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ACORD,M CERTIFICATE OF LIABILITY INSURANCE NEWCE-1
DATE (MM/DD/YYYY)
07/27/09
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
LBN Insurance Agcy-Johnstown
4848 Thompson Pkwy, Ste 200
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Johnstown CO 80534
Phone : 970-635-9400 Fax: 970-635-9401
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
INSURER A: Hartford Casualty Ins Co
-
INSURER B: Pinnacol Assurance
41190
INSURER C: Landmark American Insurance Cc
New Century Software, Inc.
2627 Redwing Road Suite 100
Fort Collins CO 86526
INSURERD: Argonaut Insurance
INSURER E:
n "=Mef1CQ
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
DD'�POLICY
NSR
TYPE OF INSURANCE
NUMBER
POLICY EFFECTIVE
DATE MM/DD/YY
POLICY EXPIRATION
DATE MM/DD/YY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
s2,000,000
PREMISES (Ea occurence)
$300,000
A
COMMERCIAL GENERAL LIABILITY
34SBAGQ5061
09/29/08
09/29/09
MED EXP (Any one person)
$ 10,000
CLAIMS MADE ® OCCUR
PERSONAL & ADV INJURY
s2,000,000
X Contractual
SURVEYING OPERATIONS
GENERAL AGGREGATE
$4,000,000
A
34SBMRU5199
02/09/09
02/09/10
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
S 4,000,000
POLICY PRO LOC
JECT
A
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
X
ALL OWNED AUTOS
SCHEDULED AUTOS
34UECTZ1909
08/05/09
08/05/10
BODILY INJURY
(Per person)
$
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
AUTO ONLY: AGG
$
ANY AUTO
$
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
OCCUR El CLAIMS MADE
$
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
IAII
X TORY LIMITS ER
E.L. EACH ACCIDENT
$1,000,000
A
D
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
3433908 (COLORADO)
47716628548 (AZ/VW)
03/01/09
03/01/10
E.L. DISEASE -EA EMPLOYEE
$1,000,000
E.L. DISEASE - POLICY LIMIT
1 $ 1 . 000 , 000
If yes, describe under
SPECIAL PROVISIONS below
OTHER
C
Professional Liab
LHR811908
06/20/09
06/20/10
Prof. $1,000,000.
Claims Made Form
I
I
Liab. $10,000 ded
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Computer Consulting/All Locations/All Operations/Certificate Holder is an
Additional Insured with respect to general liability covrage as their
interest may appear with respect to work performed by the named insured.
FT COLL
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
City Of Fort Collins
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO $O SHALL
Purchasing Dept.
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Attn: Ed Bonnette
P.O. BOX 580
REPRESENTATIVES.
AIJ I"JVRESE ATIV
Ft. Collins CO 80522-0580
ACORD 25 (2001/08)