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Home My WebLink AboutTHE RMH GROUP - INSURANCE CERTIFICATE (2)Client#: 9430 IaLMATOMI ACORD,,, CERTIFICATE OF LIABILITY INSURANCE oa°fYY' oiioi/WD 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 INSURER A Hartford Insurance Group e Group, Inc. INSURER B Hartford Accident & Indemnity Co. y 12600 West Colfax, Suite A-400 _. INSURER C -- — — - — — XL Specialty Insurance Company Lakewood, CO 80215 -- — INSURER 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 HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD/YY DATE MM/DD/YV LIMITS A GENERAL LIABILITY 34SBAPC7103 07/01/08 07/01/09 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE one fire) $1 000,000 �— CLAIMS MADE 5_ OCCUR _(Any _ MED EXP (Anyone person)- ,$11�0 QQO _._.._____ _....____.._ PERSONAL & ADV INJURY $1,0000 000 GENERAL AGGREGATE $2,000,000 .... ...__..__ GEN'L AGGREGATE LIMITAPPLIES PER: __ --- PRODUCTS COMP/OP AGO $�000, 000 POLICY PRO- JECT LOC — A AUTOMOBILELIABILITY 34UECTZ0905 07/01/08 07/01/09 X ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $1,000,OQQ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X_ HIRED AUTOS NON-OWNED AUTOS BODILY INJURY (Peraccidenp $ X ._.._.__........ ._____.__..._ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ _.._ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY: AGO A LIABILITY 34SBAPC7103 07/01/08 07/01/09 _ EACH OCCURRENCE___ _ $4.000,OQ0 �EXCESS X] OCCUR FICLAIMS MADE AGGREGATE _ $4 OQQ,OQQ $ DEDUCTIBLE X RETENTION $1 O OOQ $ B WORKERS COMPENSATION AND 34WEGNA3768 _ 07/01/08 07/01/09 X_ ORYyAIMTS EMPLOYERS' LIABILITY E.L. EA CH ACCIDENT _.. $1,000,000 E.L.DISEASE -EA EMPLOYEE _$1,000,0_00 E.L. DISEASE -POLICY LIMIT $1,000000 C OTHER Professional DPR9612771 07/01/08 07/01/09 $2,000,000 per claim Liability $2,000,000 annl aggr. laims Made DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS 10 days notice of cancellation will be given for non-payment of premium. The City of Fort Collins is listed as an Additional Insured, under General Liability only, in respect to their interest in work performed by the insured as per written specified contracts. City of Fort Collins Attn: John Stephen, Purchasing P.O. Box 580 Fort Collins, CO 80522.0580 THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30-_DAYSWRITTEN NOTICE TOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL IM POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TH E INSURER,ITS AGENTS OR A..j ORIZED REPRI AA__ft_1 rwrcu LO-a (/ror)1 Of 2 #M537102 CDW 0 ACORD CORPORATION 1988 i Z- O NEX► 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. �Vmu ca•a tiroilL OL 2 $ivlt.J/IUL