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Home My WebLink AboutPOST BUCKLEY SCHUH JERNIGAN PBS J - INSURANCE CERTIFICATE (3)-ACORDM CERTIFICATE OF LIABILITY INSURANCE 01/2 /2004 PRODUCER (305)822-7800 FAX 305827058E Collinsworth, Alter, Fowler, Dowling & French Group Inc.HOLDER. p P. 0. Box 931S Miami Lakes, FL 33014-931S THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Post, Buckley, Schuh, & Jernigan, Inc. d/b/a PBS&J 2001 NW 107 Avenue Miami, FL 33172-2507 INSURERA: Continental Casualty Company A Xle INSURERS: American Casualty Co Reading A X INSURERC: Lloyds of London A- XV INSURER D: INSURER E. CnvFR Ar:FS THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINI 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 kDD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/nDNYI POLICY EXPIRATION DATE (MM/DOM1__ LIMITS GENERAL LIABILITY GL247843206 09/30/2003 09/30/2004 EACH OCCURRENCE $ 1,000,00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 1,000,000 CLAIMS MADE FX] OCCUR MED EXP (Any one person) $ 2S,000 A X Contractual Llab PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 rj POLICY Fil PRO- JECT X LOC AUTOMOBILE LIABILITY ANY AUTO BUA247843223 09/30/2003 09/30/2004 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X A ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X Contractual Liab X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO $ EXCESS/UMBRELLA LIABILITY CUP2068179760 09/30/2003 09/30/2004 EACH OCCURRENCE $ 10, 000, 00 X OCCUR ❑ CLAIMS MADE AGGREGATE $ 10, 000, 000 A $ $ DEDUCTIBLE X RETENTION $ 10,00 $ WORKERS COMPENSATION AND WC247943268 09/30/2003 09/30/2004 X I WC STATU- OTH- EEL B EMPLOYERS' UABILITY ANY PROPRIETOR/PARTHERIEXECUTIVE OFFICER/MEMBER EXCLUDED? NO E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 I/ yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 C OTH Lro assional/Pollutioniability P42303 CLAIMS -MADE FORM 09/30/2003 09/30/2004 t $1,000,000 Limits Ea Claim and Annual Agg g re ate 11/11/1961 Retrodate DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ef:RFP P-884 Civil Engineering Annual r:F0TIr1r`ATF Mnl nFR r.ANr:FI 1 ATInN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Fort Collins EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Attn: Purchasing Department 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 21S N . Mason Street BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 2nd Floor OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Fort Collins, CO 80524 Meade Collinsworth/EEC ACORD 25 (2007I08) FAX: (970)221-6707 ©ACORD CORPORATION 1988