HomeMy WebLinkAboutBOULDER DESIGN ALLIANCE - INSURANCE CERTIFICATE (5)L143
CERTIFICATE OF LIABILITY INSURANCE DATE
11 0 7 2007
THIS CERTIHCATE IS ISSUED AS A MATTER OF INFORMATION
R INSURANCE CORP/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
(866)467-8730 F (877)905-0457 ALTERT EHCOVERAGEATIFICATEDOESNOTAMEND EXTEND OR
POLICIES BELOW
015IO TX 78265 INSURERS AFFORDING COVERAGE
BOULDER DESIGN ALLIANCE MR ROB INSURERa
INSURER
DEK I EFFER
3002 MELISSA IN INSURER
BOULDER CO 80301 INSURER
COVERAGES INSURER E
ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATETMAY BE ISSUED OR
DIN
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 INSURANCE POLICY NUMBER DATE IMEFFICM/DDTWE DATE IMMIDD YwyN
GENERAL LIABKITY LBAITS
A COMMERCIALGENERALLIABILITY 34 SBA LJ6557 EALH OCCURRENCE Isl OOO O(
O1/O1/08 O1/O1/O9 FIRE DAMAGE (Any onefire) Is30O O00
CLAIMS MADE Li OCCUR I MED EXP (A y one pe aonl I sl O O O 0
X General Liab
PERSONAL&ADV INJURY I S1. 000. nn
GEN L AGGREGATE LIMIT APPLIES PER
GENERAL AGGREGATE I
s2 000, O O C
POLICY X PROLOC
(PRODUCTS COMP/OP AGG I52
OOO OOO
AUTOMOBNE WIBILRY
A
ANY AUTO
34 SBA LJ6557
01/01/08
01/01/09
(E-0MBI..deDlsINGLELIMIr I
$l, 000, 000
ALL OWNED AUTOS
SCHEDULED AUTOS
I BODILY INJURY
X HIRED AUTOS
L Po bn)
5
X NON OWNED AUTOS
BODILY INJURY
(Per. ad nU
S
PROPERTY DAMAGE
GARAGE LABBRy
(Per-.1d.nt)
$
ANY AUTO
AUTO ONLY EA ACCIDENT I
S
OTHER THAN EA ACC $
EXCESS LABILI
AUTO ONLY AGG S
OCCUR u CLAIMS MADE
I
EACH OCCURRENCE S
DEDUCTIBLE I I I I I $
WORKERS COMPENSATION AND $
EMPLOYERS UAMTY WC STATU OTH
I
E L EACH ACCIDENT 5
E L DISEASE FA EMPLOYEE $
OTXER E L DISEASE POLICY LIMIT S
OeSCRII ION OF OPEMTIONBIWCATKINS/VEHMLES/EXCLUSIONS ADDED BY ENDORSEMENT/BF
Those usual to the Insured's Operations
CltY of Fort Collins
PO Box 580
Fort Collins, CO 80522
7ULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
'IRATION 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
JGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
'RESENTATIVES
25 S
c ACORD CORPORATION 1988