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JAMES CAPITAL ADVISORS - INSURANCE CERTIFICATE (3)
om: Delaine Carter At: Brown and Brown Insurance FaxID: To: James B. O'Neill Date: 12/1/2004 02:56 PM Page: 1 of 2 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID D DATE IMMIOD/ JAr>E-2s 12 01 04 oa PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Brown 6 Broom Ins of Denver HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 7110 W . Jefferson Ave . , #100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver CO 80235 Phone:303-980-6265 Fax:720-962-5142 INSURERS AFFORDING COVERAGE NAIL INSURED INSURER A. Houston Casualty Company INSURER B: James Capital Advisors Inc James Manire, 17390 E Jamison Ave Centennial CO 80016 INSURER INSURER D' 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 POLICY EFFECTIVETION LTR INSAADD TYPE OF INSURANCE POLICYNUMBEIR DATE MI& LIMITS GENERAL LIABILITY EACH OCCURRENCE $ PREMISES (Ea occurenoe) $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE I OCCUR MED EXP (Arc/ one person) $ PERSONAL B ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGG $ POLICY PRO- LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea acciden) BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS (Per person) $ BODILY INJURY $ HIRED AUTOS NON OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY ONLY ACCIDENT $ EAACC S ANY AUTO AGO $ EXCESSIUMBRELLA LIABILITY RENCE S FAGGREGA7E OCCUR CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC STA TORYLIMRS ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE • EA EMPLOYEE $ OFFICERIMEMBER EXCLUDED? N yes, describe under EL DISEASE -POLICY LIMIT S SPECIAL PROVISIONS below OTHER A Professional H70314184 10/11/03 10/11/04 Aggregate $500,000 Liability Per Claim $500 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES; EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Per policy terms, conditions, and Exclusions. CERTIFICATE HOLDER CANCELLATION CITyOr SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRNTEN City of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL Purchasing Department James B. O'Neill IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR PO BOX 580 REPRESENTATIVES. AUTHORIZEDIREPRESENTATIVE Fort Collins CO 80522-0580 ACORD 25 (2001108) ©ACORD CORPORATION 1988 From: Delaine Carter At Brown and Brown Insurance FaAD: To: James B. O'Neill Date: 1211/2004 02:56 PM Page: 2 of 2 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. AGORD 25 t2001f08)