HomeMy WebLinkAbout113272 ALLER-LINGLE-MASSEY ARCHITECTS P.C. - INSURANCE CERTIFICATE (2)DATE (MWDD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE OPID vM
ALLER-1 03/23/10
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Front Range Insurance Group HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1100 Haxton Drive Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins CO 80525
Phone: 970-223-1804 INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURER A: Pinnacol Assurance
INSURER B: The Hartford
Aller-Lingle-Massey
Architects P.C. INSURER C: Beazley Insurance Company, Inc
712 Whalers Way Suite B-100 INSURER D:
Ft. Collins CO 60525
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.
LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MWDD/YYYY
POLICY EXPIRATION
DATE MM/DD/YYYY
LIMITS
GENERAL LIABILITY
-
EACH OCCURRENCE
$ 1,000,000
PREMISES (Ea occurence)
$300,000
B
X
X COMMERCIAL GENERAL LIABILITY
34SBA KJ7716 DX
04/09/10
04/09/11
CLAIMS MADE X❑ OCCUR
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
X
EPLI $5, 000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 2,000,000
POLICY RO PLOC
JECT
B
AUTOMOBILE
LIABILITY
ANY AUTO
34UECIQ8390
04/09/10
04/09/11
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
X
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$ 1000000
B
X I OCCUR ❑ CLAIMS MADE
34SBA KJ7716 DX
04/09/10
04/09/11
AGGREGATE
$
$
0DEDUCTIBLE
$
X RETENTION $ 10000
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE(—
OFFICER/MEMBER EXCLUDED? ILJI
1951272
04/01/10
04/01/11
JOTH-
TORY LIMITS ER
E.L. EACH ACCIDENT
$ 500000
E.L. DISEASE - EA EMPLOYEE
$ 500000
(Mandatory in NH)
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE -POLICY LIMIT
$ 500000
OTHER
C
Prof. Liability
V15Q3UO8PNPA
12/14/09
12/14/10
E & O $2,000,000/
$2,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
The City of Fort Collins is named additional insured with regards to general
liability.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF 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
Purchasing Division REPRESENTATIVES.
PO Box 580
Fort Collins CO 80522 AUTHORIZED REPRESENTATIVE _
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