HomeMy WebLinkAboutCORRESPONDENCE - GENERAL CORRESPONDENCE - 2004 INSURANCE CERTIFICATEACORn CERTIFICATE OF LIABILITY INSURANCE 04/08/0a°°`�"'
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Van Gilder Insurance Corp. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
700 Broadway, 1000 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Y ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Denver, CO 80203
303 837-8500 INSURERS AFFORDING COVERAGE
INSURED INSURER A: St. Paul Insurance
Felsburg Holt & Ullevig, Inc. INSURER B:Hartford Insurance Group
6300 S. Syracuse Way, #600 INSURERc:Hartford Insurance
Centennial, CO 80111 INSURER D:XL Specialty Insurance Company - - -
certs
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.
1NSR 7
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
A
GENERAL LIABILITY BKO1421523
05/01/03
I05/01/04
EACH OCCURRENCE
FIRE DAMAGE (Anyone fire
_$1,000,000
$1,000,000
X COMMERCIAL GENERAL LIABILITY
r
CLAIMS MADE- X-j OCCURS
ME_D EXP(Anyone person)
_
PERSONAL & ADV INJURY
$1 000 000_ _
GENERAL AGGREGATE
$2,000,000
—
GENL AGGREGATE LIMIT APPLIES PER:.
PRODUCTS-COMPIOPAGO
_
$2,000,000-
POLICYI PRO- LOC
B AUTOMOBILE
LIABILITY '34UECFW5245 05/01/03 05/01/04 ;COMBINED SINGLE LIMIT
'X
(Eaaccident)
$1,000,000
ANY AUTO
ALL OWNED AUTOS BODILY INJURY
SCHEDULEDAUTOS (Per person) — -
$
1
$
i X
HIREDAUTOS BODILY INJURY
X
I NON -OWNED AUTOS (Per accident)
_
I — _J
______ _ . _- . __.___... •� PROPERTY DAMAGE �$
(Per accident)
-
�. GARAGE LIABILITY, AUTO ONLY -EA ACCIDENT$
ANYAUTO EAACC
' '. OTHER THAN —_..._
$
AUTO ONLY: AGG
$
A
EXCESSLIABILITY
BKO1421523 I05101/03
05/01/04 EACH OCCURRENCE -, $4,000,000 --
X OCCUR • CLAIMS MADE
AGGREGATE s4,000,000
_._
.. - DEDUCTIBLE
1$_—
Xl RETENTION $10000
1 $
C
WORKERS COMPENSATION AND
34WEGKC2800 105/01/03
05/01/04
X Iwe LIMIT OTH-I
TORY LIMITS ER_
EMPLOYERS' LIABILITY
I,
I
I $500 ,000
E.L. EACH ACCIDENT
E.L.DISEASE-EAEMPLOYEE
$500,000
E.L. DISEASE -POLICY LIMI
$500,000
D
OTHER Architects &
DPR9401392
03/30/04
06/21104
$2,000,000 per claim
Engineers
$4,000,000 annl aggr.
Professional Liab
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONSADDED 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
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAI L30..___. DAYSWRMTEN
NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
D REPRESENTATIVE
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