HomeMy WebLinkAbout132158 CTL/THOMPSON INC - INSURANCE CERTIFICATE (8)DATE
ACORM CERTIFICATE OF LIABILITY INSURANCE 11/19/04w""'
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Van Gilder Insurance Corp ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
700 Broadway Suite 1000 HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Denver CO 80203
303 837 8500 INSURERS AFFORDING COVERAGE
INSURED
CTL/Thompson Inc
7306 S Alton Way
Centennial CO 80112
INSURER nannora insurance L.
INSURER Pinnacol Assurance
INSURERC Lexington Insurance
INSURER D
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 INSURANCE POLICY NUMBER
POLICY EFFECTIVE
DATE MrDD/YY
POLJCY EXPIRATION
DATE MM/DD/YY
LIMITS
A
GENERAL LIABILITY
34UUNEX2070 10/01/04
10/01/05 EACH OCCURRENCE $1,000�000
X COMMERCIAL GENERAL LIABILITY
i
�—
iFI�RE DAMAGE (Any one lire) $3000�0
OLAIM, MADE J UGGUH
_
�MEU' tYF (A y onn person) a1 O 000 _
X PD Ded 1,000
PERSONAL & ADV INJURY $11000,000 _
GENERAL AGGREGATE is2,000,000 _
GEN L AGGREGATE LIM IT PER
PRODUCTS COMP/OPAGG s2000,000
PRO
POLICY LOC
A
AUTOMOBILE LIABILITY
34UENTZ9366 10/01/04
10/01/05
COMBINED SINGLE LIMIT
$1000000
X I MY AUTO
(Ea accident)
BODILY INJURY
ALL OWNED AUTOS
SCHEDULED AUTOS
(Per person)
$
X HIREDAUTOS
BODILY INJURY
$
_X NON OWNED AUTOS
(Per accident)
X Drive Other Car
PROPERTY DAMAGE
(Per accident)$
GARAGE LIABILITY
AUTOONLV EAACCIDEN_T
$
ANY AUTO
OTHER THAN EA ACC
$
_
$
AUTO ONLY AGG
A EXCESS LIABILITY
�34XHUEX1980 10/01/04
10/01/05
EACH OCCURRENCE $6,000O00
_
OCCUR CLAIMS MADE
AGGREGATE $6,000,000
DEDUCTIBLE
$
X RETENTION $10000
$
B
WORKERS COMPENSATION AND
616052 10/01/04 10/01/05
X WRV IMIT OER
EMPLOYERS LIABILITY
E L EAC" ACC DENT
$500 000
EL DISEASE_ EAEMPLOVEE
$SOO QOO
E L DISEASE POLICY LIMIT
$S00 OOO
C OTHER Architects & 0741679
11/22/04
$2 000 000 per claim
Engineers
722M
$4 000 000 annl aggr
rofessional Liab
DESCRIPTION OF OPERATIONSrLOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
City of Ft Collins Purchasing Division is listed as an Additional Insured
under General Liability only in respects to their interest in work performed
by the Insured as per written specified contracts
City of Ft Collins
Purchasing Division
P O Box 580
Fort Collins CO 80522
SHOULD ANYOFTH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TOMAIL3O DAYSWRITTEN
NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT BUr FAILURE TODOSOSHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
ACORD 25S (7/97)1 Of 1 #M3R90R0
REPRESENTATIVE
NInG O ACORD CORPORATION 19RR