HomeMy WebLinkAboutCORRESPONDENCE - GENERAL CORRESPONDENCE - 2004 INSURANCE CERTIFICATEAWRM CERTIFICATE OF LIABILITY INSURANCE 0DATE
3/30/04DnY)
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
Denver, CO 80203 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
303 837-8500 INSURERS AFFORDING COVERAGE
INSURED
Vaught*Frye Architects, P.C.
V. F. Ripley Associates
401 West Mountain Avenue, Suite 201
Fort Collins, CO 80521
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INSURER A: Hartford Insurance Group
INSURER B: Hartford Insurance (Service
INSURER C: Security Ins Co of Hartford
INSURER D:
INSURER E:
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.
IN
IR
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MM/DD(YY
POLICY EXPIRATION
DATE MM/DD/YY LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABIL ITY
CLAIMS MADE X_� OCCUR
-
34SBADZ2993
02/04/04
02/04/05
EACH OCCURRENCE
$1 000 000
FIRE DAMAGE (Any one tire)
_
$300000
MED EXP (Any one person)
$1 O 000
PERSONAL & ADV INJURY
$1,000,000
-.
- -
- --
_
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIM ITAPPLIES PER:
POLICY �' PRO-
JE T LOC
PRODUCTS -COMP/OP AGG
$2 OOO,OOO
_
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NON-OWNEDAUTOS
34UECRA1780
04/27/04
04/27/05
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
BODILY (Peerrpperser on) INJURY
$
X
X
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
A
GARAGE LIABILITY
ANY AUTO
EXCESS LIABILITY
X OCCUR CLAIMS MADE
_ DEDUCTIBLE
X RETENTION $10000
34SBADZ2993
02/04/04
62/04/05
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
EACH OCCURRENCE
$
$
$1,000,000
AGGREGATE
_
$1 000 000
$
$
B
C
WORKERS COMPENSATION AND 34WEGKC6664
EMPLOYERS' LIABILITY
OTHER Professional DPR9401320
Liability
07/01/03
03/24/04
07/01/04
03/24/05
X WC STATU- 'OTH-i
T RY LIMIT H
E.L. EACH ACCIDENT
_
$1,000,000
E.L. DISEASE - EA EMPLOYEE
$1,000,000
E.L. DISEASE -POLICY LIMIT $1,000,000
$1,000,000 per claim
$1,000,000 annl a ggr.
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
/�G�T, L-I/ATf� ,w• war
City of Ft. Collins
Attn: John Stephen
117 N. Mason Street
Fort Collins, CO 80522
ACORD 25S (7/971 4 s e a RMe V^e� A
SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL 3()__ DAYS WRITTEN
NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL
IM POSE NOOBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVE
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