HomeMy WebLinkAbout112468 FELSBURG HOLT & ULLEVIG INC - INSURANCE CERTIFICATE (12)ACORnn CERTIFICATE OF LIABILITY INSURANCE 04/22104°°`""
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.
Denver, CO 80203
303 837-8500 INSURERS AFFORDING COVERAGE -
INSURED INSURERA:St. Paul Insurance
Felsburg Holt & Ullevig, Inc. INSURER B:Hartford Insurance Group
6300 S. Syracuse Way, #600 TINS RRERc:Hartfor-d Insurance
Centennial, CO 80111
INSURER D XL Specialty Insurance Company
ono F.Suuercedes cert issued O8/04
UVVCHAUC,
OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
THE POLICIES
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.
I NSR LTR
TYPE OF INSURANCE
POLICY EFFECTIVE'POLICYEXPlRATION
POLICYNUMBER
T
LIMITS
A
GENERAL LIABILITY
BKO1421523
C15/01/03
05/01/04
EACHCE
$I'O 000
FIRE iMAGE_ one Hre
$1,000,000_ _ -_
X COMMERCIAL GENERAL LIABILITY
� ME C EXP(Any one person)
$1fl 000_ _
_.
CLAIMS MADEI X1 OCCUR
!
PERSONAL $ADV INJURY
$�OOO,OOO
GENERAL AGGREGATE
_
$2,000,000_
..
G_EN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS-COMPIOPAGG
$2,000,000 _
POLICY PRO- LOC
B AUTOMOBILELIABILITY
34UECFW5245
05/01/03
05/01/04 COMBINED SINGLE LIMIT $1000
X
(Ea accident) , ,OOO
ANY AUTO
ALL OWNED AUTOS
BODILYINJURY Is
_
(Per person)
SCHEOULEDAUTOS
X
HIREDAUTOS
BODILY INJURY 1I$
(Per acc I dent)
X
NON -OWNED AUTOS
—
PROPERTY DAMAGE
(Per accident)
GARAGE LIABILITY
4 AUTO ONLY- EAACCIDENT
$
� OTHER THAN EA ACC
ANY AUTO
$_
IBKO1421523
AUTO ONLY: AGO
$
A EXCESSLIABILITY
05/01103
05/01/04 EACH OCCURRENCE _$4,00,0 000.__
_ f
XJ OCCUR L� CLAIMS MADE
AGGREGATE
__. _. — _
_s410007000
--
$
DEDUCTIBLE
X RETENTION $10000
C WORKERS COMPENSATION AND 34WEGKC2800
05/01/03
$
05/01/04 X o WC STATU- OTH-i
LIMIT$
EMPLOYERS' LIABILITY
!
E.L. EACH ACCIDENT ! $500,000
I E.L.DISEASE EAEM_PLOYEEII $500,000
E.L.DISEASE-POLICYLIMITI $500,000
D
OTHER Architects &
DPR9401392
03/30/04
06/21/04 $2,000,000 per claim
Engineers
$4,000,000 annl aggr.
Professional Liab
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED 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 POLICES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVORTO MAI L30.__ DAYSWRITTEN
NOTICETOTHE CERTIFICATE HOLDER NAMEDTOTHE LEFT, BUTFAILURE TO DOSOSHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVE
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