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Home My WebLink AboutNUSZER KOPATZ INC. - INSURANCE CERTIFICATEACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE �10-21-2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BANKS INSURANCE AGENCY, INC/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 342221 P: (8 6 6) 4 6 7- 8 7 3 0 F: (8 7 7) 9 0 5- 04 5 7 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 33015 r� SAN ANTON I O TX 78265 1', I1 1 ! L-:3 INSURED I� N 0 V - 2009 NUSZER KOPATZ, INC. tju 1117 CHEROKEE ST STE 20``0 DENVER CO 80204 II.''',' COVERAGES INSURERS AFFORDING COVERAGE INSURER A: Hartford Casualty Ins Co INSURER B: 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. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY EACH OCCURRENCE s2,000,000 A COMMERCIAL GENERAL LIABILITY 34 SBA UH64 0 8 12 / 15 / 0 9 12 / 15 / 10 1 FIRE DAMAGE (Any one fire) s300, 000 CLAIMS MADE U OCCUR MED EXP (Any one person) I $1 0 , 000 X General Liab (PERSONAL &ADVINJURY js2, 000, 000 GENERAL AGGREGATE 154 , 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S4 , 000, 000 POLICY PRCTO X LOC JE AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT s2, 000, 000 A ANY AUTO 34 SBA UH 6 4 0 8 12 / 15 / 0 9 , 12 / 15 / 10 (Ea accident) BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS (Per person) $ HIRED AUTOS X BODILY INJURY X NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE s2 , 0 A _ X OCCUR a CLAIMS MADE 34 SBA UH6 4 0 8 12 / 15 / 0 9 12 / 15 / 10 I AGGREGATE s2 , 000 000 $ DEDUCTIBLE $ X RETENTION $10 , 000 $ WORKERS COMPENSATION AND TWOTATUTH- TORY LIMITS ER SLIMIT DER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ E.L. DISEASE EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Those usual to the Insured's Operations. City of Ft Collins is also an Additional Insured per the Business Liability Coverage Form SS0008. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL City of Ft Collins 30 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE Purchasing HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR PO BOX 580 REPRESENTATIVES. Fort Collins, CO 80522 AUTHOR( D RE S�TIVE AGURD 25-5 (7/91) t) ACORD CORPORATION 1988 A CORD DATE rM CERTIFICATE OF LIABILITY INSURANCE 10-21-2009 PRODUCER BANKS INSURANCE AGENCY,__I_NC/PHS --_� 342221 P : (8 6 6) 4 6 7 - 8 73101 F (_8 7 7 ); 9 0.5 04 5I7 PO BOX 33015 I" U " .J � SAN ANTONI O TX 78265 li� AI(11/ C I nnnn I ' 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 INSURED Ii i; I IVV v— eiLUUJ I I)'', flJt �UUI U � NUS ZER KOPATZ , INC. (,,,� 1117 CHEROKEE ST STE L2-0-0'----- i — DENVER CO 80204 INSURER A: Hartford Casualty Ins Co INSURER B: INSURER C: INSURERD: 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. IN RI PLTR TYPE OF INSURANCE I POLICY NUMBER I DATE (MM D_DTYYE PDATEYIMM/DD/YYOjV LIMITS GENERAL LIABILITY EACH OCCURRENCE s2,000,000 , A COMMERCIAL GENERAL LIABILITY 34 SBA UH64 0 8 12 / 1'� / 0 9 12 / 15 / 10 FIRE DAMAGE (Any one fire) I s300,000 CLAIMS MADE l X OCCUR MED EXP (Any one person) $1 0 , 000 X General Liab PERSONAL & ADV INJURY $2 , 0 0 0 , 000 GENERAL AGGREGATE I s4,000, 0001 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $4 , 000, 000 POLICY I I PRCTO X LOC JE AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S2 000, 000 A I ANY AUTO 34 SBA UH64 0 8 12 / 15 / 0 9 12 / 15 / 10 (Ea accident) , ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS INJURY 7BODILY X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO - OTHER THAN EA ACC $ AUTO ONLY: AGG I $ EXCESS LIABILITY EACH OCCURRENCE $2 , 000, 000 A _ X OCCUR u CLAIMS MADE 34 SBA UH64 0 8 12 / 15 / 0 9 12 / 15 / 10 AGGREGATE $2 , 000 , 000 I$ DEDUCTIBLE $ X RETENTION $1 0, 000 $ WORKERS COMPENSATION AND OR Y STATLIMITS TORU- OTH- ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE I $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Those usual to the Insured's Operations. City of Ft Collins Purchasing PO Box 580 Fort Collins, CO 80522 -IOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE KPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL D DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE OLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO BLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR PRESENTATIVES. ACORD 25-S (7/97) c* ACORD CORPORATION 1988