HomeMy WebLinkAboutROTHBERG TAMBURINI - INSURANCE CERTIFICATE (5)ACORn CERTIFICATE OF LIABILITY INSURANCE 0107/04 DD,YY)
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 Rothberg, Tamburini and I NSURER_q Hartford Insurance (Service Center)
-- - - -- -- - -
1576 Sherman St., Suite 100 INSURER B:XL Specialty Insurance Company -
INSURER C:
Denver, CO 80203 - - - - - - - -
INSURER D:
NVVC1,MUCJ
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
POLICES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICYE ECT�VE
POLICY EXPIRATIO
LIMITS
GENER_ AL LIABILITY RAL LIABILITY
COMMERCIAL GENE
-
�' CLAIMSMADE' OCCURS
EACH OCCURRENCE
$
FIRE DAMAGE (Anyone lire
_
r.
ME[) EXP (Any one person)
$
$
$
PERSONAL 6 ADV INJURY
I GENERALAGGREGATE
_
PRODUCTS-COMP/OP AGO
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO- LOC
$
AUTOMOBILE
LIABILITY
ANYAUTO
COMBINED SINGLE LIMIT $
(Eaaccident)
—�
ALL OWNED AUTOS
SCHEDULEDAUTOS
BODILYINJURY $
(Per person)
HIRED AUTOS
NON -OWNED AUTOS
(BODILY INJURY $
(Per accident)
-- -- - --
PROPERTY DAMAGE $
1 (Per accident)
GARAGE LIABILITY
ANYAUTO
AUTO ONLY -.EA ACCIDENT
OTHER THAN EA ACC
AUTO ONLY: qGG
-
$
$
EXCESS LIABILITY
OCCUR L� CLAIMS MADE
1. EACH OCCURRENCE
1S
REGATE $
DEDUCTIBLE
$
_
— —
$
_
is
_
RETENTION $
A
woRKERscoMPENSATIONAND
34WEGKC3171
05/01/03 105/01/04
IxCSTAEEMPLOYERS'LIABILITY j rs,H-
�E.L. EACH ACCIDENT i$100000
E.L.DISEASE-EA EMPLOYEE
$100,000
$500,000
I
E.L. DISEASE -POLICY LIMIT
B
OTHER Professional
DPR9401013
12/27/03 12/27/04
$2,000,000 Per Claim
Liability
$4,000,000 Aggregate
DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
City of Ft. Collins
Attn; Opal Dick
PO Box 580
Fort Collins, CO 80522-0580
arson �gc_a nmgr. .--------
SHOULDANYOFTHE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL$O—._. DAYSWRI TEN
NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURERITS AGENTS OR
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