HomeMy WebLinkAbout113272 ALLER-LINGLE-MASSEY ARCHITECTS P.C. - INSURANCE CERTIFICATE (3)A /��1R0Q
CERTIFICATE OF LIABILITY INSURANCE °APLID VM
DATE (MM/DD/YYYY)
LER-1-1
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
Alter -Lingle -Massey
Architects P.C.
INSURER C: Beazley Insurance Ccapany, 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
C
DATEMM/TIVE DD/CYYYY
DATE MM/DD/YYYOYN
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
PREMISES(-Eaoccurence)
s300,000
B
X COMMERCIALGENERAL LIABILITY
CLAIMS MADE Fx� OCCUR
34SBA KJ7716 DX
04/09/10
04/09/11
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
s2,000,000
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
$
$
DEDUCTIBLE
X RETENTION $ 10000
$
WORKERS COMPENSATION
A
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVEr�
OFFICER/MEMBER EXCLUDED? LJ
1951272
04/01/10
04/01/11
TORY LIMITS ER
E.L. EACH ACCIDENT
$ 500000
E.L. DISEASE - EA EMPLOYEEI
$ 500000
(Mandatory in NH)
Nes, describe under
ECIALPROVISIONSbelow
E.L. DISEASE -POLICY LIMIT
$ 500000
OTHER
C
Prof. Liability
V15Q3U08PNPA
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
City of Fort Collins, Lincoln Center is listed as Additional Insured with
regards to General Liability.
LaH i IFIICA ( t HULutH CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY-01 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
Lincoln Center
REPRESENTATIVES.
300 Laporte Ave. AUTHORIZED REPRESENTATIVE _
Fort Collins CO 80521 1 �
ACORD 25 (2009/01) ( "� 011MMM9 A ORb O PORATION. rig is reserved.
The ACORD name and logo are registered marks of ACORD