HomeMy WebLinkAboutRMH GROUP - INSURANCE CERTIFICATE (2)Client#: 9430
RMHGRO
ACORQ CERTIFICATE
OF LIABILITY
INSURANCE
09/30/04n(YY)
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Van Gilder Insurance Corp.
700 Broadway, 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
The RMH Group, Inc.
12600 West Colfax, Suite A-400
Lakewood, CO 80215
INSURER A:
Hartford Insurance Group
INSURER B:
Hartford Insurance (Service Center)
INSURER C:
XL Specialty Insurance Company
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.
IN SR
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MM/DD1YY
POLICY EXPIRATION
DATE MM/DD/YY
LIMITS
A GENERAL LIABILITY
34SBAPC7103
07/01/04
07/01/05
EACH OCCURRENCE
$1000000
FIRE DAMAGE'Any one fire)
$1000000CLAIMS
IT T
�MM ERCIAL GENERAL LIAR ILY
MADE !X 'IOCCUR
MED EXP (Any one person)
$10 000
PERSONAL &ADV INJURY
$110001000
GENERAL AGGREGATE
$2 000 000
PRODUCTS -COMP/OPAGG
s2,000,000
rA
GEN'L AGGREGATE LIM ITAPPLIES PER:
POLICY PROF 7LOC
A
AUTOMOBILE
LIABILITY
ANY AUTO
34UECTZ0905
07/01/04 07/01/05
COMBINED SINGLE LIMIT
(Ea accident)
$1 000,000
1
X
!�
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTOONLY: AGG
A
EXCESS LIABILITY
34SBAPC7103
07/01/04 07/01/05
EACH OCCURRENCE
s2,000,000
X OCCUR 1:1CLAIMS MADE
AGGREGATE
$2 000 000
DEDUCTIBLE
$
----
$
X RETENTION $10000
B
WORKERS COMPENSATION AND
_
34WECNA3768
07/01104
07/01/05
X TWo`RyTLAmT,%s 1 CER
E.L. EACH ACCIDENT
$500,000
EMPLOYERS' LIABILITY
E.L. DISEASE - EA EMPLOYEE
s500,000
E.L. DISEASE - POLICY LIMIT
_
$500,000
C
OTHER Architects/
DPR9401845
07/01/04
07/01/05
$2,000,000 Per Claim
ngineers
$2,000,000 Aggregate
rofessional Liab
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/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.
I:Ln�•J a:I
City of Fort Collins
Attn: John Stephen, Purchasing
P.O. Box 580
Fort Collins, CO 80522-0580
ANYOFTH E ABOVE DESCRIBED
BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL30 DAYSWRITTEN
NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL
IMPOSE NOOBLIGATION OR LIABILITYOF ANYKIND UPON THE INSURER,ITS AGENTS OR
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