HomeMy WebLinkAbout445046 PATTON BOGGS LLP - INSURANCE CERTIFICATE (2)TE
ACORD,. CERTIFICATE OF LIABILITY INSURANCE DA05/06/09
PRODUCER
Aon Risk services Northeast, Inc.
New York NY Office
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
199 Water Street
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
New York NY 10038-3551 USA
COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
PIIONE 212 441-1000 FAX• 212 441-1953
INSURED
INSURER A: Vigilant Ins Co
Patton Boggs LLP
Ira Fishman
INSURERB: Federal Insurance Company
INSURERC: Great Northern Insurance Co.
2550 M Street, N.W.
Washington DC 20037-1350 USA
INSURER D:
INSURER E:
COVERAGES This Certificate is not intended to specify all endorsements, coverages,
terms conditions and exclusions ofthe policies shown.
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 TERM$ EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS LIMITS SHOWN ARE AS REQUESTED
INSR
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MM1DDWY)
POLICY EXPIRATION
DATE(MMWD%YY)
LIMITS
A
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
3576-4614
Package Policy
10/01/08
10/01/09
EACH OCCURRENCE
$110001000
FIRE DAMAGE(Mv one (re)
S11000,000
CLAIMS MADE X❑ OCCUR
MED EXP (Any one person)
$10, 000
Prod-Comp/op Incl in Genl Ag
PX
PERSONAL & ADVINJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER
PRO-
POLICY JECT LOC
PRODUCTS - COMP/OP AGG
B
AUTOMOBILE LIABILITY
X ANY AUTO
7498-6701
Automobi 1 e Policy
10/01/08
10/01/09
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
BODILY INJURY
ALL OWNED AUTOS
SCHEDULED AUTOS
( Per person)
BODILY INJURY
X HIRED AUTOS
X NON OWNED AUTOS
(Per acddenl)
PROPERTY DAMAGE
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
ANY AUTO
OTHER THAN EA ACC
AUTO ONLY:
AGG
B
EXCESS LIABILITY
X OCCUR ❑ CLAIMS MADE
- 4
Umbrella Policy
10/01/08
EACH OCCURRENCE
$ 5 , 000, 000
AGGREGATE
$5,000,000
DEDUCTIBLE
RETENTION
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
71721244
workers' compensation Policy
05/01/09
05/01/10
X
WC STATU-
T RYII MITS
I
OTH-
ER
E.L. EACH ACCIDENT
S1,000,000
E.L. DISEASE -POLICY LIMIT
$1,000,000
k
E.L. DISEASE -EA EMPLOYEE
$1, 000 , 000
OTHER
no
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Evidence of insurance coverage in force. �!
CERTIFICATE HOLDER
ANCELLATION
The City of Fort Collins, Colorado,
A Municipal Corporation
P.O. BOX 580
Fort Collins CO 80522 USA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. �.
AUTHORIZED REPRESENTATIVEJL
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