HomeMy WebLinkAbout443857 HAYES PHILLIPS HOFFMANN & CARBERRY PC - INSURANCE CERTIFICATE (5)OP ID KR
ACORD_ CERTIFICATE OF LIABILITY INSURANCE HAYES-1
ATE (MM/DDIYYYY)
D09/21/09
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
The Wright Group, Inc.
1600 Broadway, Ste. 1500
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Denver CO 80202
Phone: 303-863-7788 Fax:303-861-7502
INSURERS AFFORDING COVERAGE NAIC#
INSURED
INSURER A: ea,tford Casualty Insurance Co
INSURER B: Sentinel Ins CO Ltd
Hayes, Phillips, Hoffmann &
Carberry, P.C.
1350 17th St. Ste. 450
Denver CO 80262
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.
INSR ADD` - I POLICY EFFECTIVE POLICY EXPIRATION
LT R INSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DD/YY LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE j� OCCUR
X Prof Liab
34SBARV9018
09/27/08
09/27/09
EACH OCCURRENCE
$ 1000000
DA1�fAGETO-TtEN
PR
$ 300000
$ 10000
-PREMISES
MED EXP (Any one person)
PERSONAL & ADV INJURY
$ 1000000
GENERAL AGGREGATE
$ 2000000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY n JEa LOC
PRODUCTS - COMP/OPAGG
$ 2000000
Prof Liab
1000000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
34SBARV9018
09/27/09 09/27/10
COMBINED SINGLE LIMIT
(Ea accident)
$ 1000000
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
EXCESS/UMBRELLA LIABILITY
OCCUR F CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
$
$
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
34WECRF7851
11/01/09
11/01/10
X I TORY LIMITS ER
E.L. EACH ACCIDENT
$100000
E.L. DISEASE - EA EMPLOYEE
$ 100000
E.L. DISEASE - POLICY LIMIT
1 $ 500000
A
OTHER
Property Section 34SBARV9018
09/27/09 09/27/10
Contents 208900
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Certificate holder as additional insured with respect to general liability
CERTIFICATE HOLDER CANCELLATION
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 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Attn: Purchasing
P.O. BOX 580 REPRESENTATIVES.
Fort Collins CO 80522 AUTH9KIZE REPATIVE /
ACORD 25 (2001/08) U 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)