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Home My WebLink AboutOHLSON LAVOIE CORPORATION - INSURANCE CERTIFICATE (2)ACC9RP. CERTIFICATE OF LIABILITY INSURANCE DATE (MWDDffM 1 05/31/2006) 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 OHLSON LAVOIE CORPORATION OHLSON LAVOIE 401K PL 1515 WAZEE ST., STE. 400 DENVER, CO 80202 INSURERA: Hartford Casualty Insurance Co 29424 INSURERS: Pinnacol Assurance 41190 INSURERC: Lloyd's of London 998 INSURER D. INSURER E. CAVFRACZFS 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 kDD11 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMMIODMI POLICY EXPIRATION DATE IMMIDDIYY) LIMITS GENERAL LIABILITY 34SBAPE4407 06/01/2006 06/01/2007 EACH OCCURRENCE $ 1,000,00 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300 CLAIMS MADE1-1 OCCUR MED EXP (Any one person) $ 10,000 A X PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMITAPPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,000 POLICY PRO- LOC JECT AUTOMOBILE LIABILITY ANY AUTO 34SBAPE4407 06/01/2006 06/01/2007 COMBINED SINGLE LIMIT (Ea accident) $ 1,000, BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS 1 NON -OWNED AUTOS NON OWNED AUTOS iIRED & NONOWNED AUTO LIABILITY ONLY X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accdent) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN FA ACC AUTO ONLY: AGG $ ANY AUTO S EXCESSIUMBRELLA LIABILITY 34SBAPE4407 06/01/2006 06/01/2007 EACH OCCURRENCE $ 1,000,000 OCCUR CLAIMS MADE AGGREGATE $ 1,000,00 A $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND 4070383 06/01/2006 06/01/2007 1 WO STATU- I j0rTH- LIME.L. B EMPLOYERS'LIAOILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? EACH ACCIDENT $ lOO, OO E.L. DISEASE - EA EMPLOYEE $ 100,000 H yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 C roressional Liability NB05AGZ6 11/01/2005 11/01/2006 $1,000,000 Each Occurence $2,000,000 Aggregate DESCRIPTION OF OPERATIONS! LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ity of Fort Collins is shown as an additional insured for license and permit 2006JUN ! pq City of Fort Collins James B O'Neill P.O. Box 580 215 North Mason Street, 2nd F1 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 Alexandra Bush/AHI ACORD 25 (2001108) ®ACORD CORPORATION 1988 ACORDM CERTIFICATE OF LIABILITY INSURANCE OS/31/2D 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 OHLSON LAVOIE CORPORATION OHLSON LAVOIE 401K P1 1515 WAZEE ST., STE. 400 DENVER, CO 80202 INSURERA: Hartford Casualty Insurance Co 29424 INSURERS Pinnacol Assurance 41190 INSURERC: Lloyd's of London 998 INSURER D: INSURER E: CAVPRAf%FR 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 ADVL TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY 34SBAPE4407 06/01/2006 06/01/2007 EACH OCCURRENCE $ 11 ON COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300 ,ON CLAIMS MADE OCCUR MED EXP (Arty one person) $ 10,00( A X PERSONAL & ADV INJURY 3 1,000,00( GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO S 2,000,00( POLICYF_j PRO- JECT LOC AUTOMOBILE LIABILITY ANY AUTO 34SBAPE4407 06/01/2006 06/01/2007 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 A ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS NON OWNED AUTOS fIRED & NONOWNED AUTO LIABILITY ONLY BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY 34SOAPE4407 06/01/2006 06/01/2007 EACH OCCURRENCE $ 1,000,000 OCCUR CLAIMS MADE AGGREGATE $ 110001000 A $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND 4070383 06/01/2006 06/51/2007 1 wCSTATU-I 1OTH- B EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? E.L. EACH ACCIDENT $ 100,00 E.L. DISEASE - EA EMPLOYEE $ 100,000 Use, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 500,00 C ro essional Liability NB05AGZ6 11/01/2005 11/01/2006 $1,000,000 Each Occurence $2,000,000 Aggregate DESCRIP ON OF OPERATIONS / LQCATIONS I VEHICLES / EXCLUSIONS ENDORSEMENTPE ADDED BY / SCIAL PROVISIONS Certificate holder is shown as an additional insured. 20OF-JUN 1 pm 1%59 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Fort Collins EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL James O'Neill 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, P.O. BOX 580 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 215 North Mason Street OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Fort Collins, CO 8OS22 AUTHORIZED REPRESENTATIVE ACORD 26 (2001/08) ®ACORD CORPORATION 1988