HomeMy WebLinkAboutANDERSON CONSULTING ENGINEERS - INSURANCE CERTIFICATE (5)ACORQM CERTIFICATE OF LIABILITY INSURANCE /0 °'""'
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 Insurance Group
Anderson Consulting Engineers, Inc. - —
INSURER B: Hartford Insurance (Service Center)
772 Whalers Way, Suite 200 INSURER C:
Fort Collins, CO 80525 INSURER D:
INSURER E:
reTalil d _TIrcl izq
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.
S
LT R�—
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MM/DD(YY
POLICY EXPIRATION
DATE MWDD/YY
LIMITS
A
GENERAL LIABILITY
X COMMERCIALGENERAL LIABILITY
_ CLAIMS MADE [X] OCCUR
_
34SBAKC5665
I
12/28/03
12/28/04
EACH OCCURRENCE
$1000000
FIRE DAMAGE (Any one fire)
$300000
MED EXP (Any one person)
1i $10,000
PERSONAL& ADV INJURY_
$1_�000,000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIM IT APPLIES PER:
POLICY PE 6 LOC
CT
PRODUCTS -COMP/OP AGG
$2,000,000
-_-
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
34SBAKC5665
12/28/03
12/28/04
COMBINED SINGLE LIMIT
(Ea accident)
$1 QOO,OOO
r
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHERTHAN EA ACC
AUTOONLY: AGG
$
$
EXCESS LIABILITY _
�I OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
1
1
EACH OCCURRENCE
$
AGGREGATE
$
$
$
B
WORKERS COMPENSATION AND
EMPLOYERS• LIABILITY
34WEGKDO066
06/25/03
01/01/04
'WCSTATU- OTH-
TORY LIMIT ER
$500,000
E.L. EACH ACCIDENT
E.L. DISEASE -EA EMPLOYEE
$500,000
E.L. DISEASE - POLICY LIMIT
$500,000
OTHER
DESCRIPTION OF OPERATIONS(-OCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
The City of Fort Collins
256 West Mountain Avenue
Fort Collins, CO 80527
nrnon �c c nmr.
SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYSWRITTEN
NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURERJTS AGENTS OR
REPRESENTATIVE