HomeMy WebLinkAboutTHE BAUEN CORPORATION - INSURANCE CERTIFICATEACORD. CERTIFICATE OF LIABILITY INSURANCE 10/l/2009
DATE (MM/DD/YYYY)
1 4/22/2009
PRODUCER Lockton Companies, LLC Denver
8110 E Union Avenue
Suite 700
Denver 80237
(303) 414-6000
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC #
INSURED The Bauen Corporation
1034102 801 E. 52nd Ave.
Denver CO 80216
INSURER A: Continental Western Group
INSURER B : Pinnacol Assurance
INSURER C
INSURER D :
INSURER E:
COVERAGES BALJC003 UU THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING
INSDRERfSI_ AUTHORZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER.
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
ADD'L
INSRD
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMIDDIYY)
POLICY EXPIRATION
DATE (MMIDD/YY)
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE a OCCUR
CWP2610825
5/1/2009
5/1/2010
EACH OCCURRENCE
$ 1,000.000
'REM SESo a oNcurence TE
$ 100.000
MED EXP (Any one person)
$ 5.000
PERSONAL & ADV INJURY
$ 1.000,000
GENERAL AGGREGATE
$ 2,000.000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRO -
POLICY X JECT LOC
PRODUCTS - COMP/OP AGG
$ 2.000.000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
CWP2610825
5/1/2009
5/1/2010
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
X
BODILY INJURY
(Per person)
$ XXXXXXX
X
BODILY INJURY
(Per accident)
$ XXXXXXX
X
PROPERTY DAMAGE
(Per accident)
$ XXXXXXX
GARAGE LIABILITY
ANY AUTO
NOT APPLICABLE
AUTO ONLY - EA ACCIDENT
$ XXXXXXX
OTHERTHAN EA ACC
AUTO ONLY: AGG
$ XXXXXXX
$ XXXXXXX
A
EXCESS/UMBRELLA LIABILITY
X OCCUR EICLAIMSMADE
UMBRELLA
DEDUCTIBLE El FORM
RETENTION $
CU2610826
5/1/2009
5/1/2010
EACH OCCURRENCE
$ 2.000.000
AGGREGATE
$ 2,000.000
$ XXXXXXX
$ XXXXXXX
$ XXXXXXX
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMSER EXCLUDED?
If yes, describe under N O
SPECIAL PROVISIONS below
2127630
10/1/2008
10/1/2009
X I WC STATU- OTH-
E.L. EACH ACCIDENT
$ 1.000,000
E.L. DISEASE - EA EMPLOYEE
$ 1>000,000
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
1991907 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
P.O. Box 580 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Fort Collins CO 80522 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRES T E ,
C
(C rs.
ACORD 25 (2001 /08) For questions regarding this certificate, contact the number listed in the'Producer' section above and specify he client code'BAUCOOT. ACORD CORPORATION 1988