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HomeMy WebLinkAbout330179 INTERWEST CONSULTING GROUP - INSURANCE CERTIFICATE (4)# 7/18/2008 13:50 Van Gilder Insurance Corp, Colette lValton- City or Ft Collins 2/4 rHnnllb AA75Q INTrrYNIR ACORQ.., CERTIFICATE OF LIABILITY INSURANCE DATE 071181080rY) 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. ALTER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80203 303 837.8500 INSURERS AFFORDING COVERAGE INSURED InterINSURER 1076 Lincoln Place est Consulting Group 076 n Boulder, CO 80302 A. Hartford Casualty Insurance Co INSURER B. Hartford Insurance Group INSURER c. Hartford Accident and Indemnity Co INSURER D. XL Specialty Insurance Company INSURER E. _ LK�iva:aaaa.: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE 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 POUCYEFFECTIVE DATE iMMIDDIYYI POLICYEXPIRAIION DATE 0,1111i LIMITS A GENERAL LIABILIT Y 34SBAPA7634 06/01/08 06/01109 EACH OCCURRENCE $2000,000 X COMMERCIALGENERA�LLIABILITY FIRE DAMAGE IAnyOnef,e) $1,000000 MED EXF (Any one Person) $10000 CLAIMS MADE 5XI OCCUR PERSONAL&ADV INJURY $2000,000 GENERAL AGGREGATE $4,000,000 GENLAGGREGATELIMITAPPLIESPER. PRODUCTS-COMP/OPAGG $4,000,000 POLICY FRO- IFCT LOC B AUTOMOBILE LIABILITY 34UECN04896 06/01/08 06/01/09 COMBINED SINGLE LIMIT X ANY AUTO (Eo accvfenQ $1,ODD,D9D ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ X HIRED AUTOS � BODILY INJURY $ X NON -OWNED AUTOS (Per ocdOenU PROPERTY DAMAGE $ -- — — — (Per acdJenQ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY. AGO A EXCESSLIABILIrY 34SBAPA7634 06/01/08 06/01/09 EACH OCCURRENCE $1000,000 X OCCUR ❑CLAIMS MADE AGGREGATE $1,000,000 $ DEDUCTIBLE $ X RETENTION $10000 C WORKERS COMPENSATION AND 34WEGKC7038 06/01/08 06/01/09 X 4YCSTATU- OTH- TOC LIMITS ER EMPLOYERS'LIABILITY E.EACH ACCIDENT L. 81,00000,000000 E.L.DISEASE-EAEMPLOYEE $1,000,000 EL DISEASE -POLICY LIMIT $1,000,000 D OTHER Professional OPR9607455 11/14/07 11/14/08 $2,000,000 per claim LiabilityM $2,000,000 annl aggr. aims ads DESCRIPTION OF OPERATIONS/LOCA I IONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS RE: P1124 Civil Engineering Annual If required by written contract or written agreement, the City of Fort Collins is included as Additional Insured for ongoing operations under General Liability and Automobile Liability with respect to the above referenced. (See Attached Descriptions) City of Fort Collins Attn: Mark Laken P.O. Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES S E CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_.__DAYS WRITTEN NOTICE TOTHE CERTIFICATE HOLDER NAM ED TOTHELEf T, BUT FAILURE TOD O SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AI ORIZEY - D REPRE 1 of S iIARZR7A1IM';T_1QR1 now © ACORD CORPORATION 19Rf ;� 7/18/2008 13:50 Van Gilder Insurance Corp. Colette Walton- City of fit Collins 3/4 IMPORTANT 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. ACORD25S(7/97)2 of 3 #S538793/M533981 # 7/18/2008 13:50 Van Gilder Insurance Corp. Colette Walton -*City of Ft Collins 4/4 DESCRIPTIONS (Continued from Page 1) 10 days notice of cancellation will be given for non-payment of premium. AMS 25.3 (07197) 3 of 3 #S538793IM533981