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Home My WebLink AboutNUSZER KOPATZ - INSURANCE CERTIFICATE (2)ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE 10-29-2008 PRODUCER I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BANKS INSURANCE AGENCY, INC/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 342221 P: (866)467-8730 F: (877)905-0457 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 33015 SAN ANTONIO TX 78265 INSURERS AFFORDING COVERAGE INSURED INSURER A:Hartford Casualty Ins Co NUSZER KOPATZ, INC. 1117 CHEROKEE ST STE 200 DENVER CO 80204 VV VCDHVCJ INSURER C: 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. 'DTP ( TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIODIVY POLICY E%PIRATION DATE MM/ODIVY LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL I L LIABILITY I X CLAIMS MADE OCCUR X General Liab 34 SBA UH6408 12/15/08 EACH OCCURRENCE 12/15/09 FIRE DAMAGE IAnyone fire) MED EXP (Any one person) PERSONAL&ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG s2 , 000, 000 $300, 000 $1 0 , 000 ls2,000 000 I54 , 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY I I PE JECT I X I Loc s4,000,000 A I _ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 34 SBA UH6408 12/15/08 12/15/09 COMBINED SINGLE LIMIT I IEaaoemann s21000,000 BODILY INJURY (Per person) $ X (Pe�acciden IILY RY $ X PROPERTY DAMAGE )Per accident) $ GARAGE LIABILITY ANY AUTO ( AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: ASS 5 $ A EXCESS LIABILITY _ LXJ OCCUR a CLAIMS MADE DEDUCTIBLE X RETENTION $10, 000 34 SBA UH6408 12/15/08 12/15/09 EACH OCCURRENCE I s2,000,000 AGGREGATE L2,000,000 S $ $ B ( WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 34 WEC TA5447 12/15/08 12/15/09 X WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $1, 000, 000 E.L. DISEASE - EA EMPLOYEE $1,0000, 000 E.L. DISEASE -POLICY LIMIT S1, 0,000 OTHER DESCRIPTION OF OPERATIONS)LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Those usual to the Insured's Operations. City of Ft Collins Purchasing PO BOX 580 Fort Collins, CO 80522 ' IHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE XPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL O DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE (OLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO IBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR u ACORD CORPORATION 1988 ACORD,, CERTIFICATE OF LIABILITY INSURANCE I10-29-DATE 2008 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BANKS INSURANCE AGENCY, INC/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 342221 P: (866)467-8730 F: (877) 905-0457 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 33015 CO VERAGE SAN ANTONIO TX 78265 INSURERS AFFORDINGI INSURED INSURER A: 19 NUSZER KOPATZ, INC. INSURER C: 1117 CHEROKEE ST STE 200 INSURER D: 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. INTq TYPE OF INSURANCE POLICV NUMBER POLICY EFFECTIVE DATE MMIODIVY POLICV EXPIRATION DATE MMIOO/YY LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LI�ABILITY 34 SBA UH6408 12/15/08 12/15/09 EACH OCCURRENCE 52 , 000, 000 FIRE DAMAGE (Any one fire) s3001 000 CLAIMS MADE " OCCUR I MED EXP Any one person) $10 , 000 X General Liab PERSONAL &ACV INJURY 52, 000, 000 GENERAL AGGREGATE s4,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY JECCT X LOC ( PRODUCTS COMP/OP AGG s4,000,000 A AUTANYAUTOLIABILITY MOBILE 34 SBA UH6408 12/15/08 12/15/09 COMBINED SINGLE LIMIT (Ea accident) s21000,000 BODILV INJURY IPer Person) S ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X BODILYINJURY (Per accident) accident) S X PROPERTY DAMAGE IPer zccidentl S GARAGE LIABILITY ( AUTO ONLY - EA ACCIDENT $ OTHER TITAN EA ACC AUTO ONLY: AG6 S ANY AUTO S EXCESS LIABILITY EACH OCCURRENCE 1s2,000,000 A _ X OCCUR ElCLAIMSMADE I34 SBA UH6408 12/15/08 12/15/09 1 AGGREGATE ls2,000,000 IS $ DEDUCTIBLE X RETENTION $10 , 0 01 $ B WORKERS COMPENSATION AND EMPLOYERSLIABILITY 34 WEC TA5447 12/15/08 12/15/09 X WC STATU IOTH- TORY LIMITS ER E.L. EACH ACCIDENT Sl, OOO, OOO E.L. DISEASE EA EMPLOYEE $1 , 0 0 0, 0 0 O E.L. DISEASE -POLICY LIMIT $I, 000, 000 I OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Those usual to the Insured's Operations. City of Ft Collins is also an Additional Insured per the Business Liability Coverage Form SS0008. I� n I.HIVVCLLHIIVIV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL City of Ft Collins 30 DAYS WRITTEN NOTICE 00 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE Purchasing HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO PO BOX 580 OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES, Fort Collins, CO 80522 A O D RE ESENTATIv -- Hwnu LD-O 1ily/) <ACORD CORPORATION 1988