HomeMy WebLinkAboutBUSINESS ENTERPRISE MAPPING - INSURANCE CERTIFICATE (3)12/14/2004 12:12 PALUMBO INSURANCE 4 919702216707
NO.231 D01
ACORD CERTIFICATE OF LIABILITY INSURANCE
TM
DATEIMM)BD/Y"
12/14/2004
PRODUCER (508)SZ0-175S FAX
William Palumbo Insurance Agency, Inc.
12 Washington St .
P. 0. Box 374
Franklin, MA 02038-0174
THUS CTRT1f FCATES ISSUEDA A MATTEROFI NFORIM 0
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EMEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC III
INSURED Business Enterprise Mapping
Julia James
8900 E. Pinnacle Peak Rd, Std7
Scottsdale, AZ SS255
IN$URERA: CNA
INSURER 8:
INSURER C:
INSURER0:
INSURER E:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURFO NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWIT14STANDING
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.
MR
LTR
Allul
NORS
TYPE OF INSURANCE
POLICY NUMBER
M✓D
DATE XIMI
Ulm
A
GENERAL LIABILITY
)( COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X OCCUR
174037820
OS/22/2004
OS/22/200S
EACHOCCURRENCE
S 2.000,00
PREMISES Ee ems
S 100 00
MED EXP (Any one person)
S 10
.
PERSONAL A AOV INJURY
S 1,000,001
GENERAL AGGREGATE
$ 2,000,00
09ML AGGREGATE LIMIT APPLIES PER;
POLICY JEOf LOC
PRODUCTS-COMPAOPAGG
$ 2,000,00
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTO$
NON -OWNED AUTOS
COMBINED SINGLE LIMIT
(Ea mcidwl)
S
BODILY INJURY
(Per pE,fpn)
3
BODILY INJURY
(Per soidenl)
$
PROPERTY DAMAGE
MW aoNdeng
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY EA ACCIDENT
5
OTHER THAN EA ACC
AUTO ONLY: AGG
S
S
EXCESBBIMERELLA LIABILITY
71 OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
S
AGGREGATE
S
S
S
S
WORKERS COMPENSARON AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED7
1l yeS desenEeyr,der
$PECUU. PROVISIONS belay
WC 9TATU--
TORY LIMBS ER
E.L. EACH ACCIDENT
$
E.L. DISEASE• EA WAPLO
S
E.L. DISEASE -POLICY LIMB I
$
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY -ENDORSEMENT) SPECIAL PROVISION$
CERTIpICATr. I4re nro
City of Fort Collins
Ed Bonnette
21S N Mason St 2nd Floor
PO Box 580
Fart Collins, CO 8OS22
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCHLLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO AWL
- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY
OF A�UPON THE INSURER, ITS AGGNTS OR REPRESENTATIVES.
25 (2001/08) FAX: (970)221-6707 CAGORD CORPORATION 1988
12/14/2004 12:12 PALUMBO INSURANCE 4 919702216707
NO.231 901
ACORDCERTIFICATE OF LIABILITY INSURANCE ii/I4i2�4
PRODUCER(508)52Q-1755 FAX S C T S I S AS A A ER O I OR
William Palumbo Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
12 Washington St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P. 0. Box 374
Franklin, MA 02038-0174 INSURERS AFFORDING COVERAGE NAIC#
INSURED Business Enterprise Mapping IN$URERA! CNA
Julia James INSURER BI
8900 F. Pinnacle Peak Rd, Std7 INSURERC;
Scottsdale, AZ SS255 INSURER D:
INSURER E:
OVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWrrmSTANDING
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-
LTR
NORI
TYPE OF INSURANCE
POUCYNUMBER
DATE MIOWYY
MMIDWYY
LIAM
GENERAL UAMUTV
174037920
OS/22/2004
OS/22/2005
EACHOCCURRENCE
s 1,000,00
OXOMPREMISES T eNTEMMJS
100 OO
)( COMMERCIAL GENERAL LIABILITY
CLAIMS MADE M OCwR
MED U' Wn One I'e )
s 10,00
A
PERSONAL AAOVBUURY
S 1 ODO,OO
GENERAL AGGREGATE
5 2,QDD,OO
GENLAGGREGATE LIMIT APPLIES PER;
POLICY jEC{ F1 LOC
PRODUCTS -COMPIOPAGG
S 2.g00,0O
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE L@IR
(Es K4jdmt)
S
ALL OWNFD AVTDS
SCHEDULED AUTOS
BODILY INJURY
(Per Pa6Dn)
$
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per xeddent)
S
PROPERTY DAMAGE
{Perewdent)
S
GARAGE LUIEfUTY
AUTO ONLY - EA ACCIDENT
S
ANY AUTO
OTHER TAM fA ACC
5
AUTO ONLY: AGG
S
EICCESSNMBRELLA LIABILITY
EACH OCCURRENCE
$
OCCUR CLAIMS MADE
AGGREGATE
S
S
DEDUCTIBLE
$
RETENTION E
S
WORKERS COMPENSATION AND
EMPLOYERS' LIABILTY
TORT LIMITS ER
E,L, EACH ACCIDENT
S
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED?
Udeseraeundw
RdIAL PROVISIONS below
E.L. DISEASE. EA ENPLO
S
E.Lp15'EASE-POLICY LIMA
S
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS 1VEN16 I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PRpvISIpN3
City of Fort Collins
Ed Bonnette
22S N Mason St 2nd Floor
PO Box 590
Fort Collins, CO $0522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCI[L],EP BEFORE THE
OtPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
-DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANYJWZUPON THE INSURER, ITS AGENT$ OR REPRESENTATIVES.
29(200if4B) FAX: (970)221-6707 OACORD