HomeMy WebLinkAboutCARTER BURGESS - INSURANCE CERTIFICATEACORD,K CERTIFICATE OF LIABILITY INSURANCE
DATE9//08/04 Y)
PRODUCER
Wm. Rigg CO.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
777 Main Street, Suite C-50
Fort Worth, TX 76102-5333
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
81 7-820-8100
INSURERS AFFORDING COVERAGE
INSURED
Carter &Burgess, Inc.
707 17th Street, Suite 2300
Denver, CO 80202
INSURER A: American Zurich Ins Co
INSURER B: Sentry Ins a Mutual Co
INSURER C: Great American Ins. Co
INSURER D: American Guarantee & Liab
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
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE fMMIDDIYY)
POLICY EXPIRATION
DATE fMMIDDNY)
LIMITS
A
GENERAL LIABILITY
CP03981552-01
3/31/04
3/31/05
EACH OCCURRENCE
$ 1000000
FIRE DAMAGE (Any one fire)
$ 50000
X COMMERCIAL GENERAL LIABILITY
Blanket AddI.Insd
CLAIMS MADE ERI OCCUR
& Blkt. Waiver Of
MED EXP (Any one person)
$ 5000
PERSONAL & ADV INJURY
$ 1000000
Subrogation as
GENERAL AGGREGATE
$ 2000000
Required by
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS COMP/OP AGG
$ 2000000
Written Contract.
POLICY X JECT LOC
A
AUTOMOBILE
LIABILITY
ANY AUTO
BAP3981554-02
Blanket Addl.lnsd
3/31/04
3/31/05
COMBINED SINGLE LIMIT
(Ea accident)
$ 1000000
X
(Per e so INJURY
person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
& Blanket Waiver
of Subrogation as
X
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
Required by
written Contract
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESS LIABILITY
UMB9310317-01
3/31/04
3/31/05
EACH OCCURRENCE
$ 3000000
X OCCUR 71 CLAIMS MADE
COMPANY D
AGGREGATE
$ 3000000-
$ 22000000
TUE3577730-04=
Each Occur.
$ 22000000
DEDUCTIBLE
COMPANY C
Aggregate
$
X RETENTION $ 10000
EXCESS LIABILITY
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
90-05811
incl Blkt Waiver
3/31/04
3/31/05
X W IMIT X R
DRY
E.L. EACH ACCIDENT
$ 1000000
E.L. DISEASE - EA EMPLOYEE
$ 1000000
of Subrogation
E.L. DISEASE - POLICY LIMIT
$ 1000000
per Contract
A
OTHER
CP03981552-01
3/31/04
3/31/05
PROPERTY, SPECIAL
BLDG, BPP & VALUABLE PAPERS
80% CO INS. RC
$41 974 150 $25 000 PROP.DED.
DESCRIPTION OF OPERATIONS/LOCATIONSA/EHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
ATTN: DAVID GORDON, AIRPORT MANAGER. PROJECT NO, H99207.000.0.0000.
THE CITY OF FORT COLLINS AND THE CITY OF LOVELAND ARE INCLUDED AS
ADDITIONAL INSURED ON THE AUTO AND GENERAL LIABILITY.
FORM 930008 ED 7-92 ATTACHED
111. II I1.11111.V1L LR I I MUUI IIUNML FNV UKCU; INUKM LLI ILK: L./ N1 CLL/ I IUIN
FORT COLLINS-LOVELAND
MUNICIPAL AIRPORT
4900EARHART ROAD
LOVELAND, CO 80538
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE 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
1988