HomeMy WebLinkAboutROTHBERG TAMBURINI - INSURANCE CERTIFICATE (4)ACORD CERTIFICATE OF LIABILITY INSURANCE ROTHB-1 CSR RM DATE (MM DD09 2004/04
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
ACBC/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 INSURER A: Hartford Insurance Company 22357
Rothberg Tamburini & Winsor, INSURER B:
Inc;RTW Professional Engineers & Consultants, Inc. INSURER C:
_
1576 Sherman Street #100 INSURER D:
Denver CO 80203
INSURER E:
I WVQ N QC
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.
L7R
NSR
TYPE OF INSURANCE
POLICY NUMBER
P L TIVE
DATE MWDD/YY
P L Y XPIRATI
DATE MM/DD/YY
LIMITS
L LIABI
EACH OCCURRENCE
$ 1, 000, 000
A
rCOMMER,CIL7LENERAL LIABILITY
84SBWBT6437
11/01/04
11/01/05
PREMISES(Eaoccurence)
$300,000
MED EXP (Any one. person)
$ 10 , 000
CLAMS MADE 41 OCCUR
DERS^NA.L 8: ADV'NJURY
S 1, 000, 000
GENERAL AGGREGATE
$ 2, 000, 000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 2 , 0 0 0 , 0 00
POLICY X PRO -
JECT
AUTOMOBILE
AUTOMOBILE
LIABILITY
A
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
'.L
BODILY INJURY
$
NON -OWNED AUTOS
(Per accident)
__---��---_--
PROPERTY DAMAGE
—
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY _EA ACCIDENT
$
PANY AUTO
OTHER THAN EA ACC
$
$
j
,
AUTO ONLY: AGG
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$ 1, 000, 000
A
X OCCUR Ej CLAIMS MADE
84SBWBT6437
11/01/04
11/01/05
AGGREGATE
$ 1, 000, 000
DEDUCTIBLE
RETENTION $
$
WORKERS COMPENSATION AND
TORY LIMITS ER
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
F.L. DISEASE - EA EMPLOYEE.
-
$
If yes, describe under
E.L. DISEASE - POLICY LIMIT
$
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
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
CITY OF FT . COLLINS ATTN: OPAL DICK IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
PO BOX 580 REPRESENTATIVES.
FT. COLLINS CO 80522-0580 AUTHORIZED R ENT.�TIVE
En9-A+..
25 (2001/08)
1 QRR