HomeMy WebLinkAboutBOULDER DESIGN ALLIANCE - INSURANCE CERTIFICATE (9)ACORD„. CERTIFICATE OF LIABILITY INSURANCE ll-05-200
DATE
I8
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
VAN GILDER INSURANCE CORPIPHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
341438 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:
BOULDER DESIGN ALLIANCE MR. ROB INSURER B:
D
INSURER C:
EKIEFFER
3002 MELISSA LN.
BOULDER CO 80301
INSURER D:
INSURER E:
s
THE POLICIES OF INSURANCE LISTED BELOW NAVE BEEN ISSUED TO THE INSURED NAMED A80VE 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.
INSB
LT
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD/YYI
POLICY EXPIflATION
DATE IMM/DD/YY) LIMITS
A
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
34 SBA LJ6557
01/01/09
1 EACH OCCURRENCE 51 , 0 0 0, 0 0 0
01/01/10 FIRE DAMAGE (Any oneBre) $300, 000
CLAIMS MADE LX l OCCUR
X General Liab
MED EXP (Any one person) $1 0 , 000
PERSONAL &ADV INJURY $1, 000, 000
GENERAL AGGREGATE 52 , 000, 000
GENT AGGREGATE LIMIT APPLIES PER:
POLICY X jEgT LOC
PRODUCTS -COMP/OP AGG 52 , 000, 000
Al
AUTOMOBILE
LIABILITY
auto
34 SBA LJ6557
01/01/09
01/01/10
COMBINED SINGLE LIMIT $1 , 000, 000
(Ea acciden0
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
IPer person)
S
HIRED AUTOS
X
NON OWNED AUTOS
BODILY INJURY
(Per accident)
S
X
PROPERTY DAMAGE
IPer accidenU
S
GARAGE LIABILITY
LAUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHERTHAN EA ACC
$
5
AUTO ONLY: AGG
�EXCESS
LIABILITY
OCCUR LJ CLAIMS MADE
EACH OCCURRENCE
S
AGGREGATE
$
$
DEDUCTIBLE
$
RETENTION S
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
WC STATU- OTH
TORV LIMITS "q
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
S
E.L. DISEASE - POLICY LIMIT j
$
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Those usual to the insured's operations.
l`FRTIMPATC YN. w-. . _.
City of Fort Collins
Attn: Jan Elliott
256 W. Mountain Avenue
Fort Collins, CO 80521
OULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
aIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
DAYS WRITTEN NOTICE 110 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
LDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
LIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
'RESENTATIVES.
A ORI D RE EBE�
`ACORD CORPORATION 1988