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HomeMy WebLinkAbout309311 CAPSTONE PLANNING AND CONTROL INC - INSURANCE CERTIFICATE (2)1 0 ACOR C" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDnYYY) 1/24/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. •�;_ . . ;. •...,: IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed.: If SUBROGATION IS WAIVED, subject to. e terms -and conditions of the policy', certain policies may require an endorsement. A statement on this certificate:doesriot confer, rights,to_the__ th, -certificate`holder-in,lieu of-such',endorsemelit(s): PRODUCER _ ;; •; ri -�, ,.::: --- --_ Taggart & Associates , IIIC . 1600'lCanyoii Boulevard-`- --' ! P. "0: -Box 147 iCUSTOMERID Boulder CO 80306 :•- _-' .. `'�;' •- NAMEACT Jennifer Monteleone— PHONE (303)442-1484. '- ;•. -: :FAX '(303)442-8822':'.'•' A/C No Ext : � A'/C No : - - ; .; , enm@ta artinsurance'.com. t i " aoDRlEss:7 gg - " - PRODUCER •00006545. .. . _ INSURERS AFFORDING COVERAGE NAIC# INSURED Capstone Planning & Control, Inc. 11001 W. 120th Ave, Suite 220 Broomfield CO 80021 INSURER A:Hartford Fire Insurance Co 19682 INSURER B:Hartf ord Casualty Insurance 00914 INSURER C:Hous ton Casualty Co. 0030 INSURERD: INSURER E : - INSURERF: COVERAGES CERTIFICATE NUMBER:CL10121707782 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL I R SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A I.,,.., _ ._i. GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY —:71CLAIMS-MADE OCCUR _ �,,; 34SBAER2345 `:...� .. M....... ...._ ...-•..... ., ..,......•.. 1/3/2011. .1/3/2012 . .' .. -.• •• EACH OCCURRENCE $ 11000,000 DAMAGE TO RENTED PREMISES a oc Ecurrence $ 300,000 MED EXP (Any one person) $ 10,000 -PERSONAL &'ADV INJURY $ 1,000,000 ...- ,.•4:,x,:.`..: 9-::.'ti:'- GENERAL AGGREGATE' '$i�;ti 2'000 ,Q 00 ..GENIL AGGREGATE LIMIT APPLIES PER: _X POLICY "PRO iOC •,,:, .. PRODUCTS -COMP/OP AGG $ 2,000,000 $ �. A AUTOMOBILE.LIABICITY f-� :' :'"` - AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS - - 34SBAER2345' "" '• - �.,; 1/3/2011 • - '• 1/3/2012 'COMBINEDSINGLELIMITr (Ea accident)' := ; , ''• $ 1, 000, 000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X $ A`HDEDUCTIBLE X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 4SBAER2345 .1/3/2011 1/3/2012 EACH OCCURRENCE $ 8,000,000 AGGREGATE $ 8,000,000 $ 10 000 $ xRETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 34WECGL8768 1/1/2011 1/1/2012 - X I WC STATU- I OTH- FR E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 11000,000 C Professional Liability 710-18554 6/2/2010 6/2/2011 Each Occurrence $5, 000, 000 Aggregate $5, 000, 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Fort Collins Attn: Ms. Opal Dick 700 Wood Street Fort Collins, CO 80522-0580 Lei 11CL"A wSLl!1oL' I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE J Monteleone/LJK ACORD 25 (2009/09) ©1988-2009 ACORD CORPORATION. All rights reserved. INS025 (200909) The ACORD name and logo are registered marks of ACORD