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HomeMy WebLinkAbout443857 HAYES PHILLIPS HOFFMANN & CARBERRY PC - INSURANCE CERTIFICATE (3)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID KR DATE(MM/DD/YYYY) HAYES-1 09 21 09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Wright Group, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1600 Broadway Ste. 1500 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver CO 80202 Phone:303-863-7788 Fax:303-861-7502 INSURED Hayes, Phillips, Hoffmann & Carberrryy P.C. 1350 17th St. Ste.. 450 Denver CO 80262 COVERAGES INSURERS AFFORDING COVERAGE I NAIC # INSURER A: Hartford Casualty Insurance Co INSURER B: Sentinel Ins Co Ltd INSURER C: INSURER D: INSURER E: 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. LTR AV NSR TYPE OF INSURANCE POLICY NUMBER DATEYM//EFFECTIVE POLICYEXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A _ X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fx_1 OCCUR 34SBARV9018 09/27/09 09/27/10 PREMISES(Eaoccurence) $ 300000 MED EXP (Any one person) $ 10000 PERSONAL & ADV INJURY $ 1000000 X Prof Liab GENERAL AGGREGATE - $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG s2000000 POLICY PRO- JECT Loc Prof Liab 1000000 A AUTOMOBILE LIABILITY ANY AUTO 34SBARV9018 09/27/09 09/27/10 COMBINED SINGLE LIMIT (Ea accident) $ 1000000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS X X BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR 71 CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE 34WECRF7851 11/01/09 11/01/10 X TORY LIMITS I I ER E.L. EACH ACCIDENT $ 100000 E.L. DISEASE - EA EMPLOYEE $ 100000 OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below _ _ E.L. DISEASE -POLICY LIMIT 1 $ 500000 OTHER A Property Section 34SBARV9018 09/27/09 09/27/10 Contents 208900 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate holder as additional insured with respect to general liability L,trc I WIL Al t MULLrtK GANGELLATION CITYFOR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City Of Fort Collins Attn: Purchasing IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR P.O. BOX 580 REPRESENTATIVES. Fort Collins CO 80522 ALITH PLIZ REP ATIVE At,u (U L, (4UUT/Ui5) © 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. ACORD 25 (2001/08)