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HomeMy WebLinkAboutROTHBERG TAMBURININ WINSOR - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE CSR RM DATE(MMIDD/YYYY) ROTHB-1 09 20 04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ACEC/MARSH HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 800 Market St, Ste. 2600 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. St. Louis MO 63101-2500 Phone:800-338-1391 Fax:888-621-3173 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Hartford Insurance Company 22357 Rothberg Tamburini & Winsor, INSURER B: Inc;RTW Professional Engineers INSURER C: & Consultants, Inc. 1576 Sherman Street #100 INSURER D: Denver CO 80203 INSURER E: „U V CICAV CJ 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. LTR INSR TYPE OF INSURANCE POLICY NUMBER -POEMYEFFECTIVE DATE MM/DD/YY POLICY PIRATI N DATE MMIDDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1, 00��� A X COMMERCIALGENERALLIABILITY CLAIMS MADE OCCUR 84SBWBT6437 11/01/04 11/O1/05 PREMISES(Eaoccurence)__ $ 300, 'i, MED EXP (Any one person) $ 1 O , 0 0 0 PERSONAL x:D`!INJURY—. a�1,000,000 __ GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 , 0 0 0 , 0 0 0 POLICY [X7 PRO LOC JECT A AUTOMOBILE LIABILITY ANY AUTO 84UEGNP2051 11/01/04 11/01/05 COMBINED SINGLE LIMIT (Ea accident) $ 1, 000, 000 X ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIREDAUTOS NON -OWNED AUTOS i BODILY INJURY (Per accident) - $ - $ -------------- PROPERTY DAMAGE (Per accident) GARAGE LIABILITY F AUTO ONLY _EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY: AGG A EXCESS/UMBRELLA LIABILITY X I OCCUR D CLAIMS MADE 84SBWBT6437 11/01/04 11/01/05 EACH OCCURRENCE $1,000,000 AGGREGATE $ 1, 000, 000 DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under F.I_DISEASE - EA EMPLOYEE, $ E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCFLLATInN CITY OF FT. COLLINS ATTN: OPAL DICK PO BOX 580 FT. COLLINS CO 80522-0580 CTYFTCO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ACORD 25 (2001/08) © ACORD CORPORATION 19RR