HomeMy WebLinkAboutUNIVERSITY DESIGNERS AND BUILDERS - INSURANCE CERTIFICATE (3)Date: 4/15/05 Time: 10:19 AM To: @ 91970-221-6707
Pinnacol Assurance Pagel 002-003
PRODUCER
Pinnacol Assurance
7501 E Lowry Blvd
DENVER CO 80230-7006
INSURED
UNIVERSITY DESIGNERS AND BUILDERS INC
2730 WORKINGTON AVE
FORT COLLINS CO 80526
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED
NOTWITHSTANDING ANY REQUIREMENT, TERM AND 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__ LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUN®ER POLICYEFFECTIV£ I FOLItYIXPIRATION LIMITS
LTR DAT mryAb' PAT tmryEE/
GENERAL LLAHILITY OENERALAGGREGATE
CtlNALIU ]ALGENEPAL LIABILITY PRODUCTS COMP/OPAGG
CLAIMS MADE ❑ OCCUR PERSONAL .&ADV INJURY
OWNER'S 4 CUM RACTOR'S PROF care rin^Uaacurs
ITOMOBILE LWBILEPY
ANY ALR O
ALL OW NED AUTOS
SCHEDULED AUTOS
HIPEDAUTOS
NON�M1,12DAITOS
ANY ALITO
BODILY INIIJRY
C'M )
BODILY INJURY
IXCESS LIABILITY
EACH O( V'ENCE
AGGREGATE
UMBRF ISk FORM
OTHER THAN UMBREJIA FORM
WORKERS COMPENSATION AND
X WC SEAT U- OTHER
EMPLOYERS' LIABILPPY
TORY LIMITS
.
A
4001687
06f0I12004
W01/2005
EL EACHacaDENT
$100,000��
ELDISEASE POLICYLIMIT
$500,000
THE PP.OPFIEIOFJPAF.TNERSJ INa_
ELDISEASE-EAEMPLAYEE
$100,000
E.l-ECLITIVE OFFICERS ARE' EX0.
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSJV EHICIES%SPECIAL TT EMS
SEE BACK OF CERTIFICATE FOR CLASS COVERAGE AND OWNERSHIP COVERAGE DETAIL,
828357
_.... -- _..............
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
CITY OF FORT COLLINS
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
ATTN: JAN
0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
256 \VEST MOUNTAIN AVENUE
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
FORT COLLINS CO 80521
LIABILITY OF ANY HIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVI
AUTHORIZED REPRESENTATIVE
Charles Doggett
SMITHAT CSF S.VP n 04/1SN510-19�? ICOPl UMataE12/15/19�I2�J0:00 UWL15