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Home My WebLink AboutBOULDER DESIGN ALLIANCE - INSURANCE CERTIFICATE (13)ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION VAN GILDER INSURANCE CORP/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 341438 P• (866)467-8730 F• (877)905-0457 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. 0. BOX 33015 SAN ANTONIO TX 78265 INSURERS AFFORDING COVERAGE INSURED INSURER A:Hartford Casualty Ins Co BOULDER DESIGN ALLIANCE MR. ROB INSURER B: DEKIEFFER INSURER C: 3002 MELISSA LN INSURER D: BOULDER CO 80301 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 POLICY NUMBER POLICY EFFECTIVE AT DE MM/DD/YY POLICY EXPIRATION DATE MMIDDM/ LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIA131LITY CLAIMS MADE I X l OCCUR X Business Liab 34 SBA LJ6 5 5 7 O 1/ O 1/ 0 5 I O 1/ O 1/ 0 6 EACH OCCURRENCE 1 $l , 0 0 0, 0 0 0 FIRE DAMAGE (Any one lire) 111300,000 MED EXP (Any one pmaon) $10 , 0 0 0 PERSONAL S ADV INJURY $l, 000, 000 GENERAL AGGREGATE I s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY I X I PROECT LOC J PRODUCTS - COMPIOP AGG I s2,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 34 SBA LJ6557 01/01/05 01/01/06 COMBINED SINGLE LIMIT (Eeaccident) ol, 000, 000 BODILY INJURY (Per perwn) $ X BODILY INJURY (Peraccident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR u CLAIMS MADE DEDUCTIBLE RETENTION S EACH OCCURRENCE $ AGGREGATE $ IS $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- OTH- � E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECULL PROVISIONS Those usual to the insured's operations. INSURER LET IEN: City of Fort Collins Attn: Jan Elliott 256 W. Mountain Avenue Fort Collins, CO 80521 )ULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE NRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE LDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO JGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR IRESENTATIVES. lD��-'e-V ca-,It++o JCS ACORD 25-S (7/97) 0 ACORD CORPORATION 1988 ACORDCERTIFICATE OF LIABILITY INSURANCE DATE 11-03-2004 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION VAN GILDER INSURANCE CORP�PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 341438 P• (866)467-8730 F• (877)905-0457 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P . 0. BOX 33015 INSURERS AFFORDING COVERAGE SAN ANTONIO TX 78265 INSURED INSURER A: Hartford Casualty Ins Co BOULDER DESIGN ALLIANCE MR. ROB INSURER B: DEKIEFFER INSURER C: 3002 MELISSA IN INSURER D: BOULDER CO 80301 INSURER E: fYIVCDA/]CC 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 TYPE OF INSURANCE LT POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION LIMITS DATE MM/DD/VY GENERAL LIABILITY I EACH OCCURRENCE 1 $1/ 0 0 0/ 0 0 0 A COMMERCIAL GENERAL LIABILITY 34 SBA LLT6 5 5 7 01 / 01 / 0 5 01 / 01 / 0 6 FIRE DAMAGE (Any one fire) 1s300,000 CLAIMS MADE U OCCUR MED EXP (Any one Person) 1 $10 / 0 0 0 X Business Liab PERSONAL &ADV INJURY I51/ 000, 000 GENERAL AGGREGATE s2,000,000 PRODUCTS - COMP/OP AGO s2,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY X I PRCT LOC A AUTOMOBILE LIABILITY ANY AUTO 34 SBA LJ6557 01/01/05 01/01/06 COMBINED SINGLE LIMIT (Ea axidern) $lr 000/ 000 BODILY INJURY (Per Person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC S ANY AUTO $ AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE $ $ OCCUR a CLAIMS MADE (AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND - IWC DRYSTATULIM - OTHER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE S E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIYEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Those usual to the Insured's Operations. CFRTIFICATF M(L nFR I I enmmM.A. iueuecm runueoe I R- CAIUCFI I ATIn I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 45 DAYS WRITTEN NOTICE 110 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE City of Fort Collins 256 W Mountain Ave HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Fort Collins, CO 80521 AUTHORIZED REPRESENT T�ilt;E AGDRD 25-5 17/97) ®ACORD CORPORATION 1988