HomeMy WebLinkAboutCORRESPONDENCE - GENERAL CORRESPONDENCE - INSURANCEClient#: 8415
MULENG
ACOR& CERTIFICATE
OF LIABILITY
INSURANCE
DATE
03/23/090rvvl
PRODUCER
THIS CERTIFICATE
IS ISSUED AS A MATTER OF INFORMATION
Van Gilder Insurance Corp.
700 Broadway, Suite 1000
ONLY
HOLDER.
ALTER
AND CONFERS NO RIGHTS UPON THE CERTIFICATE
THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Denver, CO 80203
303 837-8500
INSURERS AFFORDING COVERAGE
INSURED
Muller Engineering Company, Inc.
777 S. Wadsworth, Suite 100
Lakewood, CO 80226.3118
INSURERA
___--
INSURER B.
INSURER C
INSURER D
XL- SpecialtyInsuran ce-Company
-- _------_--
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, PERM OR CONDITION OF ANY CONTRACTOR 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 POUCYEFFECTIVE POLICYEXPIRATION
LTR TYPE OFINSURANCE POLICY NUMBER DATE MMIDDIYY) DATE MMIDDIYY LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$
COM M ERCIAL GENERAL LIAB ILITY
FIRE DAMAGE (Any one fire)
$
CLAIMS MADE [ OCCUR
MED EXP (Any one person) -
$
PERSONAL &ADV INJURY
$
GENERAL AGGREGATE
$
GEN L ADD NEGATE LIM I_ClI A71L IES PER:
PRODUCTS COMP/OP AGG
$
POLICY J LOC
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$
ANY AUTO
(Ea accident)
ALL OWNED AUTOS
BODILY INJURY
_
SCHEDULED AUTOS
(Per person)
$
HIRED ADIOS
BODILY INJURY
$
NON -OWNED AUTOS
(Per accident)
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN EA ACC
$
AUTO ONLY: AGO
$
EXCESS
LIABILITY
EACH OCCURRENCE
$
OCCUR CLAIMS MADE
AGGREGATE
$
5
DEDUCTIBLE
$
RETENTION $
$
WORKERS COMPENSATION AND
WC STATU OTH
I I ORY_LIM11S _ EH
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$ _
E L. DISEASE EA EMPLOYEE
$
E L DISEASE POI ICY LIMIT
$
A
OTHER Professional
DPR9615715
03/11/09
03/11/10
$1,000,000 per claim
Liability
$2,000,000 annl aggr.
Claims Made
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
If required by written contract or written agreement, City of Fort Collins is included as
Additional Insured for ongoing operations under General Liability with respect to the
above referenced. `Except 10 days notice for non-payment of premium.
City of Fort Collins
Attn: James O'Neil
215 North Mason Street,
2nd Floor
Fort Collins, CO 80522-0580
SHOULD ANVOF TH E ABOVE D ESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30'DAYSWRITTEN
NOTICE TOTHE CERTIFICATE H OLDER NAM ED TO TH E LEFT, BUT FAILURE TO DOSO SHALL
IM POSE NO OB LIGATION OR LIABILITY OF ANY KIND UPON TH E INSU RE R,ITS AGENTS OR
A HORIZED REPRESENTATIVJ—
ACORD 25-S (7/97)1 of 2 #S562902/M562898
KAB 0 ACORD CORPORATION 1988
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 #S562902/M562898