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HomeMy WebLinkAbout162366 CARL WALKER INC - INSURANCE CERTIFICATE (3)A� Q® r DATE (MM/DD/YYYY) CERTIFICATE- OF LIABILITY INSURANCE F 12/30/2009 PRODUCER (800) 969-4041 FAX: (800) 969-4081 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Professional Concepts Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1127 South Old US Highway 23.1 MAR' - 2 2010 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. -z - -_ - ---- 1. n-i 1 Brighton �'1 ni [? rpl MI F48,11C4;-;98,61 - f t l ;:::tZ "INSURERS AFFORDING COVERAGE NAIC # INSURED i I'� `J `J `� Carl Walker, 'Inc. 5136 Lovers Lane FE Suite 200 uu Ralama O �' �/ MI `1 � � � I ,' " �' 9— IF' % { i 1 2010, I '' 2010 I (� ' 002 I INSURER A:Hartford Casualty Insurance 29424 INSURER B: Hartford Underwriters Ins. 30104 INSURERC:DPR - XL Specialty Ins. Co. INSURER D: INSURERE: nnvFRer.Pc THE POLICIES OF INSURANCE LISTED BELOW HAVENEEN ISS2 . 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. INSRADD* LTR POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ATE M D LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 PREMISES Ea occurrence $ 300,000 ACLMS tXCO,MMERCIAL GENERAL LIABILITY MADE ®OCCUR 5SBWRU0693 12/31/2009 12/31/2010 MEDEXP(Anyoneperson) $ 10,000 PERSONAL & ADV INJURY $ 11000,000 C,U X Contractual Liab GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PRO LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1, 000, 000 X BODILY INJURY (Per person) $ B ALL OWNED AUTOS SCHEDULED AUTOS 35UEGAP3505 12/31/2009 12/31/2010 BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ 500 GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ 5,000,000 X1 OCCUR CLAIMS MADE AGGREGATE $ 51000,000 $ A DEDUCTIBLE 35XHGXY9736 12/31/2009 12/31/2010 $ X RETENTION $ 10,000 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE,[ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) 35WEGPN3645 12/31/2009 12/31/2010 X WC STATU- OEN E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE- EA EMPLOYEE $ 1,000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 0 0 0 0 0 0 $ 11, C OTHERProfessional DPR9619445 10/15/2009 10/15/2010 $2,000,000 Per Claim Liability $2,000,000 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Project #: R32006017. City of Fort Collins is named as Additional Insured as respects to General Liability only and would apply to the above named project so long as required within a written contract. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ((Attn: ty Of Fort Collins DATE THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL DAYS WRITTEN Second Floor NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 5 North Mason Street O. BOX 58O IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR rt Collins, CO 80522-OS 0 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Mike Cosgrove/TRACY ACO 5 (2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. INS025 (2009 The ACORD name and logo are registered marks of ACORD '