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Home My WebLink AboutCOOVER CLARK - INSURANCE CERTIFICATE (4)ACORD_ CERTIFICATE OF LIABILITY INSURANCE OP ID B DATE (MMIDDNYWI COOVE-1 08/30/04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Olson & Olson, Ltd. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 1467 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Englewood, CO 80150 Phone:303-761-0085 Fax:303-788-1817 INSURERS AFFORDING COVERAGE NAIL# INSURED INSURER A: National tits ins. of asatozd 20478 NSURERB Continental Casualty Co. 20443 Coover-Clark & As$ ociates P.C. INSURER 455 Sherman St., #205 INSURER Denver CO 80203 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. LTR NSRN TYPE OF INSURANCE POLICY NUMBER DATE CMWDDIYY) DATE IMMIDDIM LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY 2054533163 10/20/01 10/20/04 PREMISEES'Eeoccurence) $300000 CLAIMS MADE 1�rj OCCUR MED EXP (Any one person) $ 10000 X Blanket Addl Insd PERSONAL & ADV INJURY $ 1000000 X Blkt Subro Waiver GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $2000000 POLICY [X7 JECT LOC A AUTOMOBILE LIABILITY ANY AUTO 2054533163 10/20/01 10/20/04 COMBINED SINGLE LIMIT (Ea accident) $ 100D000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ X X HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY. AGG $ ANY AUTO 1 -RXORPT MR 10 DAYS MR NON-PAY!>erT or FRIMM $ EXCESSIUMBRELLALIABILITY EACH OCCURRENCE $2000000 A KI OCCUR ❑ CLAIMS MADE 2054593163 10/20/01 10/20/04 AGGREGATE $ 2000000 $ DEDUCTIBLE X RETENTION $ 10000 $ BANY WORKERS COMPENSATION AND EMPLOYERT LIABILITY PROPRIETOR/PART NER/EXECUTIVEWC2054837044 10/20/03 10/20/04 X TORY LIMITS ER E.L.EACH ACCIDENT $500000 EL DISEASE - EA EMPLOYEE $ 5D000D OFFICERMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L DISEASE -POLICY LIMIT $ 500000 OTHER A Valuable Papers 2054533163 10/20/01 10/20/04 Limit $100,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS City of Ft Collins,CSU, the Board of Governors of the Colorado State University System, and The State of Colorado shall be named as Additional Insureds on each commercial General Liability policy per form G123127A attached. CFRTIFICATF HnI ❑FR CANCFI 1 ATInN STCODE2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAR * 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Ft Collins PO Box 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR Ft. Collins CO 80522 REPRESENTATIVES. AUTHORIZED R RESENTATIVE NI.VRU L° ILUUT/Uif) (H' ACORO CORPORATION 19513 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ARCHITECTS & ENGINEERS BLANKET ADDITIONAL INSURED ENDORSEMENT BLANKET WAIVER OF SUBROGATION ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS ACCOUNT PACKAGE POLICY BUSINESS LIABILITY COVERAGE FORM BUSINESS ACCOUNT PACKAGE POLICY BUSINESSOWNERS COMMON POLICY CONDITIONS WHO IS AN INSURED (Section C.) of the Limits of Insurance shown in the Business Liability Coverage Form is amended to Declarations. include as an insured any person or organization (called additional insured) whom you are required 3. A person's or organization's status as an to add as an additional insured on this policy additional insured under this endorsement under ends when your operations for that additional insured are completed. 1. A written contractor agreement, or The insurance provided to the additional insured 2. An oral agreement or contract where a does not apply to "bodily Injury," "property certificate of insurance showing that person damage," "personal injury," or "advertising injury" or organization as an additional insured has arising out of an architects, engineer's, or been issued; but surveyor's rendering of or failure to render any professional services including: the written or oral contract or agreement must be: a. currently in effect or becoming effective during the term of this policy; and b. executed prior to the "bodily injury," '.property damage," "personal injury," or "advertising injury." The insurance provided to the additional insured is limited as follows: 1. That person or organization is only an additional insured with respect to liability arising out of: a. Premises you own, rent, lease or occupy; or b. Your ongoing operations for that additional insured by or for you. The insurance provided to the additional insured does not apply to "bodily injury" or "property damage" included within the "products -completed operations hazard." 2. The Limits of Insurance applicable to the additional insured are those specified in the written contract or agreement or in the Declarations for this policy, whichever are less. These Limits of Insurance are included within and not in addition to the G-123127-A (Ed. 12/96) The preparing, approving, or failing to prepare or approve maps, drawings, opinions, reports, surveys, change orders, design or specifications, and 2. Supervisory, inspection, or engineering services. Any coverage provided hereunder shall be excess over any other valid and collectible insurance available to the additional insured whether primary, excess, contingent or on any other basis unless a written contract specifically requires that this insurance be primary. Paragraph 2. of Section J. TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US of the Businessowners Common Policy Conditions form is deleted and replaced by the following: 2. Applicable to The Business Account Package Policy Liability Coverage: We waive any right of recovery we may have against any person or organization against whom you have agreed to waive such right of recovery in a written contract or agreement because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included within the "products -completed operations hazard." From. At: Ip u s • 21. 2 0 0 4 1 3 : 4 4 P M)n and Olson Ltd To: Terl BrUlnBma 4 o, 2 3 21 p04 P, 2131 Page; 2 or 4 ACONTTD„ CERTIFICATE OF LIABILITY INSURANCE COOOP IDVE OVE-1 DATE2410 O9/B/24 04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Olson 6 Olson, Ltd. P.O. Box 1467 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Englewood, CO 80150 Phone:303-761-0085 Fax,303-788-1817 INSURERS AFFORDING COVERAGE NAIL# INSURED INSUaERA: zuXiCh American Insurance ' INSURER S; (PLB) INVURERC. Coover-Clark G As ociates P.C. 455 Sherman at., 1205 nenver co 80203 INS~ 0 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 )5 SUBJECT To ALL I HE TERMS EXCLUSIONS AND CON07tONS OF SUCH POLICIES AGGREGATE LIReDS OHOWN MAY HAVE BFF.N REDUCED BY PAID CLAIMS. LTRNM TYPE OF INSURANCE POLICY NUMBER DATE MOD DATE MMIDD LIMITS GENNFRAL LIABILITY EACH OCCURRENCE ; PREMISES (Ea oc ; COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR i MED EXP (Any one Wsvri) ; PERSONAL EAOV INJURY ; GENERAL AGGREGATE ; OENL AGGREGATE LpIIM�I�I�TT APPLIES PER. PRODUCTS COM9PiOP AGG ; POLICY JECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMN (Eo al:cldaTt) ; BODILY INJURY (Par parum) ; ALL OWNED AUTOS SCHEDULED ALnvs GODLY INJURY (Per eccldent) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Par ewds R) $ GARAQV LIABILITY AUTO ONLY - EA ACCIDENT ; PNY AUTO OTHER THAN EA ACC AUrr0 ONLY: AOG $ ; EXCESSNNBRELLA LIABILITY EACH OCCURRENCE ; OCCUR CLAIMS MADE AGGREGATE ; ; DEDucnouE ; RETETmON ; ; WORKERS COMPEEMPLOYERS'LIABILT' NeAnON AND TORYLIM1% ER EL EACH ACCIDENT ; ANY PRCPRIE7OR/PARTNER,9nCU7VE EL DISEASE -EA EMPLOYEE OFFICER/MEMBER EXCLUDED? II yyOc, da= In under BPECLAL PROV1910M WIow .; •.•J_�._...,..__....,,. E.L. DISEASE -POLICY LIMB ; OTHER A Professional EOC 9305781 02 OB/15/04 08/15/05 Per CIM 1,000,000 Liability CLAIMS MADE Aggregate 1,000,000 OESCwPTW OF oPERAnpNg /LOCATIONS /VEHICLES / xcwalONIP ADDED 5Y ENDORSE r eFEcwL PROVISIONS *Except for non-payutent of premiUm. ^Per Claim" and -Annual Aggregate" limits apply to all projects. Payment of claims, defense costs and claim expenses reduce the limits. c�RTIFIGATE HOLDER CANCELLATION cyrTco2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES EE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE IaBUING INSURER WILL ENDEAVOR TO MAIL * 30 OAY8 WRrrrEN City of Ft Collina NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURP TO DO SO $HALL P.O. Box 580 IMPOSE NO OBLIDAMON OR LIABILITY DF ANY WINO UPON THE INSURER ITS AOENra OR Fort Collins CO 80522 REPRESGNTAwvES. ACORD 25 (2001/08) 1 0 ACORD CORPORATION 1982