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HomeMy WebLinkAboutHCBECK LTD - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06/21/2010 PRODUCERonRisk services Southwest, Inc. ATHIS On CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Dallas TX office AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ci tyPl ace Center East CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE 2711 North Haskell Avenue COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 800 INSURERS AFFORDING COVERAGE NAIC # Dallas Tx 75204 USA PHONE• 214 989-0000 FAX 214) 989-2530 INSURED INSURER A: Zurich American Ins CO 16535 HCBeck, Ltd. 26387 INSURER : steadfast insurance company 1807 ROSS Ave., Suite 500 INSURER : RSUI Indemnity Company Dallas Tx 752014619 USA 22314 a INSURER D: L d 'O INSURER E: C 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 LIMITS SHOWN ARE AS REQUESTED INSR ADD' LTR INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE(MM/DD/YYYV) DATE(MM/DD/Y-,YY A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY GL03994480-06 COMMERCIAL GENERAL LIAB7 07/01/2010 07/01/2011 EACH OCCURRENCE S1,000,000 DAMAGE TO RENTED $300, 000 CLAIMS MADE OCCUR PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY S1,000,000 ❑ GENERAL AGGREGATE $2 , 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ Z , OOO , OOO POLICY PRO- ❑ LOC ❑ El JECT A AUTOMOBILE LIABILITY x ANY AUTO BAP2989193-10 BUSINESS AUTO COVERAGE 07/01/2010 07/01/2011 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS ( Per person) HIRED AUTOS BODILY INJURY NON OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG C EXCESS / UMBRELLA LIABILITY NHA053226 07/01/2010 07 01 2011 EACH OCCURRENCE $20,000, x OCCUR 1:1 CLAIMS MADE EXCESS LIABILITY AGGREGATE $20,000,000 eDEDUCTIBLE RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N WC298918 -10 WORKERS COMPENSATION 0710112010 x WC STATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE -EA EMPLOYEE $1,000,000 _ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE -POLICY LIMIT S1,000,000 If yes, describe under SPECIAL PROVISIONS below B OTHER Contractors E&o EOC3807942-06 PROFESSIONAL LIABILITY 07/01/2010 7 1 201 Each Claim $20,000,000 Aggregate $20,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: City of Fort Collins Museum and Discovery Science Center / where required by written contract the certificate holder is an additional insured with regard to general liability, automobile liability and excess liability (. LRIIN'IUA'I'E HOLDER CANCELLATION CITY OF FORT COLLINS PURCHASING DIVISION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION John D. Stephen, CPPO,CPPB,Senior Buyer DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL - 215 North Mason St., 2nd fl r 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 'J Fort Collins CO 80524 USA BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE�y i_� J� ACORD 25 (2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved— The ACORD name and logo are registered marks of ACORD