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HomeMy WebLinkAbout457580 J F SATO AND ASSOCIATES - INSURANCE CERTIFICATE (4)ACORD.CERTIFICATE OF LIABILITY INSURANCE 0DATE 4/16/2009Y) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Van Gilder Insurance Corp. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 700 Broadway, 1000 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR y ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80203 303 837-8500 INSURERS AFFORDING COVERAGE INSURED INSURER A: Hartford Casualty Insurance Co J. F. Sato &Associates, Inc. INSURER B: National Union Fire Ins Co of Pitts- 5898 So. Rapp Street INSURER C: XL Specialty Insurance Company Littleton, CO 80120 INSURER D: 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. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MWDD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS A GENERAL LIABILITY 34SBAE18495 12/24/08 12/24/09 EACH OCCURRENCE $ j 000 000 FIRE DAMAGE (Any one fire) $300 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FXI OCCUR MED EXP (Any one person) $10 000 PERSONAL & ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIM ITAPPLIES PER: PRODUCTS - COMP/OP AGG s2,0001000 POLICY PRO LOC JECT A AUTOMOBILE LIABILITY ANY AUTO 34SBAE18495 12/24/08 12/24/09 COMBINED SINGLE LIMIT (Ea accident) $1 000 000 r BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG B EXCESS LIABILITY EBU015647400 12/24/08 12/24/09 EACH OCCURRENCE $4 000,000 X OCCUR El CLAIMS MADE AGGREGATE s4,000,000 $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- OTH- RY LIM E.L. EACH ACCIDENT _ $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ C OTHER Professional DPR9612777 07/18/08 07/18/09 $2,000,000 per claim Liability $5,000,000 annl aggr. Claims Made DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS If required by written contract or written agreement, the City of Fort Collins is included as Additional Insured for ongoing operations under General Liability and Automobile Liability. *Except 10 days notice for non-payment of premium. City of Fort Collins Purchasing Department PO Box 280 Fort Collins, CO 80522 Afff 1h31111+LULei ►1 SHOULD ANYOF TH E ABOVE D ESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL30* DAYSWRITTEN NOTICE TO THE CERTIFICATE HOLDER NAM ED TO TH E LEFT, BUT FAILURE TO DO SOSHALL IM POSE NO OB LIGATION OR LIABILITY OF ANY KIND UPON TH E INS URER,ITS AGENTS OR REPRESENTATIVES. A HORIZED REPRESENTATIV ACORD 25-S (7/97)1 of 2 #S564727/M558974 KAB © 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 #S564727/M558974