The URL can be used to link to this page

Home My WebLink AboutROTHBERG TAMBURINI - INSURANCE CERTIFICATE (3)AMR& CERTIFICATE OF LIABILITY INSURANCE 05112/04DDlrr) 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 -- - — Denver, CO 80203 -- - INSURER B:XL Specialty Insurance Company 1576 Sherman St., Suite 100 '- -- -- - --- -- - ----- !, INSURER C: _-_- __--___-- INSURER D: INSURER E: UOVERAGES 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 INSURANCE POLICY NUMBER POLICYEFFECTIVE DAT MM! ! POLICY EXPIRATION T M - LIMITS GENERAL LIABILITY EACH OCCURRENCE $ L FIRE DAMAGE (Any one fire ___ _ $ $ COMMERCIAL GENERAL LIABILITY _- CLAIMS MADE OCCUR !! MED EXP (Any one person) PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: ! PRODUCTS-COMPIOPAGG $ POLICY PRC LOC AUTOMOBILE LIABILITY ANYAUTO COMBINED SINGLE LIMIT (Ea accident) $ —� —---- _ -- BODILYINJURY (Per person) ALL OWNED AUTOS---— SCHEDULEDAUTOS $ - — BODILY INJURY (Per accitlent) HIRED AUTOS NON -OWNED AUTOS � I $ - - — PROPERTY DAMAGE (Per accident) ----- — j$ GARAGE LIABILITY ! AUTO ONLY -EA ACCI DENT $ ~� ANYAUTO $ $ OTHER THAN EA ACC AUTO ONLY: AGG EXCESS LIABILITYi_ ] OCCUR i� CLAIMS MADE EACH OCCURRENCE $ AGGREGATE DEDUCTIBLE - _.... RETENTION $ $ A WORKERS COMPENSATION AND 34WEGKC3171 05!01/04 EMPLOYERS'LIABILITY 05/01/05 X WCSTATu- OTH-!, Y_LIMITS l _ E.L. EACH ACCIDENT 0000 E.L.DISEASE-EAEMPLOY_E F$1�O?LO,000 E.L. DISEASE -POLICY LIMIT'. $500,000 B OTHER Professional DPR9401013 12/27/03 12/27/04 $2,000,000 per claim Liability $4,000,000 annl aggr. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS City of Ft. Collins Attn; Opal Dick PO Box 580 Fort Collins, CO 80522-0580 I SHOULD ANYOFTHE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER W ILLENDEAVORTO MAIL30--_ DAYS WRITTEN NOTICETO THE CERTIFICATE HOLDER NAMEDTOTFE LEFT, BUTFAILURE TO DO SO SHALL IMPOSE NOOBLIGATION OR LIABILITY OF ANYKIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVE .- - . — 1 anwwaao 6V1+ W Ma Wmw\ VnrVnA 11V1\ ]VOG ACORD. CERTIFICATE OF LIABILITY INSURANCE ;ATE 04-05-2004 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION VAN GILDER AGCY CO/A&E PRGM/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 343366 P: (866)467-8730 F: (877)905-0457 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW- P. 0. BOX 33015 SAN ANTONIO TX 78265 INSURERS AFFORDING COVERAGE INSURED INSURERA:The Hartford Ins Group INSURER B: ROMBERG TAMBURINI AND WINSOR INC. INSURER C: 1576 SHERMAN STREET, STE 100 INSURER D: 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 rypE OF INSURANCE POLICY NUMBER LT POLICY EFFECTIVE POLICY EXMRATION DATE MMlDD/YY DATE MM/DD/YV LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ CLAIMS MADE a OCCUR MED EXP (Any one perm) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S POLICY PRO JECT I LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per Perwn) I HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS LIABILITY _ EACH OCCURRENCE $ OCCUR a CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC X T STATU- OTH- A EMPLOYERS'UABIUTY 34 WEG KC3171 05/01/04 05/01/05 E.L. EACH ACCIDENT $100, 000 E.L. DISEASE - EA EMPLOYEE $10 0 , 0 0 0 E.L. DISEASE - POLICY LIMIT $5 0 0 , 0 0 0 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Those usual to the Insured's Operations. City of Ft. Collins Attn: Opal Dick PO Box 580 Fort Collins, CO 80522-0580 DULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 'IRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE LDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO _IGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENT E IS ""wnu` `u-" I flu1 0 ACORD CORPORATION 1988