HomeMy WebLinkAboutSEAR BROWN - INSURANCE CERTIFICATE (2)De6hie Whyte At: Landmark Group To< Patti Towner
Faxes: (585) 272.7709 Date: 9/12/03 12:31 PM Page 2 of 2
AC ORD CERTIFICATE OF LIABILITY
INSURANCE CSR DW DATE(MMIDD,YTI
1
SWAGE-1 09 12 03
?ROouc.R
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Landmark Group of Brighton
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Inc
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1956 N Henrietta Road
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Rochester NY 14623-1308
Phone: 585-272-1956 Fax:585-272-7709
INSURERS AFFORDING COVERAGE
'NSVPED
INSURER OneEeacon America Insurance
WSLRERa OneBeacon Insurance ConVany_
PsuvepC' American to er's Ins. Co.
The sear -Brown Group, Inc.
INSURER I' Diamond State insurance Co.
300 'Meridian Centxe'-Suite 250
Rochester NY 146IS
POURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REOU IR EM ENT, 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. EXCLtf IONS AND CONDITIONS OF SUCH
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
'+9R
_-R
TYPE OF INSURANCE
O
POLICY NUMBER
POLICYIFPICTNI
DATE MIDDNY
POLICY RXPIRATION
DATEOh
LIMITS
OENEML LIABILITY
EACHOCCURPFNCE
$ 1,000,000
A
b .^.YERaaCENERALLAeiuN
R774352
12/31/02
12/31/0-1
P ONAAGEWVDneMe,
s 300,000
I D.w+S LUOE C, OCPra
MED E�w(Am, one ae/mn)
S 10,000
PERSONAL LADVINJURY
S 1,000,000
¢ENERAL AGGREGATE
S 2,000,000
:=P.IGGREOATELLIRAPPLES PER
PRODUCTS- CONPlOP AGO
$ 2 00O 000
I
DOL.7 x RRO- lAC
JEGT
AUTOLIOSILE LIABILITY
E
LdEOSNCLE n r
s 1,000,000
B
= --
AW35041
3.2/31/02
12/31/03
(E*
(Es accioenq
:y ci'rrED AIJ{O$
..LED A�-ROE
C
BODILY PL1/RY
(PO RAr4eA)
$
b D A�TOG
.,. X .,'.--Ovo AUTOS
BODILY WWRY
( rsccw_()
$
PROPERTY D Ge
Z
----..,.,....
Ow NcNenD
' GAPACi LIABILITY
AVTOONLY-EAACCIDENT
$
OTHER THAN EAACC
$ •-•-`».•
$
A,JTO ONLY AGO
E"CESSLIASMJTY
EACHOCCLRRENCE
$5,000,000
p .b cc"R L=AaSMADE
WGU0000937
12/31/02
12/31/03
ACGPEGA'z
s5,000,000
_' ]EDU^_'TIELE
i
E
Z
`EFNTCN $
I
WPRKERS COMPENSATION AND
YV R'y- T b OCR
Y TORY L'M1STS ER
iMPlO'/IRf' LABILITY
H220997
12/31/02
12/31/03
EL. EACHAccmEM
s 1 000 000
E.L DMEA^eE- EA ELPLCYEE
_
I; I, OOO, 00o
ELDr;EA;E-PDLCYL&—
s i 000 000
OTMIK
]ESCRIP?ION OF OPERATIONSMOCATIONVVEMMLESIEXC WSIONS ADDED BY ENDORSEMEN1I9PECWL PROVISIONS
Re: E Prospect Roadway Widening Final Desing Proj #020224. City of Fort
Collins, CO, its officers 6 employees are included as Additional Insureds
on Gil ppoliey per CG2033 limited to the liability arising out of the named
insured operations
'ERTIFICATE HOLDER
ADDITIONAL INSURED; INSURER LETTER
CFTC-01
City of Fort Collins
PO BOX 580
Fort Collins CO 90522
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISBUNO INSURER WILL INOIAYOR TO MAIL %()_ DAYS WAITTCN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE HO OBLIGATION OR LIABILITY OF ANV KIND UPON THE INSURER ITC ACINTS OR
REPRESENTATIVE&
ACORD 25-S (7197)
i/�, `��e`$610�0 i m e SeP•12. 12:1OPM
1988
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