HomeMy WebLinkAbout105719 LONCO INC - INSURANCE CERTIFICATE (4),4CORM CERTIFICATE OF LIABILITY INSURANCE 04/06/05 4106/05
D/YY)
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Van Gilder Insurance Corp. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
700 Broadway, Suite 1000 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Denver, CO 80203 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
303 837-8500 INSURERS AFFORDING COVERAGE
INSURED INSURER A: Hartford Insurance Group
Lonco, Inc. INSURER B: Hartford Insurance (Service Center)
1700 Broadway, #800 INSURERC: XL Specialty Insurance Company
Denver, CO 80290 -- ---
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
LTR
-rypE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MWDDNY
POLICY EXPIRATION
DATE MWDDNY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
_ CLAIMS MADE LAI OCCUR
34SBAEK7231
04/01/05
04/01/06
EACH OCCURRENCE
$2 000 QQQ
FIRE DAMAGE (Any one fire)
$300000
MED EXP (Any one person)
$1 O 000
PERSONAL &ADV INJURY
$2 000 000
GENERALAGGREGATE
s4,000,000
GEN'L AGGREGATE LIM ITAPPLIES PER:
POLICY PRO-
E T LOC
PRODUCTS-COMP/OPAGG
s4000000
-
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
34UECEX5813
04/01/05
04/01/06
COMBINED SINGLE LIMIT
' (Ea accident)
i
$1,000,000
X
BODILY INJURY
(Perperson)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
— —
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
A
EXCESS LIABILITY
X OCCUR IA CLAIMS MADE
DEDUCTIBLE
X RETENTION $10000
34SBAEK7231
04/01/05
04/01/06
(AGGREGATE
EACH OCCURRENCE
s2,000,000
s2,000,000
$
$
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
34WEGKC1058
04/01/05
04/01/06
X WCST
YI T_ OTH-
TER
E.L. EACH ACCIDENT
$500,000
E.L. DISEASE - EA EMPLOYEE
s500,000
E.L. DISEASE - POLICY LIMIT
$500,000
C
OTHER Professional
Liability
DPR9409209
04/01/05
04/01/06
$1,000,000 per claim
$1,000,000 annl aggr.
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Certificate Holder its officers and employees are additional insureds with
respect to General Liability as pertains to the City of Fort Collins' Bridge inspecting, maintenance and repair program.
ADDITIONAL
City Of Fort Collins
Purchasing Division
Opal Dick, CPPO, Senior Buyer
P. O. Box 580
Fort Collins, CO
SHOULD ANYOFTH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL30DAYSWRITTEN
NOTICE TOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL
IM POSE NOOBLIGATION OR LIABILITYOF ANYKIND UPON THE INSURERJTS AGENTS OR
REPRESENTATIVE
ACORD 25-S (7/97)1 of 1 #M405701
BCP 0 ACORD CORPORATION 1981