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HomeMy WebLinkAboutROTHBERG TAMBURINI - INSURANCE CERTIFICATE (2)ACORD� CERTIFICATE OF LIABILITY INSURANCE 06/05105DD/rr) 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 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80203 303 837-8500 INSURERS AFFORDING COVERAGE INSURED INSURER A: Hartford Insurance (Service Center) Rothberg, Tamburini and - -- - - e _ INSURER B:XL Specialty Insurance Company - 1576 Sherman St., Suite 100 - INSURER Denver, CO 80203 C: INSURER D' COVFRAGFS 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- -- — — -� — -- -- _ -- - - - -- -- -- -- POLICYEFFECTIVE POLICYEXPIRATION� --- -. _ -- — LIMITS LTnTYPE OF INSURANCE POLICY NUMBER T 1 1 A M/ D/ GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ r_ F -ICLAIMSMADE �OCCURi _ MEDEXP(Any one -person) �$- PERSONAL&ADVINJURY $ r ! OEN'L AGGREGATE LIMIT APPLIES PER: �, PRODUCTS COMP/OPAGG' $ POLICYI PRO- I LOC r AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT r JANYAUTO j (Eaaccident) ,8 __.. ALL OWNED AUTOS .BODILY INJURY i$ SCHEDULED AUTOS (Per person) 'r J HIREDAUTOS BODILYINJURY $ NON -OWNED AUTOS (Peraccident) PROPERTY DAMAGE', $ j (Per accident)i GARAGE LIABILITY AUTO ONLY- EA A_C_CIDENT ANY AUTO OTHERTHAN EA ACC $ AUTO ONLY: AGG 8 i EXCESS LIABILITY I. EACH OCCURRENCE t $ OCCUR L CLAIMS MADE i AGGREGATE '$ -- — — Is DEDUCTIBLE RETENTION $ $ A I WORKERS COMPENSATION AND 34WEGKC3/71 j 05/01 /05 05/01106 X WC STATU- OTH-'i 6BY L MITS ER._ EMPLOYERS' LIABILITY _j _ - r L.L_EACH ACCIDENT 1$1,000,000_ _ E. L. D ISEASE EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 13 OTHER Professional i DPR9404782 1 12/27/04 12/27/05 1 $2,000,000 per claim Liability I $4,000,000 annl aggr. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONSADDED BY ENDORSEMENT/SPECIAL PROVISIONS City of Ft. Collins Attn; Opal Dick PO Box 680 Fort Collins, CO 80522-0580 SHOULD ANY OFTHE ABOVE DESCRIBED POUCIESBE CANCELLED BEFORETHE EXPIRATION DATETHEREOF,THE ISSUING INSURER WILLENDEAVORTO MAIL3Q-.__ DAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDER NAMEDTOTHE LEFT, BUTFAILURE MOO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVE