HomeMy WebLinkAboutCOOVER CLARK - INSURANCE CERTIFICATE (3)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID AE DATE(MWDDIYYYY)
COOVE-1 09 29 O5
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Compass Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Olson & Olson Division HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 1467 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Englewood, CO 80150
Phone:303-761-0085 Fax:303-788-1817
Coover-Clark & As6occ5ates P.C.
455 Sherman St.,
Denver CO 80203
INSURERS AFFORDING COVERAGE NAIC #
INSURER A: Transportation Ins. Co. 20494
INSURERB: Continental Casualty Co. 20443
INSURER C:
INSURER D:
INSURER E:
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
NS
TYPE OF INSURANCE
POLICY NUMBER
DATEY161111 YV FECTIVE
PDATE MMIDDm
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE � OCCUR
2054533163
10/20/05
10/20/06
EACH OCCURRENCE
$ 1 , 000 , QQQ
PREMISES Eaoaurence
$ 300,000
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ Included
GENERAL AGGREGATE
s2,000,000
GENT AGGREGATE LIMIT APPLIES PER:
POLICY JEPRO CT LOC
PRODUCTS-COMP/OP AGG
$2,000, 000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNEDAUTOS
2054533163
CITN
1
rr
S)F rn- "� 20
OF FORT C
06
5
LLINS
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
BODILY INJURY
(Per person)
$
X
BODILY
(Per accident)RY
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
-EXCEPT 10 DAYS FOR NON-
PAYMENT OF PREMIUM
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
A
EXCESSIUMBRELLA LIABILITY
X OCCUR F-ICLAIMSMADE2054533163
RDEDUCTIBLE
X RETENTION $10000
10/20/05
10/20/06
EACH OCCURRENCE
s2,000,000
AGGREGATE
$2,000,000
$
B
WORKERS COMPENSATION AND
EMPLOYERTLIABILITYER
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yECIAL PRO under
SPECIAL PROVISIONS below
WC2054837044
10/20/05
/05
10/20/06
X TORY LIMITS TH
E.L. EACH ACCIDENT
$500,000
E.L. DISEASE- EA EMPLOYEE
$ SOO , OOO
E.L. DISEASE- POLICY LIMIT
$ 500 000
A
OTHER
Valuable Papers
2054533163
10/20/05
10/20/06
Val Paper $100,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
STCODE2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL * 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
City of Ft Collins PO Box 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Ft. Collins CO 80522 REPRESENTATIVES.
25(2001/08)
ACORD CORPORATION 19RR