Loading...
HomeMy WebLinkAboutCORRESPONDENCE - GENERAL CORRESPONDENCE - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OP ID MS DATE(MM/DD/YYYY) COENV-1 1 03/09/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Forsberg Engerman Company HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3575 S . Sherman St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Englewood CO 80113 Phone : 303-762-1717 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Westchester Surplus Lines Ins RI Jung Inc.dba INSURERB: Redland Insurance Company Colorado Environmental Services Ltd INsuRERc: Pinnacol Assurance 4601 Glencoe St INSURERD: Essex Insurance Company Denver CO 80216 INSURER E: Lfi@1T1a:I_Tt1=P 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. IN LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTI DATE MM/DD/YY POLICYEXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2000000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X❑ OCCUR G22073527004 03/01/09 03/01/10 PREMISES Eaoccurence) $ 50000 MED EXP (Any one person) $ 5000 A X Pollution G22073527004 03/01/09 03/01/10 PERSONAL BADVINJURY s 2000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG s2000000 POLICY X j- LOC Pollution 2000000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1000000 B ALL OWNED AUTOS SCHEDULED AUTOS RICCO0001581 03/22/08 03/22/09 X BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE- (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ _ C WORKERS COMPENSATION AND EMPLOYERS' I..IABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE 4064483 02/01/09 02/01/10 OTH- X TORY LIMITS X ER E.L. EACH ACCIDENT $ 1000000 OFFICER/MEMBEREXCLUDED? I1yECALPROVISIO SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYEE $ 1000000 E.L. DISEASE - POLICY LIMIT $ 1000000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <rGr%I Irm m I C rIULUCR GANGELLATION CITYFOR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Fort Collins Purchasing Dept IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR PO BOX 580 REPRESENTATIVES. Ft Collins CO 80522 AUTHO DREPRES TATIVE ^""^" 1 VVI"'01 ©ACORDCORPORATION 1988