HomeMy WebLinkAboutOHLSON LAVOIE CORPORATION - INSURANCE CERTIFICATEACORDM CERTIFICATE OF LIABILITY INSURANCE 10/04/z 0 )
PRODUCER (303)442-1484 FAX (303)442-8822 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Taggart & Associates, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
1600 C B d HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
anyo1
n ou evar
P. 0. Box 147
Boulder, CO 80306
INSURED OHLSON LAVOIE CORPORATIO
151S WAZEE ST., STE. 400
DENVER, CO 90202
el•I4 011ei 4--1
INSURERS AFFORDING COVERAGE
INSURERA: Hartford Casualty Insurance Co
INSURERS: Pi nnacol Assurance
INSURER C: Lloyd's of London
INSURER D:
INSURER E:
NAIC #
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
0kDWL
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE INSUDDIM
POLICY EXPIRATION
DATE IMMIMIDMI
LIMBS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE I A I OCCUR
34SBAPE4407
06/01/200S
06/01/2006
EACH OCCURRENCE
$ 1,000,000
DAMAGE TO RENTEDPRFMISFA
E 300.000
$ 10,00(
MED EXP (Any one person)
PERSONAL & ADV INJURY
$ 1,000,00(
GENERAL AGGREGATE
$ 2,000,00(
GENT AGGREGATE LIMIT APPLIES PER:
POLICY PECT RO- LOC
J
PRODUCTS - COMPIOP AGG
$ 2 , 000,00(
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS NO
SCHEDULEDAUTOS NON
HIREDAUTOS
NON-OWNEDAUTOS
34SBAPE4407
OWNED AUTOS - HIRED &
-OWNED AUTO LIABILITY
ONLY
06/01/2005
06/01/2006
COMBINED SINGLE LIMIT
(Ea accident)
$
1,000,00
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN FAACC
AUTO ONLY: AGG
$
It
A
EXCESSIUMBRELLA LIABILITY
X OCCUR CLAIMS MADE
DEDUCTIBLE
X RETENTION $ 10,00
34SBAPE4407
06/01/2005
06/01/2006
EACH OCCURRENCE
It 1,000,000
AGGREGATE
$ 1,000,000
$
It
$
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICER/MEMBER EXCLUDED?
Des, describe under
SPECIAL PROVISIONS below
4070383
06/01/2005
06/01/2006
X I WC STATU- OTH-
TORY LIMITS EEL
E.L. EACH ACCIDENT
$ 100,000
E.L. DISEASE - EA EMPLOYEE
$ ZOO , OO
E.L. DISEASE - POLICY LIMIT
$ S00 00
C
ro essional Liability
40792-1
11/01/2004
11/Ol/2005
$1,000,000 Each Occurrence
$2,000,000 Aggregate
DESCRIP N OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
ity o Fort Collins is shown as an additional insured for license and permit
City of Fort Collins
James B O'Neill
P.O. Box S80
21S North Mason Street, 2nd Fl
Fort Collins, CO 80522-0580
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.
AUTHORMED REPRESENTATIVE �J
Douglas Bollman CIC ARM/RLR lzq Tj ,
ACORD 25 (2001/08) ®ACORD CORPORATION 1988