HomeMy WebLinkAboutBOULDER DESIGN ALLIANCE - INSURANCE CERTIFICATE (8)ACORD,N CERTIFICATE OF LIABILITY INSURANCE ,11-05-2008
DATE
PRODUCER
VAN GILDER INSURANCE CORP/PHS
341438 P: (866)467-8730 F: (877)905-0457
PO BOX 33015
SAN ANTONIO TX 78265
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION.
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLEEXTEND OR
ALLTER THEHIS COVERAGE AFFORDED BCERTIFICATE DOESOY THE POLLIICIES BELOW.
INSURERS AFFORDING COVERAGE
INSURED
BOULDER DESIGN ALLIANCE MR. ROBj
DEKIEFFER
3002 MELISSA LN.
BOULDER CO 80301
INSURER A: Hartf Ord Casualty Ins CO
wsuRERe:
INSURER C:
INSURERD:
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,
INSp
LT.TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDD/YY
POLICY EXPIflANON
DATE MMIDDNYI LIMITS
A
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ITOCCURMED
X General Liab
34 SBA LJ6557
01/01/09
i
01/01/10
I EACH OCCURRENCE 1 $1, 000, 000
FIRE DAMAGE IA, one lire) s300, OOO
EXP IAny one person) 1 $1 0 , 000
PERSONAL & ADV INJURY �$1,000,000
GENERAL AGGREGATE s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY I X I JEC'T LOC
PRODUCTS - COMP/OP AGG S2 , 000, 000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON OWNED AUTOS
34 SBA LJ6557
01/01/09
01/01/10
COMBINED SINGLE LIMIT
(E. eeidew)
$1 , 000,000
BODILY INJURY
IPer person)
$
X
BODILY INJURY
(Per accident)
S
X
PROPERTY DAMAGE
IPer accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
5
5
EXCESS LIABILITY _
J OCCUR a CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
5
AGGREGATE
$
5
$
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
WC STAI'U- OTH
TORY LIMITS R
I E.L. EACH ACCIDENT
$
E.L. DISEASE EA EMPLOYEE
S
E.L. DISEASE -POLICY LIMIT
S
I
OTHER
I
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Those usual to the Insured's Operations.
CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
City of Fort Collins
PO BOX 580
Fort Collins, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
45 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE I
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
REPRESENTATIVES,
A ORI D RE ESEN ATI
ACORD 25-S (7/97) �) ACORD CORPORATION 1988