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HomeMy WebLinkAbout413953 HUDSPETH AND ASSOCIATES - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OP IDGD HUDSP 1 DATE(MMIDD/YYYY) 1 01/18/11 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Forsberg Engerman Company HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3575 S. Sherman St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Englewood CO 80113 Phone: 303-762-1717 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: n Int'1 sp,cialty Lv INSURERS: Pinnacol Assurance Hudspeth S Associates Inc Attn: Robert Levitt INSURER C: Employs. Nata,1 D„u,1 y Do INSURER.: 4775 S Santa Fe Circle Englewood CO 80110 INSURER E: COVERAGES THE POUCIES 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 UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADVIL NSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MMIDDIYY) POLICY EXPIRATION DATE(MWDDIYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE E 1000000 A X X COMMERCIAL GENERAL LIABILITY PROP3778989 12/17/10 12/17/11 DAMAGE TO RENTED PREMISES(E, occureree) E 300000 MED EXP(Any— person) E 25000 CLAIMSMADE F OCCUR PERSONAL BADVINJURY E 1000000 X Pollution Liab PROP3778989 12/17/10 12/17/11 X XCU Included GENERAL AGGREGATE E 1000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO $ 1000000 POLICY X PROJECT LOC Prof Liab 1000000 C AUTOMOBILE LIABILITY ANY AUTO 2E8548612 02/04/11 02/04/12 COMBINED SINGLE LIMIT (Ea acddern) $ 1000000 X BODILY INJURY (Per Perron) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ C C HIREDAUTOS NON-OWNEDAUTOS 2E8548612 2E8548612 02/04/11 02/04/11 02/04/12 02/04/12 X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO E AUTO ONLY. AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE E 9000000 A X OCCUR ❑ CLAIMS MADE PROU9964023 12/17/10 12/17/11 AGGREGATE E 9000000 E $ DEDUCTIBLE E X RETENTION $10000 WORKERS COMPENSATION AND WC STATITU- OTH- X TORV LIMS X ER B EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE 4064674 01/01/11 01/01/12 E.L. EACH ACCIDENT E 1000000 OFFICERIMEMBER EXCLUDED? OWNERS EXCLUDED E.L. DISEASE - EA EMPLOYEE E 1000000 1/ yes, describe I,— SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT E 1000000 OTHER C Inst Floater 2C8548612 DEDUCTIBLE $500 02/04/11 02/04/12 Limit $50000 C Lease/Rented Equip 2C8548612 DEDUCTIBLE $500 02/04/11 02/04/12 Limit $345000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS City of Fort Collins is named as an additional insured with respect to general liability coverage. CERTIFICATE HOLDER CANCELLATION CITFORT SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ,DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYSWRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Fort Collins IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 215 N Mason St 2nd Floor PO BOX 580 REPRESENTATIVES. Fort Collins CO 80522-0580 [AUTHORIZED REPRESENTATIVE Doug En erman ACORD 25 (2001/08) ©ACORD CORPORATION 1988