HomeMy WebLinkAboutROTHBERG TAMBURINI - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE CSR GL DATE jMM DD/YYYY)
ROTHB-1 09 20 OS
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
ACBC/MARSH HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
800 Market St, Ste. 2600 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
St. Louis MO 63101-2500
Phone:800-338-1391 Fax:888-621-3173 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Hartford Insurance Company 22357
Rothberg Tamburini & Winsor, INSURERS:
Inc;RTW Professional Engineers
& Consultants, Inc. INSURERC
1576 Sherman Street #100 INSURER D:
Denver CO 80203
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.
LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MM/DDlYY
LI Y IRA N
DATE MMIDDIYY
LIMITS
A
GENERAL LIABILITY
_ COMMERCIAL GENE _ RAL LIABILITY
X
CLAIMS MADE L_J OCCUR
84SBWBT6437
11/01/05
11/01/06
EACH OCCURRENCE
PREMISES(Eaoccurence)
MED EXP (Any one person)
,$300,000
$ 10 , 0 0 0
PERSONAL &ADV INJURY
$ 1, 000, 000
GENERAL AGGREGATE
$ 2, 000, 000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY X JECT PRO LOC
PRODUCTS - COMP/OP AGG
s2,000,000
A
AUTOMOBILE
LIABILITY
ANYAUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
84UEGNP2051
11/01/05
11/01/06
COMBINED SINGLE LIMIT
(Ea accident)
$ 1, 000, 00O
X
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
S
_
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHERTHAN EA ACC
AUTO ONLY: AGG
$
$
A
EXCESS/UMBRELLA LIABILITY
X OCCUR CLAIMSMADE
DEDUCTIBLE
RETENTION $
84SBWBT6437
11/01/05
11/01/06
EACH OCCURRENCE
$ 1,000,000
AGGREGATE
$ 1, 000, 000
$
$
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY 1'RUYRIEYOWPARYT ERIEXECUTIVE
OFFICER/MEMBER EXCLUDED?
B yes, describe under
SPECIAL PROVISIONS below
TORY LIMITS I I ER
ryy. EACH ACCIDENT
e
—
E.L. DISEASE - EA EMPLOYE
$
E.L. DISEASE - POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CFH IIFICAIF HI11 nFH CANCFI I ATInN
CTYFTCO
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
CITY OF FT. COLLINS
ATTN: OPAL DICK
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
PO BOX 580
REPRESENTATIVES.
AUTHORIZED ENT TIVE�
FT. COLLINS CO 80522-0580
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