HomeMy WebLinkAboutLYMAN DAVIDSON DOOLEY - INSURANCE CERTIFICATEFrom: Peggy Hall for Beth Jones At: Jim Anderson & Co. FaxlD: 770-339-2062 To: James B. O'Neill, II
Date: 5/6/05 02:33 PM Page: 2 of 2
ACORD CERTIFICATE OF LIABILITY INSURANCk OPID 18 DATE(MWDDIM
YMAN-2 05/06/05
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
A & E ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Jim Anderson & Co. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
121 Langley Dr ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Lawrenceville GA 30045
Phone:770-962-4111 Fax:770-339-2062 INSURERS AFFORDING COVERAGE
"-- INSUREPA ASSURANCE COMPANY OF AMERICA
INSURER e. ST. PAUL GUARDIAN INS CO
LYma44 John F. Kennedy )Sarkn Davidson Dooley Inc INSURER
INSURER XL SPECIALTY INSURANCE CO
39
Suite B INSURER D:
Fort Collins CO 80525
INSURER E.
I WVIZMAVCJ
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
TYPE OF INSURANCE
POLICY NUMBER
DATE IMMIDD/YY)
DATE (MM/DDIYY)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1 , 0 00 , 000
A
X COMMERCIAL GENERAL LIABILITY
PPSO41181083
09/01/04
09/01/05
FIRE DAMAGE (Anyone fiire)
I$1,000,000
CLAIMS MADE O OCCUR
RED EXP (Any one person)
$ 10 , 000
PERSONAL A ADV INJURY
$1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEDL AGGREGATE LIMIT APPLIES PER
PRODUCTS - COMP/DP AGG
$ 2,000,000
POLICY FFRO LOC
JECT
AUTOMOBILE
LIABILITY
A
ANY.AUTO
PPSO41181083
09/01/04
09/01/05
CO a
CaaccidccidDent) SINIGLEUMIT
$ 000 , 000
, 1
i ALL OWNEDAUT06
BODILY INJURY
$
SCHEDULED AUTOS
(Per person)
X
HIRED AUTOS
BODILY INJURY
$
X
NON -OWNED AUTOS
(Per accident)
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
AUTO ONLY -EAACCIDENT
$
ANY AUTO
OTHER THAN EAACC
$
$
AUTO ONLY. AbG
EXCESS LIABILITY
EACH OCCURRENCE s4,000,000
A
X OCCUR CLAIMS MADE
PPSO41181083
09/01/04
09/01/05
AGGREGA7
$4,000,000
DEDUCTIELE
$
RETENTION $
WORKERS COMPENSATION AND
X TORY LIMITS ER
B
EMPLOYERS'LIABILITY
WVA2443865
05/01/04
05/01/05
El EACHACCIDENT
$500,000
EL DSEASF-EAEMPLOYFF
$ 500,000
EL DISEASE-P01 CYUMIT 1$500,000
OTHER
C
Professional
DPR9403846
06/23/04
06/23/05
Ea. Claim $1,000,000
Liability
I
Aggregate $2,000,000
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIE%CLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
PROJECT: P-839 Architectural & Engineering Services at Operation Services
for the City of Fort Collins. FAX #970-221-6707
For Professional Liability, aggregate limit is total insurance available
for claims presented within policy perior for all operations of insured.
Limit will be reduced by payments of indemnity and/or expenses.
CITYFTC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
Attn : James B. O'Neill, II NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
P.O. Box 580
215 No. Mason St., 2nd. Floor IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Fort Collins CO 80522-0580 REPRESENTATIVES.
CORPORATION