HomeMy WebLinkAboutARCHITECTURAL ENERGY - INSURANCE CERTIFICATE (3)6.A
ACORP, CERTIFICATE OF LIABILITY INSURANCE
09ioiz0o
PRODUCER (303)442-1484 FAX (303)442-8822
Taggart & Associates, Inc.
1600 Canyon Boulevard
Y
P. 0. Box 147
Boulder, CO 80306
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 AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC #
INSURED ARCHITECTURAL ENERGY CORPORATION
2540 FRONTIER AVENUE #201
BOULDER, CO 80301
INSURERA: Hartford Casualty Insurance Co
29424
INSURERB: Republic Ind Co of America
27561
INSURERC Landmark American Insurance Co
INSURER D:
INSURER 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
kDD`L
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE a OCCUR
34SBADUS290
09/01/2005
09/01/2006
EACH OCCURRENCE
$ 1,000,00
DAMAGE TO RENTED
$ 300,000
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
rXj POLICYF—j PRO
JECT LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULEDAUTOS
HIRED AUTOS
NON -OWNED AUTOS
34SBADUS290
09/01/200S
09/01/2006
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
BODILY INJURY
(Per parson)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
A
EXCESS/UMBRELLA LIABILITY
X OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
34SBADUS290
09/01/2005
09/01/2006
EACH OCCURRENCE
$ 1,000,00
AGGREGATE
$ 1,000,00
$
$
$
B
WORKERS COMPENSATION AND
EMPLOYERS'UTABIUTY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED? 3
If yes, describe under
SPECIAL PROVISIONS below
16434701/COLORADO
15359305/CALIFORNIA
WECKB4843/HARTFORD/IL
01/01/200S
01/01/200S
02/01/2005
Ol/O1/2006
01/01/2006
02/01/2006
X we Srnru- oTH-
TORY
E.L. EACH ACCIDENT
$ 1,000,00
E.L. DISEASE - EA EMPLOYEE
$ 1,000,00
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
C
OTHER
PROFESSIONAL LIABILITY
LHR803340
10/01/2004
10/01/2005
Each Incident $1,000,000
Aggregate $1,000,000
Deductible $i,000
DESCRIPTI OF OPE I LOCATIONS I V ICLES CLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
e: C Phas II / PO4-142
City of Fort Collins
Purchasing Division
Attn: James B. O'Neill II
215 North Mason Street 2nd Flo
PO Box 580
Fort Collins, CO 80522-OS80
ACORo2sr2nn11nRA FAX: (970)221-6707
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Doualas Bollman CIC ARM/MDR
fmA[-nian PnRPnRATInkI 4aRR
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 alter the coverage afforded by the policies listed thereon.
ACORD 25 (2001/08)