HomeMy WebLinkAboutSKUMATZ ECONOMIC RESEARCH - INSURANCE CERTIFICATE (3)ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE
01-20-2006
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
TAGGART & ASSOCIATES, INC/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
342321 P: (866)467-8730 F: (877)905-0457 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PO BOX INSURERS AFFORDING COVERAGE
SAN ANTONIO TX 78265 ONIO
INSURED INSURER A:Hartford Casualty Ins Co
SKUMATZ ECONOMIC RESEARCH ASSOCIATES INSURERB:Twin City Fire Ins Co
CORPORATION INSURER C:
762 ELDORADO DR. STE 100 INSURER D:
LOUISVILLE CO 80027 INSURER E:
L;V VCMALit,
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
LTR
TYPE OF INSUMNCE
POLICY NUMBER
POLN:Y EFFECTIVE
DATE MMIDDIYV
POLICY EXPIRATION
DATE MM/OD/YY LIMITS
GENERAL LIABILITY
I EACH OCCURRENCE I $2 , 000, 000
A
COMMERCIAL GENERAL LIABILITY
34 SBA PA510 0
0 3 / 12 / 0 6
0 3 / 12 / 0 7 FIRE DAMAGE (Any one fuel $3 0 0 , 0 0 0
CLAIMS MADE X I OCCUR
MED EXP (Any one Person) I $10 , 000
X Business Liab
PERSONAL&ADV INJURY $2, 000, 000
GENERAL AGGREGATE s4,000, 000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGO s4,000, 000
POLICY PRO- X LOC
JECT
A
AUTOMOBILE
LIABILITY
ANY AUTO
34 SBA PA510 0
0 3/ 12 / 0 6
0 3/ 12 / 0 7
COMBINED SINGLE LIMIT
(Ea accident)
s2,000, 000
BODILY INJURY
(Per Person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
X
BODILY INJURY
(P� er accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
LAUTO ONLY - EA ACCIDENT
S
$
ANY AUTO
OTHER THAN EA ACC
AUTO ONLY: AGO
$
EXCESS LIABILITY _
OCCUR a CLAIMS MADE
EACH OCCURRENCE $
I AGGREGATE $
I
$
S
DEDUCTIBLE
$
RETENTION S
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
34 WEC GM5199
03/12/06
03/12/07
X WCY IATMIUT I ETH-
E.L. EACH ACCIDENT
$100, 000
E.L. DISEASE - EA EMPLOYEE
$10 0 , 0 0 0
E.L. DISEASE -POLICY LIMIT
$500, 000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Those usual to the Insured's Operations.
-__-
City of Fort Collins
Attn: James B. O'Neill
PO Box 580
Fort Collins, CO 80522
:)ULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
aIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
LDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
_IGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
A O�SItinaT11(F
""""" """ ® ACORD CORPORATION 1988