HomeMy WebLinkAboutREYNOLDS TIERDAEL - INSURANCE CERTIFICATEACO O®
111111� CERTIFICATE OF LIABILITY INSURANCE 5/112011
DATE (MM/DD/YYYY)
4/21/2010
PRODUCER Lockton Companies, LLC-1 Kansas City
444 W. 47th Street, Suite 900
Kansas City MO 64112-1906
(816) 960-9000
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.
INSURERS AFFORDING COVERAGE
NAIC #
INSURED REYNOLDS - TIERDAEL
1054252 1775 EAST 69TH AVENUE
DENVER CO 80229
INSURER A: Old Republic Insurance Company
24147
INSURER B : American Guarantee and Liab. Ins. Co.
26247
INSURER C :
INSURER D :
INSURER E :
cnvt=Berl=c I .A Y I NI) I h K
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.
INSR
LTR
ADO'L
INSRD
- - -
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFEC'nVE
DATE (MM/DD/YY)
POLICY EXPIRATION
DATE (MMIDD/YY)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 2,000,000
DAMAGE TO RENTED
PREMISES Ea o. fence
$ 500,000
A
X COMMERCIAL GENERAL LIABILITY
MWZY 58672
5/1/2010
5/l/2011
MED EXP (Any one person)
$ 10,000
CLAIMS MADE OCCUR
PERSONAL & ADV INJURY
$ 2 000 000
X CONTRACTUAL
GENERAL AGGREGATE
$ 5,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 5,000,000
PRO-
X POLICY JECT LOC
A
AUTOMOBILE
LIABILITY
ANY AUTO
MWT13 20934
5/1/2010
5/1/201 1
COMBINED SINGLE LIMIT
(Ea accident)
$ 2,000,000
X
BODILY INJURY
(Per person)
$ XXX3Cx x
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Per accident)
$ XXXXXXX
HIRED AUTOS
NON -OWNED AUTOS
X
PROPERTY DAMAGE
(Per accident)
$ XXXXXXX
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$ XXXXX3 x
ANY AUTO
NOT APPLICABLE
OTHER THAN EA ACC
$ XXXXXXX
$ XXXXXXX
AUTO ONLY: AGG
A
EXCESS/UMBRELLA LIABILITY
X OCCUR CLAIMS MADE
3807886-06
5/1/2010
5/1/2011
EACH OCCURRENCE
$ 1,000,000
AGGREGATE
$ 1,000,000
Is XXXXXXX
UMBRELLA
$ Y-KX X}�
DEDUCTIBLE El FORM
$ XXXXXXX
RETENTION $ O
A
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
MWC 11653600
/�i
STOP GAP l"D> OH, WA, WV, W
5/1/2010
5/I/2010
5/I/2011
5/1/2011
WC LIMIT ER
X TORY LIMITS ER
E.L. EACH ACCIDENT
$ 5,000,000
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
E.L. DISEASE - EA EMPLOYEE
$ 5,000,000
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE -POLICY LIMIT
$ 5,000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSA/EHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CITY OF FORT COLLINS, COLOR -ADO IS AN ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY COVERAGE, ONLY AS REQUIRED BY
CONTRACT, SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY.
10726004
CITY OF FORT COLLINS, COLORADO
4316 LAPORTE AVE.
FORT COLLINS CO 80522
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
ACORD 25 (2009/01)
988-2009 4MCC§tD CORPORATION. All rights reserved
The ACORD name and logo are registered marks of ACORD
For auestions reaardina this certificate. contact the number listed in the'Producer• section above and soecifv the client code'LAYINOV.