HomeMy WebLinkAboutROTHBERG TAMBURINI - INSURANCE CERTIFICATE (6)ACORD CERTIFICATE OF LIABILITY INSURANCE CSR RM
DATE (MMIDD/03
ROTHB-1
09 10 03
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
ACEC/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 Compan
22357
Rothberg Tamburini & Winsor,
INSURER B:
- -
Inc;RTW Professional Engineers
--
- -
& Consultants Inc.
1576 Sherman Atreet #100
INSURER C:
-
- -
Denver CO 80203
INSURER D:
l %jVCRAVCA
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.
LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDDIYY
POLICY EXPIRATION
DATE MMIDD
_--
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1 , 000 , 000
A
X COMMERCIAL GENERAL LIABILITY
84SBXCG4297
11/01/03
11/01/04
PREH;ISE�w
s300,000
_
--] CLAIMS MADE X ] OCCUR
MED EXP (Any one person)
$ 10 000
PERSONAL B ADV INJURY
$1,000, 000
GENERAL AGGREGATE
_
$2,000,000
GENT AGGREGATE LIMIT APPLIES PER:
PRODUCTS- COMP/OP AGG
$ 2 , 000 , 000
POLICY J{ PRO-
JECT LOC
_..
AUTOMOBILE
LIABILITY
A
ANY AUTO
84UEGNP2051
11/01/03
11/01/04
COMBINED SINGLE LIMIT
(Ea accident)
$ 1 OOO 0 00
r i
X
ALL OWNED AUTOS
-- -
BODILY INJURY
$
SCHEDULED AUTOS
(Per person)
—
HIRED AUTOS
BODILY INJURY
$
NON -OWNED AUTOS
(Per accident)
PROPERTY DAMAGE
$
- -- - --
(Par accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
-
- -
OTHER THAN EAACC
-
$
AUTO ONLY: AGG
$
EXCESSAIMBRELLA LIABILITY
EACH OCCURRENCE
$ 1 , 000 , 000
A
X I OCCUR u CLAIMSMADE
84SBXCG4297
11/01/03
11/01/04
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?
E.L. DISEASE - EA EMPLOYEE
-
$
t yes, describe under
LO
E.L. DISEASE - POLICY LIMIT
$
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I 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 WALL 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 RERIt�Sjr
ACORD 25 (2001108) [1111110Onn'nn r !J 0 acnen rnRanRAnnN Iona