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HomeMy WebLinkAboutROTHBERG TAMBURINI AND WINDSOR - INSURANCE CERTIFICATE (2)rrPnre.Cr1n fl�5ii_LLl C,�f� ACD., CERTIFICATE OF LIABILITY INSURA C� DATE 04110108Dm) PRODUCER v Van Gilder Insurance Corp. 700 Broadway, Suite 1000 THIS CERTIFICATE ONLY HOLDER. ALTER IS ISSUED AS A MATTER OF INFORMATION AND CONFERS NO RIGHTS UPON THE CERTIFICATE THIS CERTIFICATE DOES NOT AMEND, EXTEND OR THE COVERAGE AFFORDED BY THE POLICIES_ BELOW. Denver, CO 80203 303 837.8500 INSURERS AFFORDING COVERAGE INSURED INSURER A: Hartford Accident & Indemnity Co Rothberg, Tamburini and Winsor, Inc. INSURER B: XL Specialty Insurance Company 1576 Sherman St., Suite 100 INSURER C: Denver, CO 80203 --""-----"-- IN D: ---------- ----- INSURER E: _ 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 I IEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. WSR VTR T:'PE OE!N. `_VPRNCE j POLJCY NIIMRER POLICY EFFEC11 VE�jPOLICY DATE MM/nnW EXPIRATION DATE MMIDD/YY LIMITS _--_.--_ GENERAL LIABILITY _ EACH OCCURRENCE j$ COM M ERCIAL GG N FRAIL LtAS I L ITY F IRE DAMAGE (Any one fire)_ $ MED ESP (Any one person) — --- $ __ —_1 CLAIMS MADE A OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE S GEN'L AGGREGGAT?E L IM IT APPL IES PE R: PRODUCTS-COMP/OPAGG $ ( POLICY I JRC'T- LOD AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ .___. I3001LY INJURY (Per person) _ I$ - 1 ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS BODILY INJURY $ _ NON -OWNED AUTOS (Per accitlenp PROPERTY DAMAGE (Per accident) S GARAGE LIABILITY ( AUTO ONLY EA ACCIDENT $ OTHERTHAN EA ACC AUTO ONLY: AGO $ ANY AUTO $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR I`J CLAIMS MADE AGGREGATE $ _ S —� DEDUCTIBLE RETENTION 5 — 1 $ _ A !WORKERS COMPENSATION AND 34WEGKC3171 05101/08 I05/01/09 I_X ' SrA-L-._:i_._1=1P EMPLOYERS'LIABILITY E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT I T1 i000,000 B OTHER Professional DPR9607743 12/27/07 112/27/08 $2,000,000 per claim (Liability $4,000,000 anal aggr. Maims Made DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATF HCII nER I I AnnnIONAi Hst Rrn yNSIIRFRI FTTER. CANCELLATION SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE EXPIRATION City of Ft. Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL 30—OAYS WRITTEN Attn; Opal Dick NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHELEFT, BUTFAILURE TODOSOSHALL PO Box 580 IMPOSE NOOBLIGATION OR LIABILITYOF ANYKIND UPON THE INSURER,ITS AGENTS OR Fort Collins, CO 80522-0580 REPRESENTATIVES. QORIZED REPRESENTATIVE- AF 1 ACORD 25-S (7/97)1 of 2 #M528704 CDW © ACORD CORPORATION 1988 If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD25-S(7/97)2 of 2 #M528704