HomeMy WebLinkAboutJAMES CAPITAL ADVISORS - INSURANCE CERTIFICATE (2)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID D DATE (MMIDD
JAME-28 06 09 /05 OS
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Brown & Brown Ins of Denver HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
7110 W. Jefferson Ave., #100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Denver CO 80235
Phone:303-980-6265 Fax:720-962-5142 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Houston Casualty Com an
INSURER B:
James Capital Advisors Inc
James Manire, INSURER C:
17390 E Jamison INSURER D:
Centennial CO 80016
INSURER E:
C:OVFRAGFS
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
NSR
TYPE OF INSURANCE
POLICY NUMBER
DATE MMIDDIYY
DATE MM/DD/YY EXPIRATION
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$
PREMISES Ea occurence
$
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE EOCCUR
MED EXP (Any one person)
$
PERSONAL B ADV INJURY
$
GENERAL AGGREGATE
$
GENT AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$
PROJECT 7 LOC
POLICYLI
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
$
OCCUR CLAIMS MADE
AGGREGATE
$
$
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
TWC :LIMITS ER
OR
E.L. EACH ACCIDENT
$
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. DISEASE -EA EMPLOYEE
$
OFFICER/MEMBER EXCLUDED?
Des, describe under
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
1 $
OTHER
A
Professional
H70415978
10/11/04
10/11/05
AggPerClm $500,000
Liabilit
Ded $10,000
DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Per policy terms, conditions, and exclusions.
CFRTIFICATF Wnl DFR CANCFI I ATInNJ
CITYOF
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
City Of Fort Collins
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Purchasing Department
James B. O'Neill
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
PO BOX 580
REPRESENTATIVES.
ORI DREPRESENTATIV
Fort Collins CO 80522-0580
AGUKU Z5 (ZUUI/Ut$) 4 a ' V AGUKU UUKYUKA I JUN IVINJ
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or after the coverage afforded by the policies listed thereon.
25 (2001