HomeMy WebLinkAboutROTHBERG TAMBURINI - INSURANCE CERTIFICATE (7)A nxnn CERTIFICATE OF LIABILITY INSURANCE 05/05/05 DD/YY)
.
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Van Gilder Insurance Corp. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
700 Broadway, Suite 1000 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 INSURER B:XL Specialty Insurance Company
1576 Sherman St., Suite 100 - -
INSURER C:
Denver, CO 80203 _ - - -
INSURER D:
AGES
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.
- - -- —' POLICYEFFECTIVE POLICYEXPIRATIO
INSR LTR TYPE OF INSURANCE POLICYNUMBER DATE MM/ / DATE MM/ / LIMITS
GENERAL LIABILITY
EACH OCCURRENCE '.$
COMMERCIAL GENERAL LIABILITY
FIRE DAMAGE (Any one fire) $
I CLAIMSMADE OCCUR
MED EXP(Anyone person) 1 $
PERSONAL & ADV INJURY I $
-
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS-COMP/OPAGG' $
-
POLICY PRO- LOC
AUTOMOBILE LIABILITY'I
COMBINED SINGLE LIMIT
I ANYAUTO
(Ea accident) $
ALL OWNED AUTOS'.
BODILY INJURY Is
_ SCHEDULED AUTOS
(Per person)
HIRED AUTOS
BODILY INJURY
NON -OWNED AUTOS
(Peraccident)
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY ',
AUTO ONLY. EAACCIDENT'. $
ANY AUTO
THAN EAACC $
_ JI
AUTO ON _ .
'AUTO ONLY: AGG $
EXCESS LIABILITY
EACH OCCURRENCE $
- - -
OCCUR CLAIMSMADEi
AG
AGGREGATE $
j
DEDUCTIBLE
RETENTION $
$
A
WORKERS COMPENSATION AND 34WEGKCi31711
1 05101/05 05/01/06
WC CTATU- OTH-I
i X TORYLJMITS]__. �EA ____
EMPLOYERS' LIABILITY
E.L.$1,000,000
I
i1 I
.L.DSEASEEA EMPLOYEE $1,000,000
�E.L.DISEASE-POLICYLIMI $1,000,000
gOTHER
Br
Professional DPR9404782 12/27/04 12l27I05
$2,000,000 per claim
Liability
$4,000,000 annl aggr.
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
----------------
City of Ft. Collins
Attn; Opal Dick
PO Box 580
Fort Collins, CO 80522-0580
SHOULD ANY OFTHE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL EN DEAVORTO MAI L30_DAYSWRITTEN
NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTFE LEFT, BUTFAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
D REPRESENTATIVE
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