HomeMy WebLinkAbout113272 ALLER-LINGLE-MASSEY ARCHITECTS P.C. - INSURANCE CERTIFICATEJCORD CERTIFICATE OF LIABILITY INSURANCE OP ID VM DATE(MWDD/YYYY)
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
INSURERB: The Hartford
Alter -Lingle -Massey
Architects P.C.
INSURER C: san eazley Insurance Company, Inc
712 Whalers Way Suite B-100
INSURER D:
Ft. Collins CO 60525
I
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 MM/DD/YYYY
POLICY EXPIRATION
DATE MM/DD/YYYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
B
X
ICOMMERCIAL GENERAL LIABILITY
CLAIMS MADE �
34SBA KJ7716 DX
04/09/10
04/09/11
PREMISES(Eaoccurence)
s300,000
MED EXP (Any one person)
iOCCUR
$ 1O 000
PERSONAL&ADV INJURY
$ 1,000,000
LI $5, 000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 2,000,000
POLICY PRO LOC
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 OCCUR CLAIMSMADE
34SBA KJ7716 DX
04/09/10
04/09/11
AGGREGATE
$
$
0DEDUCTIBLE
X RETENTION $ 10000
$
WORKERS COMPENSATION
A
AND EMPLOYERS' LIABILITY y / N
ANY PROPRIETOR/PARTNER/EXECUTIVED
OFFICER/MEMBER EXCLUDED? L-1
1951272
04/01/10
04/01/11
TORY LIMITS I I 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
South Transit Center. The City of Fort Collins is named as an additional
insured with regards to general liability.
GEHTIFIGATE 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
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
City of Fort Collins
PO Box 580 REPRESENTATIVES.
Fort Collins CO 80522 AUTHORIZED REPRESENTATIVE
I A
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