HomeMy WebLinkAboutANDERSON CONSULTING ENGINEERS - INSURANCE CERTIFICATE (3)ACORQ CERTIFICATE OF LIABILITY INSURANCE DATE (MbVDD/YY)
12/14/04
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 — INSURER A: Hartford Casualty Ins. Co.
Anderson Consulting Engineers, Inc. INSURER B: Hartford Accident & Indemnity Co.
772 Whalers Way, Suite 200 INSURER C:
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
POLICYNUMBER
POLICY EFFECTIVE
DATE MWDWYY
POLICY EXPIRATION
DATE MWDD/YY
LIMITS
A
GENERAL LIABILITY
X_ COMMERCIALGENERAL LIABILITY,
CLAIMS MADE Lk I OCCUR
34SBAKC5665
12/28/04
12/28/05
EACH OCCURRENCE
$1,000,000
FIRE DAMAGE (Any one fire)
MED EXP (Any one person)
$300000_
$10 000
PERSONAL& ADV INJURY
$1,000,000
_
GENERAL AGGREGATE
s2,00,000
GEN'L AGGREGATE LIM ITAPPLIES PER:
POLICY J CTPRO- LOC
_
PRODUCTS-COMPIOPAGG
$2 000,000
--
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
34SBAKC5665
12/28/04
12/28/05
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
—
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
$
$
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
34WEGKDO066
01101/05 I01/01/06
I X WCSTATU- OTH-
TORV LIMIT EH
E.L. EACH ACCIDENT
$500,000
E.L. DISEASE -EA EMPLOYEE
$500,000
E.L. DISEASE - POLICY LIMIT
$500,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
The City of Fort Collins
256 West Mountain Avenue
Fort Collins, CO 80527
SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYSWRITTEN
NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL
IMPOSE NO OB LIGATION OR LIABILITY OF ANY KIND UPON TH E INSURE R,ITS AGENTS OR
REPRESENTATIVE