HomeMy WebLinkAbout105719 LONCO INC - INSURANCE CERTIFICATE (6)Client#: 7696
LON
ACORDM CERTIFICATE OF
LIABILITY
INSURANCE
DATE
04/08/04Dnv)
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
Denver, CO 80203 f�— (� f� � n/7 (�
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
LTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
303 837-8500 L� Vv L�—r
V Lam—
INSURERS AFFORDING COVERAGE
INSURED LoncURER
1700 ,Inc. APR 1 2
1700 Broadway, 0
Denver, CO 80290
2004
A: Hartford Insurance Gro up
URER B:
Hartford Insurance (Service Center)
URER C:
XL Specialty Insurance Company
IN URER D:
IN RER 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
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MWDD/VV
POLICY EXPIRATION
DATE MWDD/YY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE I —XI OCCUR
34SBAEK7231
04/01/04
04/01/05
EACH OCCURRENCE
$2000000
FIRE DAMAGE (Any one fire)
$300000
MED EXP (Any one person)
$10 000
PERSONAL & ADV INJURY
s2,000,000
GENERALAGGREGATE
$4 000 000
GEN'L AGGR EGATE LIM IT APPLIES PER:
POLICY n PEA LOC
PRODUCTS -COMP/OP AGG
$4 00O 000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
34UECEX5813
04/01/04
04/01/05
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Peraccident)
$
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 F7 CLAIMS MADE
DEDUCTIBLE
X RETENTION $10000
34SBAEK7231
04/01/04
04/01/05
EACH OCCURRENCE
s2,000,000
AGGREGATE
s2,000,000
$
$
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
34WEGKC1058
04/01/04
04101/05
WC STATU- IOTH-
T R IMI R
E.L. EACH ACCIDENT
$500,000
E.L. DISEASE -EA EMPLOYEE
$500,000
E.L DISEASE - POLICY LIMIT
$500,000
C
OTHER Architects/
ngineers
professional Liab
DPR9401342
04/01/04
04/01/05
$1,000,000 Per Claim
$1,000,000 Aggregate
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL 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.
City Of Fort Collins
Purchasing Division
Opal Dick, CPPO, Senior Buyer
P. O. Box 580
Fort Collins, CO
SHOULD ANYOFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL30_ DAYSWRITTEN
NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL
IM POSE NOOBLIGATION OR LIABILITY OF ANY KIND UPON TH E INSURERJTS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
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