HomeMy WebLinkAbout211762 HINES IRRIGATION CONSULTANTS INC - INSURANCE CERTIFICATE* 2/26/2009 10:18 Van Gilder Insurance Corp. Katie Blankley->John Stephen 2/3
ACORDT, CERTIFICATE OF LIABILITY INSURANCE oti26/2009Y`
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: The Travelers Indemnity Company
Hines Irrigation Consultants, Inc. INSURER B: Farmington Casualty Company
323 W. Drake Road INSURER C: St. Paul Fire & Marine Insurance
Fort Collins, CO 80526 INSURER D:
INSURER E
Cr1VFRAGFS
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
T
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
T MI
POLICY EXPIRATION
D /
LIMITS
A
GENERALLIABILITY
6807544M3201ND08
12/31/08
12/31/09
EACH OCCURRENCE
$1000000
FIRE DAMAGE (Any one fire)
$300 000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE Fiivl
I OCCUR
MED EXP (Any one person)
$5 000
PERSONAL & ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIM T APPL IES PER:
PRODUCTS -COMP/OPAGG
$2,000,000
POLICY PRO-JECT L1 LOC
-
A
AUTOMOBILE
LIABILITY
ANY AUTO
6807544M3201ND08
12/31/08
12/31/09
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Pereccident)
$
X
X
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per amdent)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESS LIABILITY
EACH OCCURRENCE
$
OCCUR ❑ CLAIMS MADE
AGGREGATE
$
$
$
DEDUCTIBLE
$
RETENTION $
B
WORKERS COMPENSATION AND
XVMPFUB2402T94909
02/01/09
02/01/10
X TORY LIMITS OER
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT I$1,000,000
E.L. DISEASE -EA EMPLOYEE
$1,000,000
E.L. DISEASE -POLICY LIMIT
$1,000,000
C
OTHER Professional
QP03811587
12/31/08
12/31/09
$1,000,000 per claim
Liability
$1,000,000 annl aggr.
!aims Made
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSE MENTISPE CIAL PROVISIONS
*Except 10 days notice for non-payment of premium.
GERTIFIGAYE MOLUER ADDITIONALINSURED:OVSURERLETTER CANCELLATION
SHOULD ANY OF TH E ABOVE DESCRIBED POLICIES B E CANCELLED BEFORE THE EXPIRATION
City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL3n* DAYS WRITTEN
Attn: John Stephen, CPPO, CPPB NOTICETOTHE CERTIFICATE HOLDERNAMEDTOTHELEFT BUTFAILURE TODOSOSHALL
Senior Buyer IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
215 N Mason Rd I REPRESENTATIVES.
Fort Collins, CO 80521 A HORIZED REPRESENTATN
a.,., 4-11 < - \_j IXA.a
ACORD 25-S (7/97)1 of 2 #S560932/M560782 KAB 0 ACORD CORPORATION 1988
# 2/26/2009 10:18 Van Gilder Insurance Corp. Katie Blankley->John Stephen 3/3
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.
ACORD25-S(7/97)2 of 2 #S560932/M560782