HomeMy WebLinkAboutCARTER AND BURGESS - INSURANCE CERTIFICATEACORDr. CERTIFICATE OF LIABILITY INSURANCE DATE9/08/04 Y)
IHIS CERHHCATE IS ISSUED AS A MATTER OF INFORMATION
Wm Rigg Co ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
777 Main Street Suite C 50 HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR
Fort Worth TX 76102 5333 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
8178208100 INSURERS AFFORDING COVERAGE
Carter & Burgess Inc
707 17th Street Suite 2300
Denver CO 80202
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INSURER A American Zurich Ins Co
INSURER B Sentry Ins a Mutual Co
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 iMMIDDNY)
POLICY EXPIRATION
DATE
3/31/05
LIMITS
A
GENERAL LIABILITY
CP03981552 01
3/31/04
EACH OCCURRENCE
$ 1000000
FIRE DAMAGE (Any one fire)
$ 50000
X COMMERCIAI GENERAL LIABILITI
CLAIMS MADE rX] OCCUR
Blanket Addl Insd
& Blkt Waiver of
MED EXP (Any one person)
$ 5000
PERSONAL & ADV INJURY
$ 1000000
Subrogation as
GENERAL AGGREGATE
$ 2000000
Required by
GEN L AGGREGATE LIMIT APPLIES PER
PRODUCTS COMP/OP AGG
$ 2000000
Written Contract
POLICY X JECT LOG
A
AUTOMOBILE
LIABILITY
ANY AUTO
BAP3981554 02
Blanket Atldl Insd
3/31/04
3/31/05
COMBINED SINGLE LIMIT
(Ea accident)
g 1000000
X
BODILY rpeson)
�
$
ALL OWNED AUTOS
SCHEDULED AUTOS
& Blanket Waver
of Subrogation as
X
BODILY INJURY
(Per acc dent)
$
HIRED AUTOS
NON OWNED AUTOS
Required by
written contract
X
PROPERTY DAMAGE
(Per acc dent)
$
GARAGE LIABILITY
AUTOONLV EAACCIDENT
IS
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY qGG
EXCESS LIABILITY
X OCCUR CI -AIMS MADE
UMB9310317 01
COMPANY D
3/31/04
3/31/05
EACH OCCURRENCE
$ 3000000
AGGREGATE
$ 3000000
$ 22000000
TUE3577730 04=
Each Occur
IS 22000000
DEDUCTIBLE
COMPANY C
Aggregate
$
X RETENTION $ 10000
EXCESS LIABILITY
B
WORKERS COMPENSATION AND
EMPLOYERS LIABILITY
9005811
incl Blkt Waiver
3/31104
3/31/05
IM TS X
X ER
EL EACH ACCIDENT
$ 1000000
E L DISEASE EA EMPLOYEE
$ 1000000
of Subrogation
E L DISEASE POLICY LIMIT
$ 1000000
er Contract
A
OTHER
CP03981552 01
3/31/04
3/31/05
PROPERTY SPECIAL
BLDG BPP & VALUABLE PAPERS
80% CO INS RC
$41974 150 $25 000 PROP DED
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
ATTN DAVID GORDON AIRPORT MANAGER PROJECT NO H99207 000 0 0000
THE CITY OF FORT COLLINS AND THE CITY OF LOVELAND ARE INCLUDED AS
ADDITIONAL INSURED ON THE AUTO AND GENERAL LIABILITY
FORM 930008 ED 7 92 ATTACHED
FORT COLLINS LOVELAND
MUNICIPAL AIRPORT
4900 EARHART ROAD
LOVELAND CO 80538
ACORD 25 S (7197)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR