HomeMy WebLinkAboutPOST, BUCKLEY, SCHUH & JERNIGAN INC - INSURANCE CERTIFICATE (2)CERTIFICATE
ACORDTM CERTIFICATE OF LIABILITY INSURANCE 9/30/2010
DATE
PRODUCER Lockton Companies, LLC-I Kansas City
444 W. 47th Street, Suite 900
Kansas City MO 64112-1906
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.
(816)960-9000
INSURERS AFFORDING COVERAGE
NAIC #
INSURED POST, BUCKLEY, SCHUH AND JERNIGAN, INC.
INSURER A: LLOYDS OF LONDON A XV
1307320 DBA PBS&J
INSURER B:
2001 NW 107AVENUE
MIAMI FL 33172-2507
INSURERC:
INSURER D:
INSURER E:
EN THE
COVERAGES PD NSURERISI.ICATE AUTHORIZED REPRESENTATIOF INSURANCE DOES IVE OR PRODUCER AND THE CERTIOT CONSTITUTE A CONTRACT F
ICATE CATE HOLDERING
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
DO
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDDIYY
POLICY EXPIRATION
DATE MMIDDIYY
LIMITS '
GENERAL LIABILITY
EACH OCCURRENCE
XXXXXXX
DAMAGEf RENTED
PREMISESS Ea occurence
$ XXXXXXX
COMMERCIAL GENERAL LIABILITY
NOT APPLICABLE
MED EXP (Any one person)
$ XXXXXXX
CLAIMS MADE ❑ OCCUR
PERSONAL 8 ADV INJURY
$ XXXXXXX
GENERAL AGGREGATE
$ XXXXXXX
PRODUCTS - COMP/OP AGG
$ XXXXXXX
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO-
JECT
AUTOMOBILE LIABILITY
SINGLE LIMIT
$ XXXXXXX
ANY AUTO
NOT APPLICABLE
(Ea
Ea accident)
ALL OWNED AUTOS
BODILY INJURY
$ XXXXXXX
SCHEDULED AUTOS
(Per person)
HIRED AUTOS
BODILY INJURY
(Per accident)
$ XXXXXXX
NON -OWNED AUTOS
PROPERTY DAMAGE
$
(Per accident)
XXXXXXX
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$ XXXXXXX
ANY AUTO
NOT APPLICABLE
OTHER THAN EA ACC
$ XXXXXXX
AUTO ONLY: AGG
$ XXXXXXX
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$ XXXXXXX
AGGREGATE
$ XXXXXXX
OCCUR CLAIMS MADE
NOT APPLICABLE
$ XXXXXXX
UMBRELLA
0
$ XXXXXXX
DEDUCTIBLE FORM
$ XXXXXXX
RETENTION $
WORKERS COMPENSATION AND
NOT APPLICABLE
WC STATU- OTH-
TORY LIMITS ER
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$ XXXXXXX(
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. DISEASE - EA EMPLOYEE
$ X:XXXXXX
OFFICER/MEMBER EXCLUDED?
If yes, describe under
E.L. DISEASE - POLICY LIMIT
$ XXXXXXX
SPECIAL PROVISIONS below
A
OTHER
LDUSA090081 1
9/30/2009
9/30/2010
$1,000,000 EACH CLAIM &
A
CLAIMS -MADE FORM
$1,000,000 ANNUAL AGGREGATE.
PROFESSIONAL/POLLUTION
I1/I1/1961 RETRODATE.
LIABILITY
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
RE: JEFFERSON STREET ALTERNATIVES ANALYSIS (JEFFERSON STREET/SH14 PROJECT); PBS&1 JOB NO. P100008854
V GRIIrI VIiI IZ nlVL1./GR
I,ANL rLLAI IUN
10871793
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF FORT COLLINS, COLORADO
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
ATTN: JOHN STEPHEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
215 N. MASON, 2ND FLOOR
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
FORT COLLINS CO 80524
-
REPRESENTATIVES.
ACORD 25 (2001 MR1 For questions reaardino this "01ficate. wntact the number listed in the'Prod—e see=i .hove
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