HomeMy WebLinkAbout280698 NORTHSTAR DESIGN - INSURANCE CERTIFICATE (2)ACORDTM CERTIFICATE OF LIABILITY INSURANCE�02-17-2010
DATE
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
POINTS WEST INSURANCE/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
344653 P: (8 6 6) 4 6 7- 8 7 3 0 F: (8 7 7) 9 0 5- 04 5 7 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P 0 BOX 33015
SAN ANTONIO TX 78265 INSURERS AFFORDING COVERAGE
INSURED INSURERA:Hartford Casualty Ins Co
INSURER B:
NORTHSTAR DESIGN INSURERC:
700 AUTOMATION DR UNIT I INSURERD:
WINDSOR CO 80550 INSURERE:
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.
IN SR
LTR TYPE OF INSURANCE
POLICY EFFECTIVE
POLICY NUMBER DATE (MM/DD/YY
POLICY EXPIRATION LIMITS
DATE MMlOO YY)
GENERAL LIABILITY
EACH OCCURRENCE 1 $1 , 000, 000
A
COMMERCIAL GENERAL LIABILITY
34 SBA NF84 34
04 / 13 / 10
04 / 13 / 11 1 FIRE DAMAGE (Any one fire) s300, 000
CLAIMS MADE U OCCUR
LMED EXP (Any one person) $1 0 , 000
X General Llab
PERSONAL & ADV INJURY $1 , 0 0 0 , 0 0 0
GENERAL AGGREGATE $2 r 000, 000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG S2 , 000, 000
POLICY I I JEPRCTO X I LOC
AUTOMOBILE
LIABILITY
A
ANY AUTO
34 SBA NF8434
04/13/10
COMBINED SINGLE LIMIT
04/13/11 (Eaaccident)
$1 � 000, 000
ALL OWNED AUTOS
BODILY INJURY
$
SCHEDULED AUTOS
(Per person)
HIRED AUTOS
X
BODILY INJURY
(Per
$
X
NON -OWNED AUTOS
accident)
$
PROPERTY DAMAGE
-
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
$
ANY AUTO
OTHER THAN EA ACC
S
AUTO ONLY: AGG
EXCESS LIABILITY _
EACH OCCURRENCE $
OCCUR u CLAIMS MADE
AGGREGATE $
$
DEDUCTIBLE
$
RETENTION $
$
WORKERS COMPENSATION AND
TWOSTATU - OTH-
TORY LIMITS ER
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
S
E.L. DISEASE - EA EMPLOYEE
S
E.L. DISEASE - POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Those usual to the Insured's Operations.
n rnrl rl �.nrr ,
City of Fort Collins
Attn: Purchasing Division
PO Box 580
Fort Collins CO 80522
�+MI•VGLLM I IVIV
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 (10 DAYS FOR NON-PAYMENT) 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.
E7 ATIVE
A%,UKU ZO-a f //V /) ® ACORD CORPORATION 1988