HomeMy WebLinkAboutARCHITECTURAL ENERGY - INSURANCE CERTIFICATE (4)ACORDa CERTIFICATE OF LIABILITY INSURANCE
DATE
1 03/18/20 5)
PRODUCER (303)442-1484 FAX (303)442-8822
Taggart & Associates, Inc.
1600 Canyon Boulevard
P. 0. Box 147
Boulder, CO 80306
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC #
INSURED ARCHITECTURAL ENERGY CORPORATION
2540 FRONTIER AVENUE #201
BOULDER, CO 80301
INSURER A: Hartford Casualty Insurance Co
29424
INSURERS: Pinnacol Assurance
41190
INSURERC: Landmark American
INSURER D:
INSURER E:
nnVFRAnFS
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
40131
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE 1MM/DDr1`Y1
POLICY EXPIRATION
DATE IMI
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
MADE O OCCUR
34SBADU5290
09/01/2004
09/01/2005
EACH OCCURRENCE
$ 1,000,000
DAMAGE TO RENTED
IF,CLAIMS
$ 300 , 00
-PRFMIqF.9
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN% AGGREGATE LIMIT APPLIES PER:
POLICY PRO LOC
JECT
PRODUCTS - COMPIOP AGG
$ 2,000,00
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULEDAUTOS
HIREDAUTOS
NON-OWNEDAUTOS
34SOADUS290
09/01/2004
09/01/2005
COMBINED SINGLE LIMIT
(Ea aaidenl)
$
1,000,000
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
A
EXCESSIUMBRELLALIABILITY
X OCCUR CLAIMS MADE
RXDEDUCTIBLE
RETENTION $ 10,00
34SBADUS290
09/01/2004
09/01/2005
EACH OCCURRENCE
$ 1,000,00
AGGREGATE
$ 1,000,000
$
$
$
B
WORKERS COMPENSATION AND
EMPLOYERS LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED? HA
If yes, describe under
SPECIAL PROVISIONS below
16434701(COLORADO)
15359305 (CALIFORNIA)
TFORD (IL) 34WECKB4843
01/01/2005
01/01/2005
02/01/2005
01/01/2006
01/01/2006
02/01/2006
X I WC STATU- I OTH-
1M
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
C
ro essional Liability
LHR803340
10/01/2004
10/01/2005
Each Incident $1,000,000
Aggregate $1,000,000
Deductible $ 5,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
e: CSU Phase II / PO4-142
City of Fort Collins
Purchasing Division
Attn: James B. O'Neill II
215 North Mason Street 2nd Flo
PO Box 580
Fort Collins, CO 80522-0580
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Douglas Bollman CIC ARM/LJK
ACORD 25 (2001I08) FAX: (970)221-6707 (DACORD CORPORATION 1988