HomeMy WebLinkAboutWESTRIAN GROUP JR ENGINEERING - INSURANCE CERTIFICATE (3)ACORD. CERTIFICATE OF LIABILITY INSURANCE
°"
09-22-2004
PRODUCER
VAN GILDER AGCY CO/A&E PRGM/PHS
343366 P: (866)467-8730 F: (877)905-0457
P. O. BOX 33015 78
SAN ANTONIO TX 265
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
WSURED
WESTRIAN GROUP, INC.; JR ENGINEERING,
LLC; SUNSTONE RESOURCES, LLC
6050 GREENWOOD PLAZA BLVD
ENGLEWOOD CO 80111
INSURER A:Hartford Accident & Indemnity Co
INSURER B:
INSURER C:
INSURER D:
1 INSURER E:
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.
WSB
LTR
TYPE OF BISURANCE
PoL1CV NUMBER
PoLICII EFFECTIVE
DATE MM/DD/YY
POLICY EXPIRATION
DATE MM/OD/VY
LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE u OCCUR
EACH OCCURRENCE S
FIRE DAMAGE (Any one fire) S
MED EXP (Arty one person) S
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
GENT AGGREGATE LIMIT APPLIES PER:
POLICY F I jEC0T LOC
PRODUCTS - COMP/OP AGG
$
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
COMBINED SINGLE LIMIT
(Ea academ)
$
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
EXCESS LUUIwTY _
OCCUR u CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
S
9
$
WORKERS COMPENSATION AND
EMPLOYER6 LIABIl1TY
34 WEG KD8169
10/01/04
10/01/05
OTH-
WC STATU- X I ER
LIMA
E.L. EACH ACCIDENT
$1, 000, 000
E.L. DISEASE - EA EMPLOYEE
$1 , 0 0 0 , 0 0 0
E.L. DISEASE - POLICY LIMIT
$1, 0 0 0, 0 0 0
OTHER
DESCRIPTION OF OPERATNONSILOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Those usual to the Insured's Operations.
--......�.-.. r ....rrr.• L I ,no . I..... _ l M lucr &M I lum
City of Fort Collins
Attn: James O'Neill, CPPO
P 0 Box 580
Fort Collins, CO 80522
3ULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
'IRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
DAYS WRITTEN NOTICE 00 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
LDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
_IGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
. Uwnv ` .0 tifall 0 ACORD CORPORATION 1988