HomeMy WebLinkAboutARCHITECTURAL ENERGY CORPORATION - INSURANCE CERTIFICATE (2)ACORDM CERTIFICATE OF LIABILITY INSURANCE
10/06/2 0 '
PRODUCER (303)442-1484 FAX (303)442-8822
Taggart & Associates, Inc.
1600 Canyon Boulevard
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
INSURER A: Hartford Casualty Insurance Co
29424
INSURERS: Republic Ind Co of America
27561
INSURERC: Landmark American Insurance Co
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.
INSRADD'
TYPE OF INSURANCE
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE M OCCUR
POLICY NUMBER
34SBADU5290
POLICY EFFECTIVE
DATE 1111111111111MI
09/01/2005
POLICY EXPIRATION
DATE INIMIDOMI
09/01/2006
LIMITS
A
EACH OCCURRENCE
$ 1,000,00
DAMAGE TO RENTPRFMIRFS cmEDanc�t
E 300 00
MED EXP (Any one person)
$ 10,00(
PERSONAL & ADV INJURY
$ 1,000,00(
GENERAL AGGREGATE
$ 2,000,00(
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY PRO-
JECT LOC
PRODUCTS - COMPIOP AGG
$ 2,000,00
A
AUTOMOBILE
LIABILITY
ANYAUTO
ALL OWNED AUTOS
SCHEDULEDAUTOS
HIREDAUTOS
NON -OWNED AUTOS
34SBADU5290
09/01/2005
09/01/2006
COMBINED SINGLE LIMIT
(Ea accident)
$
1,000,00
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
E
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
E
$
A
EXCESSIUMBRELLA LIABILITY
X OCCUR CLAIMSMADE
DEDUCTIBLE
RETENTION $
34SBADU5290
09/01/2005
09/01/2006
EACH OCCURRENCE
$ 1,000,00
AGGREGATE
$ 1,000,00
$
a
E
B
WORKERS COMPENSATION AND
EMPLOYER
ANY PROPRIETORIETORILITYlPARTNERIE%ECUTIVE
OFFICER/MEMBER EXCLUDED? 3
H yes, describe under
SPECIAL PROVISIONS below
16434701/COLORADO
15359305/CALIFORNIA
WECKB4843/HARTFORD/IL
01/01/2005
01/01/2005
02/01/2005
01/01/2006
01/01/2006
02/01/2006
X WC STATU- OTH-
rp
E.L.EACHACCIDENT
$ 1,000,000
E.L. DISEASE - FA EMPLOYEE
$ 1,000,00
E.L. DISEASE - POLICY LIMIT
S 1,000,00
C
�tO��SSIONAL LIABILITY
LHR804629
10/01/2005
10/01/2006
Each Incident $1,000,000
Aggregate $1,000,000
Deductible $5,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS
e: CSU Phase 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 80522-0580
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.
AUTHORIZED REPRESENTATIVE r��/
Douqlas Bollman CIC ARM/MDR 7-a`Q"'
ACORD 2512001J081 FAX: (970)221-6707