HomeMy WebLinkAboutROTHBERG TAMBURINI WINSOR - INSURANCE CERTIFICATEA4CORa. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/VY)
12/31/04
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
Denver, CO 80203 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
303 837-8500 INSURERS AFFORDING COVERAGE
-- — -
INsuRED INSURER A: Hartford Accident 81 Indemnity Co.
Rothberg, Tamburini and Winsor, Inc. - - --
Specialty Insurance Company
INSURER B: XL Sp
1576 Sherman St., Suite 100 INSURER- -- - -
INSURER C:
Denver, CO 80203 --
INSURER D:
INSURER E:
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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 MWDD(YY
POLICY EXPIRATION
DATE MM/DD/YY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$
FIRE DAMAGE (Any one fire)
$
COMMERCIAL GENERAL LIABILITY
MED EXP (Any one person)
$
CLAIMS MADE a OCCUR
PERSONAL & ADV INJURY
$
GENERAL AGGREGATE
$
GEN'L AGGREGATE LIM ITAPPLIES PER:
PRODUCTS -COMP/OPAGG
$
PO-
POLICYLI JET r LOC
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$
- ---
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
'
$
AUTOONLY: AGG
EXCESS LIABILITY
1:1OCCUR CLAIMS MADE
EACH OCCURRENCE
$
AGGREGATE
$
DEDUCTIBLE
$
RETENTION $
A
WORKERS COMPENSATION AND i34WEGKC3171
EMPLOYERS'LIABILITY
05/01/04
05/01/05
X '7RSTATU- OTH-
T RV IMIT ER
_
E.L. EACH ACCIDENT
$1,000,000
�
E.L. DISEASE - EA EMPLOYEE
$1,000,000
E.L. DISEASE -POLICY LIMIT
$1,000,000
g
OTHER Architects/
DPR9404782
12/27/04
12/27/05
$2,000,000 Per Claim
Engineers
$4,000,000 Aggregate
Professional Liab
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
City of Ft. Collins
Attn; Opal Dick
PO Box 580
Fort Collins, CO 80522-0580
I
ecncn ol:_e i�ron.
SHOULD ANYOFTH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL30 DAYSWRITTEN
NOTICETOTHE CERTIFICATE HOLDERNAMEDTOTHE LEFT, BUTFAILURE TODOSOSHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSU RERJTS AGENTS OR
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