HomeMy WebLinkAbout280698 NORTHSTAR DESIGN - INSURANCE CERTIFICATEACORD CERTIFICATE
TN
OF LIABILITY INSURANCE DATE
02-13-2008
PRODUCER
LBN INSURANCE AGENCY/PHS
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
C
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR
342715 P (866)467-8730 F (877)905-0457
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
INSURERS AFFORDING COVERAGE
PO BOX 33015
SAN ANTONIO TX 78265
I INSURED
INSURER AHartford Casualty Ins Cc
INSURER 8
INSURER
NORTHSTAR DESIGN
INSURER
700 AUTOMATION DR UNIT I
INSURER
WINDSOR CO 80550
COVERAGES
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 TYPE OF INSURANCE
LTR
POLICY NUMBER
POUCV EFFECTIVE POLICY EXPIRATION
DATE MM/DDIYV DATE MM/DD/YY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE $1, 000, 000
A
AL LIABILITY
COMMERCIAL GENERAL ABILITY
34 SBA
NF8434 04/13�08 04�13/09
on
FIRE DAMAGE IAn, e fire) I s300, 000
MED EXP (A, one pe son) $1 0 , 0 0 0
y
CLAIMS MADE `> OCCUR
Al
XI General Liab
PERSONAL&ADV INJURY I S1, 000, 000
GENERAL AGGREGATE I s2 , 000, 000
GEN L AGGREGATE LIMIT APPLI ES PER
PRODUCTS COMP/OP AGG
s210001000
POLICY JECOT X I LOG
A
AUTOMOBILE LIABILITY
ANY AUTO 34 SBA
NF8434
04/13/08
04/13/09
COMBINED SINGLE LIMIT
(E..p.,dentl
$1, 000,000
BODILY INJURY
I (P pe )
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
X NON OWNED AUTOS
BODILY INJURY
IP id 'I
$
PROPERTY DAMAGE
IP d tl
$
GARAGE LIABILITY
AUTO ONLY EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY ASS
S
ANY AUTO
S
LCESS LIABILITY
EACH OCCURRENCE
s
IJ OCCUR a CLAIMS MADE
AGGREGATE
S
$
$
DEDUCTIBLE
5
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS LIABILITY
WC STATU OTH
T V LIMIT R
EL EACH ACCIDENT
$
EL DISEASE EA EMPLOYEE
S
E L DISEASE POLICY LIMIT
$
OTHER
DESCRIPTION OF OPER MNS/LOCATIONSNMMLES/EXCLUSIONS ADDED By ENDORSEMENT/SPECIAL PROVISIONS
Those usual to the Insured's Operations
City of Fort Collins
Attn Purchasing Division
PO Box 580
Fort Collins CO 80522
DULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
NRATION 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
LIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
AwnU 20 IS 1 I/BII 0 ACORD CORPORATION 1988