HomeMy WebLinkAbout132158 CTL/THOMPSON INC - INSURANCE CERTIFICATE (15)Client#: 10513
CTLTHO
ACORQ CERTIFICATE
OF LIABILITY
INSURANCE
DATE (MMID
11/19/04DYY)
PRODUCER
THIS CERTIFICATE
IS ISSUED AS A MATTER OF INFORMATION
Van Gilder Insurance Corp.
700 Broadway, Suite 1000
Y
ONLY
HOLDER.
ALTER
AND CONFERS NO RIGHTS UPON THE CERTIFICATE
THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Denver, CO 80203
303 837-8500
INSURERS AFFORDING COVERAGE
INSURED
CTL/Thompson, Inc.
7306 S. Alton Way
Centennial, CO 80112
INSURER A:
Hartford Insurance Group
INSURER B:
Pinnacol Assurance
INSURER c:
Lexington Insurance Company (AIG)
INSURER D:
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.
INSR
LTR
TYPE OF IN
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDDNY
POLICY EXPIRATION
DATE MIDDNY
LIMITS
A
GENERAL LIABILITY
134UUNEX2070
10/01/04
10/01/05
EACH OCCURRENCE
$1000000
FIRE DAMAGE (Any one fire)
$300000
X COMMERCALGENERALLIABILITY'
1
CLAIMS MADE 7--7 UCCUR
IVIED EXP (Any one person)
1$10,000
PERSONAL & ADV INJURY
$1000000
X PDDed:1,000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIM TAPPLIES PER:
PRODUCTS -COMP/OPAGG
s2,0001000
POLICY F—IJPERCOT
LOC
A
AUTOMOBILE
LIABILITY
ANY AUTO
34UENTZ9366
10/01/04
10/01/05
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
X
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
X
X
' PROPERTY DAMAGE
(Per accident)
$
Drive Other Car
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
A
EXCESS LIABILITY
X OCCUR El CLAIMS MADE
34XHUEX1980
10/01/04
10/01/05
EACH OCCURRENCE
$6 OOO OOO
AGGREGATE
$6,000,000
$
$
DEDUCTIBLE
$
X RETENTION $10000
B
� WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
618052
10/01/04
10/01/05
X TRY LIM T OTR
E.L. EACH ACCIDENT
$500,000
E.L. DISEASE - EA EMPLOYEE
s500,000
E.L. DISEASE - POLICY LIMIT
s500,000
C
OTHER Architects &
0741679
11/22/04
11122/05
$2,000,000 per claim
Engineers
$4,000,000 annl aggr.
Professional Liab
DESCRIPTION OF OPERATIONSrL.00ATIONSNEHICLESrEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
City of Ft. Collins, Purchasing Division 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 Ft. Collins
Purchasing Division
P.O. Box 580
Fort Collins, CO 80522
SHOULD ANYOFTH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYSWRITTEN
NOTICE TOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TO DOSOSHALL
IMPOSE NOOBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVE