HomeMy WebLinkAboutCORRESPONDENCE - GENERAL CORRESPONDENCE - 2004 INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE DATFEB2304'
TM.
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
MICHAEL J. HALL & COMPANY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
19578 10TH AVENUE N.E. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
POULSBO WA 98370
PHONE: (360)598-3700
FAX: (360) 598-3703 Agency Lic#:
INSURED
ANDERSON CONSULTING ENGINEERS, INC.
772 WHALERS WAY, SUITE 200
FORT COLLINS CO 80525-3314
COVERAGES
INSURERS AFFORDING COVERAGE
INSURER A: CNA INSURANCE COMPANY
INSURER B:
I_NSURERC:
INSURER D:
INSURER E:
NAIC #
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.
INS
L
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE IMMIDDfYYI
POLICY EXPIRATION
DATE MM/DDIYY
LIMITS
GENERAL
LIABILITY
EACH OCCURRENCE11
$
COGENERAL LIABILITY
�.
$
DAMAGE TO RENTED
PREMISES ccurence
MED. EXP (Any One Person)
$
CLAIMS MADEMMERCIAL
OCCUR
J
PERSONAL & ADV INJURY
$
PGEN'L
GENERAL AGGREGATE
is
AGGREGATE LIMIT APPLIES PER:
PRODUCTS-COMP/OP AGG.
$
__..
POLICY
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS
(Per person) j $
HIRED AUTOS'
NON -OWNED AUTOS
BODILY INJURY
(Per accident) $
PROPERTY DAMAGE $
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT $
ANY AUTO
OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS / UMBERELLA LIABILITY
EACH OCCURRENCE
$
OCCUR CLAIMS MADE
AGGREGATE
$
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
T ST7U.LIMITOTHER
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
'OFFICERRMMBER
ANY PROPRIETORIPARTNERMXDCUTIVE
EXCLUDED?
If yes, ascribe under
'
is
'$
--- - —
E.L. DISEASE -EA EMPLOYEE
-------
E.L. DISEASE -POLICY LIMIT
SPECIAL PROVISIONS below
$
OTHER:
AEA114088084
FEB 1104
FEB 1105
$1,000,000 PER CLAIM
A :
PROFESSIONAL LIABILITY
CLAIMS MADE FORM
$1,000,000 AGGREGATE
DESCRIPTION OF OPERATIONS/LOCATIONNEHICLES/EXCLUSIONS ADDED ENDORSEMENT/ SPECIAL PROVISIONS
, MOTICIPATM U^l IICO I I ADn]"INNAI IMCI IRPn- IMRI ICCC I =T =D-
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30
DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
SENIOR BUYER UTILITIES/PURCHASING
FAILURETO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
CITY OF FORT COLLINS
INSURER, ITS AGENTS OR REPRESENTATIVES.
PO BOX 580
AUTHORIZED REPRESENTATIVE
��Z.c.CYto,�.rr 1. 1��.''.i•'"�
FORT COLLINS CO 80522
Attention: OPAL F. DICK, CPPO
ACUKU 25 (ZUU11US) Certificate # 7992 Matthew L. (;Opus