MAI 130- DAYSWRrrrEN
NOTKIETOTHE CERTIFICATE HOLDER NAMEDTOTHE LEFT, BUTFAILURE TO DO SOSHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
D
- - , • — , LLrI yr ww"w Wll n' I IWN 117M