HomeMy WebLinkAboutRMH GROUP - INSURANCE CERTIFICATEACORQ.. CERTIFICATE OF LIABILITY INSURANCE DAT30/04n(YY)
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
D CO 80
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
enver, 203
303 837-8500
INSURED
The RMH Group, Inc.
12600 West Colfax, Suite A-400
Lakewood, CO 80215
INSURERS AFFORDING COVERAGE
INSURER A: Hartford Insurance Group
INSURER S. Hartford Insurance (Service Center)
INSURER C: XL Specialty Insurance Company
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.
NSR
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MWDWYY
;POLICY EXPIRATION
DATE MM/DD/YY
LIMITS
A
GEP ERAL LIABILITY
34SBAPC7103
07/01/04
07/01/05
EACH OCCURRENCE
$1 000 000
X COMMfRCIALGENERALLIABILITY
CLAIMS MADE OCCUR
FIRE DAMAGE 'Any one fire)
_
$1000000
MED EXP (Any one person)
T110 000
PERSONAL&ADV INJURY
$1000000
GENERAL AGGREGATE
$2,000,000
GEN'LAGGREGATELIMITAPPLIESPER:
O- LOC
POLICY PRCr
PRODUCTS -COMP/OP AGO
$2 OOO OOO
A
AUTOMOBILELIABILITY
X
ANY AUTO
134UECTZ0905
07/01/04
07/01/05
COMBINED SINGLE LIMIT
(Ea accident)
$1 ,0OO ,000
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
HIRED AUTOS
NON-OWNEDAUTOS
X
BODILY INJURY
(Per accident)
$
X
PROPERTYDAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY ACCIDENT
$
--,.EA
OTHER THAN EA ACC
AUTO ONLY: AGG
$
ANY AUTO
$
A
EXCESS LIABILITY
X1 OCCUR ❑ CLAIMS MADE
34SBAPC7103
07/01/04
07/01/05
EACH OCCURRENCE
s2,000,000
AGGREGATE
_
$2,000,000
$
$
DEDUCTIBLE
X RETENTION $10000
_ _
$
B
WORKERS COMPENSATION AND
EMPLOYERS' DABILITY
34WECNA3768
07/01/04
07/01/05
X WCSrATu- �OTH-
T RY LIMITS_
E.L. EACH ACCIDENT
-
$500,000
E.L. DISEASE - EA EMPLOYEE
$500,000
E.L. DISEASE - POLICY LIMIT
_
$500,000
C
OTHER Architects/
DPR9401845
07/01/04
07/01/05
$2,000,000 Per Claim
ngineers
Professional Liab
$2,000,000 Aggregate
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
The City of Fort Collins is listed as an Additional Insured, under General Liability only, in respects to their interest in
work performed by the insured as per written specified contracts.
City of Fort Collins
Attn: John Stephen, Purchasing
P.O. Box 580
Fort Collins, CO 80522-0580
I
Anon on-4 l7 w%A _s .
SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL30DAYSWRITTEN
NOTICETOTHE CERTIFICATE HOLDER NAM ED TOTHE LEFT, BUT FAILURE TO DOSOSHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVE
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