HomeMy WebLinkAbout113275 ALLER-LINGLE ARCHITECTS PC - INSURANCE CERTIFICATE (2)Date- 4/'::B/05 Time: 2%19 PM Tot M 91970-221.6707
Pinnacol Assurance Page: 002-003
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY i
Pinnacol Assurance
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
7501 E Lowry Blvd
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
I
DENVER CO 80230-7006
AFFORDED BY THE POLICIES BELOW.
INSURED
ALLER - LINGLE ARCHITECTS PC
712 WHALERS WAY B-100
FORT COLLINS CO 80525
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,
NOTWITHSTANDING ANY REQUIREMENT, TERM AND 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 DESCMED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS
OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF I NSURANCE POLICY NUMBER POLICY EFFECT WE POLICY IXPIRAT ION LIMITS
LTR DAi d DAT
GIENPNAL LIABILITY kFIM=M�02
AGOREOATE
COMMERCIAL GENERAL LIABILITY S COMPOPAGO
CLAIMS MADE ❑ OCCUR - & ADV INIURY
DWNEA'S&C�MRACTOR'S PROP URRENCE
ore fi,e
ANY AUTO
COMB ED SMC
ALL OW NED AMOS
BODILY INlUA1'
SCHEDULEDAUTOS
HIREDAUTOS
BODILY IPUURY
NON OWNEDAITiOS
(a, xcidenll
PROPERTY DAM
.RACE IJABLUTY AUI O ONLY - E,
ANY AUTO OTHER THAN AI
EACH AM
IXMSS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
EACH OCCURRENCE
AGGREGATE
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIEIOPJFAP.TNEM INCL
EXECUTIVE OFFICERS ARE: H EXCL
1951272
04/01/2005
04/01/2006
WC STATU- OTHER
TORY LIMITS
id
EL EACH ACCIDEM
100000
ELDISEASE POLICYLIMIT
$1000000
ELDISFASE-EAEMPLOYEE
$100,000
OTHER
DaMIn ION OF OPERATIONS/LOCATION5IV EHICLES/SPECIAL IT EMS
SEE BACK OF CERTIFICATE FOR CLASS COVERAGE AND OWNERSHIP COVERAGE DETAH,
831586
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
JIM O'NEH.
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO \MAIL
CITY OF FORT COLLINS
0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
PO BOX 580
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
FORT COLLINS CO 80522-0580
LIABILITY OF ANY HIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES,
AUTHORIZED REPRESENTATIVE
Rodney Postillion
PINNAWEB Ezteiml/EMP Re rd Orly 01f M050220:15 191272 Updated: 12/I511W 12'W.. 0 IIW135
Date 4/A/05 Timee 2%19 PM To% @ 91970-221-6707 Pinnacol Assurance Page: 003-003
CERTIFICATE HOLDER COPY
JIM O'NEIL
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS CO 80522-0580
POLICY NUMBER: 1951272
BUSINESS LOCATION: ALLER- LINGLE ARCHITECTS PC
CLASSIFICATION OF OPERATION
CLASS DESCRIPTION
Affiliate Coverage: DAVID LINGLE
860105 ENGINEERS OR ARCHITECTS
Affiliate Coverage: MICHAEL ALLER
860105 ENGINEERS OR ARCHITECTS
Affiliate Coverage: BRADLEY MASSEY
860105 ENGINEERS OR ARCHITECTS
860105 ENGINEERS OR ARCHITECTS
881005 EXCLUSIVELY OFFICE
COVERAGE COVERAGE
EFFECTIVE EXPIRES
04/01/2005 04/01/2006
04/01/2005 04/01/2006
04/01/2005
04/01/2005
04/01/2005
04/01/2006
04/01/2006
04/01/2006
RATING
TYPE
CO
CO
CO
EM
EM