Loading...
HomeMy WebLinkAbout455706 STOLFUS & ASSOCIATES INC - INSURANCE CERTIFICATE (2)CERTIFICATE HOLDER ACORD 25 (2009/01) © 1988-2009 ACORD CORPORATION. All rights reserved. AUTHORIZED REPRESENTATIVE CANCELLATION The ACORD name and logo are registered marks of ACORD INSURED NAIC # INSURER E: INSURER D: INSURER C: INSURER B: INSURER A: INSURERS AFFORDING COVERAGE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PRODUCER OTHER JECT LOC POLICY PRO- GEN'L AGGREGATE LIMIT APPLIES PER: CLAIMS MADE OCCUR COMMERCIAL GENERAL LIABILITY GENERAL LIABILITY PREMISES (Ea occurrence) $ DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ RETENTION $ DEDUCTIBLE OCCUR CLAIMS MADE EXCESS / UMBRELLA LIABILITY $ $ $ AGGREGATE $ EACH OCCURRENCE $ COVERAGES DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) LIMITS ADD'L INSRD AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS PROPERTY DAMAGE (Per accident) $ COMBINED SINGLE LIMIT ACORD 25 (2009/01) 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 This Certificate of Insurance 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. DESCRIPTIONS Continued. Subrogation applies for General Liability, Automobile Liability and Umbrella/Excess Liability. Limited Contractual Liability is included. The Umbrella / Excess Liability policy provides excess coverage over the General Liability, Automobile Liability and Employers Liability. (Attachments) (Ea accident) $ BODILY INJURY (Per accident) $ BODILY INJURY (Per person) $ ANY AUTO GARAGE LIABILITY OTHER THAN AUTO ONLY: EA ACC AGG $ $ AUTO ONLY - EA ACCIDENT $ WC STATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes, describe under SPECIAL PROVISIONS below (Mandatory in NH) OFFICER/MEMBER EXCLUDED? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N CERTIFICATE OF LIABILITY INSURANCE 3/DATE 31/(MM/2010 DD/YYYY) Van Gilder Insurance Corp. 1515 Wynkoop, Suite 200 Denver CO 80202 Phone: 303-837-8500 Fax: 303-831-5295 Stolfus & Associates, Inc. 5690 DTC Boulevard Suite 101W Greenwood Village CO 80111 Hartford Insurance (Service C XL Specialty Insurance Co. A X X X 34SBAPD4904 10/1/2009 10/1/2010 1,000,000 1,000,000 10,000 1,000,000 2,000,000 2,000,000 A X X 34SBAPD4904 10/1/2009 10/1/2010 1,000,000 A X X 10,000 34SBAPD4904 10/1/2009 10/1/2010 1,000,000 1,000,000 B Professional Liability Claims Made DPF9619533 10/1/2009 10/1/2010 Per Claim Annual Aggregate $1,000,000 $1,000,000 City of Fort Collins; Attn: Purchasing Division 215 North Mason Street, 2nd floor PO Box 580 Fort Collins CO 80522 0 0 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. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 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 REPRESENTATIVES. 10 DAYS NOTICE FOR NON-PAYMENT OF PREMIUM. If required by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The Certificate Holder and Owner are included as Additional Insureds for ongoing and completed operations under General Liability; Automobile Liability; and Additional Insured under Umbrella / Excess Liability but only with respect to liability arising out of the Named Insured’s work performed on behalf of the certificate holder and owner. This insurance will apply on a primary, non-contributory basis. A Blanket Waiver of See Attached...