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Home My WebLink AboutELHAM SHIRAZI - INSURANCE CERTIFICATEJAN-06-2004 14:08 WHEATMAN INS SUCS LLC 818 654 0409 P.01/01 A(;Uttq CERTIFICATE OF LIABILITY INSURANCE 01/06 2' PRODUCER 010881-8900 FAX (910882-8922 THIS CERTIFICATE 18ISSUED AS A MATTER OF INFORMATION Wheatman Insurance Services LLC ONLY AND CONFERS NO RIGHTS UPON THE GERTIFICATII OR License f OC3686B TER THEIL THIS ICOVERRAAGE AFFORDED TE 001% BYTTAHME P�OLlOIES EXTEND 6345 Balboa Blvd., Suite 265 Encino, CA 91310 INSURERS AFFORDING COVERAGE WuREn ELOM SH I w ERA: Nartford Casualty Ins. Co. 6215 DREXEL AVENUE IHOURERB: LDS ANGELES, CA 90048 INSURER Or. WSURER a THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERM INDICATED. NOTWITHSTANDING ANY REOUIRERMT, 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 HEREBY IS SUBJECT To ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. T TYPE OF INSURANCE GENERAL LIABILITY POLICY NUMBER 2SOAKSO464 LICY POilwww 10/05/Z003 P EXPIRATION 10/05/2004 LIMBS EACH occuRRENcE s 1,000 000, FIRE DAMAGE Wry one %) S 3OO 00 X COMMERCIAL GENERAL UABILITI' CLAMS MADE a OCCUR MED EXP (Any aae pomn) S 10. ON PERSONAL & ADV INJURY S 1.000.00 A GENERAL AGGREGATE 5 2,ON GENL AGGREGATE LIMITAPKIES PER; PRODUCTS - OOMPAJP AGO S 2 000, Ow 17 POLICY M f R LOC AUTOMOBILE LIABILITY ANY AUTO COMENEO SINGLE LIMIT fee aed5110 S 1, 000, BODILY INJURY (Par parson) S A ALL OWNED AUTO& sONEDULED AUTOS HIRED AUTOS NON-OWNP.O AUTOS 725BAKSO464 10/05/2003 10/OS/2004 X 1�9p0MYINJURY IP►r @ Mdonp f X PLOPGRTY DAMAGE (Per awIdanl) s GARAGE LIABILITY AUTO ONLY. EA ACCIDENT S OTHER THAN EA ACC AUTO ONLY: AGO S ANY AUTO I S EXCESS LUUMLITY OCCUR F—i CLAIMS MADE EACH OCCURRENCE S AGGREGATE 3 S S DEDUCTIBLE S RETENTION s WORKERS COMPENSATION AND EMPLOYERW LIABILITY TORY LIMR'6 R EL. EACH AOGDENT S EL. DISEASE. EA OPLOYEE S E.L. DISEASE . POLICY LIMIT S oTNER DRSORIPTION OF OPERA170N84,OCATiONSNEItI�'LE8lE1LCLU810NS D jY ENQOR9EAENTISPEGML PRONSIONS Tty of Fort Collins is Included as A ,tt�ona Insured as respects the operations of the Named insured. *10 Days Notice of Cancellation for Non -Payment of Premium. GCRTIFICATE City of Fort Collins Attn: James B. O'Neil II 215 N. Mason Street 2nd Floor Fort Collins, CO 80524 CANCELLATION SHOULD ANY OF THR ABOVE OEBCWBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISS WHO COMPANY PALL ENDEAVOR TO MAIL 30* DAYS WRnTEN NOTICE TO THE CERTIFICATE FOLDER HAMM TO THE LIFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSS NO OBLIGATIGFI OR LIABRJTY TnTR1 P - R1 8 654 0409 P.01/01 7RN-06-2004 14 : 08 WHERTMRN INS SUCS LLC 81 _ DATE IMIAIooNvv) ac;u _q CERTIFICATE OF LIABILITY INSURANCE 01/06/2004 PRODUCER (818)881-8900 FAX (819)881-8922 THIS CER (FICA E IS ISSUED AS A MATTER OF INFORMATION Wheatman Insurance Services LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR License #006866 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 6345 Balboa Blvd„ Suite 285 Encino, CA 91316 INSURERS AFFORDING COVERAGE ELHAM %H&KALl INSURERA: nart Toro e.aiYalTy in$. 6215 DREXEL AVENUE INBURFR B: Los ANGELES, CA 90048 INSURERO. MRER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW NAVE BEEN ISSUED TO THE NSURED 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 AFFOROEO EY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LINTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ INTER TYPE OF INSURANCE POLICY NUMBER POL am MOM P PI ON 10/03/2004 LINTS A GENERAL LIABILITY X COMMERCIAL GENERAL UAWLITY CLAIMS MADE Q OCCUR 2SOAKSO464 10/05/2003 EACH OCCURREaA7E S 11000,000 FIRE DAMAGE Wry am Are) S 300 00 MED EXP (AIM/ am pR9en) S 10.000 PERSONAL S ADV INJURY S 2.000, GENERAL AGGREGATE S 2, 000 GENL AGGREGATE UNIT APPLIES PER. POLICY jam' LOC PRODUCTS - C,AMPIOP AGO S 2 000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNFA AUTOS 72SEBLAKS0464 10/05/2003 10/05/2004 COMBINED SINGLE UMIT (Fa aaaidand S 1,000, BODILY INJURY (Par parson) S X BODILY INJURY (Par 10daa6 $ X PROPERTY DAMAGE (Par acddado s GARAGE LIABILITY ANY AUTO AUTO ONLY -EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY. AGO S S Excess LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION s WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OTHER EACH OCCURRENCE S AQGREGArs S S S TORYLIMRs R s EL, EACH ACCIDENT S EL. DISEASE . EA BAPLa S E.L. OISEASE- POLICY LIMIT I S DPSCRIPTION aPE TI Nsl}OCATIONViENIeL&SR?xCWBIONs_ III p�Y ENQOR9EMENT/BpECIAL PROYISIO" Tty of Fort �11�ns is Included as itiona naurad as respects the operations of the Named Insured. *10 Days Notice of Cancellation for Non -Payment of Premium. LOCK IIFILOATC riv, UUn City of Fort Collins Attn: James B. O'Neil II 215 N. Mason Street 2nd Floor Fort Collins, CO 80524 SHOULD ANY Or THE ABOVE OEBGRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE TNEREOP, THE ISSUING COMPANY WALL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIriwe HOLDER NAMED TO THE LIFT, BUT PAILURE TO MAIL SUCN NOTICE SNAIL IMPOSE NO OBLIGATION OR LIABILITY 221-6707 �� ✓ CIACORD CORPORaT WO TnTAI P.