HomeMy WebLinkAboutALLER LINGLE AND LYMAN DAVIDSON DOOLEY - INSURANCE CERTIFICATE (2)acoRv CERTIFICATE OF LIABILITY INSURANCE OF ID 18 DATE (MM DDIYY)
YMAN-2 05/06/O5
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
A & E
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Jim Anderson & Co.
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
121 Langley Dr
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Lawrenceville GA 30045
Phone:770-962-4111 Fax:770-339-2062
INSURERS AFFORDING COVERAGE
INSURED
INSURER A ASSURANCE COMPANY OF AMERICA
INSURER B. ST. PAUL GUARDIAN INS CO
Lyman Davidson Dooley Ina.
3944 John F. Kennedy parkway
INSURERC XL SPECIALTY INSURANCE CO
Suite B
Fort Collins CO 80525
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.
INSR LTR
TYPE OF INSURANCE
POLICY NUMBER
DATE (MMIDDIYY)
DATE (MMIDDNY)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
X COMMERCIAL GENERAL LIABILITY
PPSO41181083
09/01/04
09/01/05
FIRE DAMAGE (Any one fire)
$1,000,000
CLAIMS MADE a OCCUR
MED EXP (Any one person)
$ 10,000
PERSONAL &ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS -COMI AGG
$2,000,000
POLICY PE4 LOC
A
AUTOMOBILE
LIABILITY
ANY AUTO
PPS041181083
09/01/04
09/Ol/05
CO accident)
(EaCOMBINED SINGLE LIMIT
$ 1 000 000
r
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
X
X
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
ANY AUTO
$
EXCESS LIABILITY
EACH OCCURRENCE
s4,000,000
A
X OCCUR F—] CLAIMS MADE
PPSO41181083
09/01/04
09/01/05
AGGREGATE
$4,000,000
$
$
DEDUCTIBLE
$
RETENTION $
B
WORKERS COMPENSATION AND
EMPLOVERS'LIABILTTY
WVA2443865
05/01/04
05/01/05
X I TORY LIMITS 11'ER
E.L.EACH ACCIDENT
$500,000
E.L. DISEASE - EA EMPLOYEE
$500,000
E.L. DISEASE -POLICY LIMIT 1$500,000
OTHER
C
Professional
DPR9403846
06/23/04
06/23/05
Ea. Claim $1,000,000
Liability
Aggregate $2,000,000
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
PROJECT: P-839 Architectural & Engineering Services at Operation Services
for the City of Fort Collins. FAX #970-221-6707
For Professional Liability, aggregate limit is total insurance available
for claims presented within policy perior for all operations of insured.
Limit will be reduced by payments of indemnity and/or expenses.
1� a,rna.c LLn 1 wn
CITYFTC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
Attn : James B . O'Neill, II NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
P.O. Box 580
215 No. Mason St. , 2nd. Floor IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Fort Collins CO 80522-0580 REPRESENTATIVES.
ACORD 25S (7/97)