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309311 CAPSTONE PLANNING AND CONTROL INC - INSURANCE CERTIFICATE (3)
CERTIFICATE OF LIABILITY INSURANCE 1/24/22011 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 _the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does -not confer rights to the -,in certificate holder lieu of such endomementis). - - - PRODUCER ,... ., Itc -' CONTACT NAME: JennifeI MUIILO�p PHONNEO Eat. (303)442-1484 -- - .a/c (303)442-6522,., Taggart & Associates, Inc., 1600 Canyoa Boulevard E-MAIL muaro@td artinsurance., - -- - - ADDRESs:7 59 .com ' PRODUCER 00006545 - - CUSTOMER ID N; P. O.+ Box'147 INSURERS AFFORDING COVERAGE NAICIt Boulder' CO 80306 INSURED - INSURER A Hartford Fire Insurance Co 19682 INSURER B:Hartf ord Casualty Insurance 00914 INSURER CHOustOn Casualty Co. 0030 Capstone Planning & Control, Inc. 11001 W. 120th Ave, Suite 220 INSURER O: INSURER E INSURER F: Broomfield CO 80021 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 ADDLTYPE OF INSURANCE INSR SUBR POLICY EFF POLICY EXP L R POLICY NUMBER MMIDD/YYVV MM/DDFYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERALIIABILITY - CLAIMS -MADE OCCUR 34SBAER2345 ..._ _• __ ..... 1/3/2011 .. _ 1/3/2012 - .. -.. . EACH OCCURRENCE $ 11000,000 DAMAGE TO PREMISES EaENTED occurrance $ 300,000 MED EXP(Any one person) $ 10,000 �PERSONALBADV INJURY $ I, 000, 000 J - GENERAL AGGREGATEfO $'r 2,000,000 GEN1 AGGREGATE LIMIT APPLIES PER: X I POLICY -' ,PRO-:. LOG PRODUCTS - COMPIOP AGG $ 2,000,000 _. __ .. ... -.-,. $ .... ,. . . . -_ ' A 'AUTOMOBILE LIABILITY ` . . ANY AUTO - ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS - -- -- 4SBAER2345 1/3/2011 '.: 1/3/2012 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ %t X $ $ A X UMBRELLA LIAB EXCESS LAB X OCCUR CLAIMS -MADE 34SBAER2345 1/3/2011 1/3/2012 EACH OCCURRENCE $ 81000,000 AGGREGATE $ 8,000,000 DEDUCTIBLE RETENTION $ 10,000 $ %L $ - - B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below NIA 4WECGL8768 1/2011 1/// 112012E.L. X WC STATU- OTH- A E.L. EACH ACCIDENT $ 1,000,000 DISEASE - EA EMPLOYEE $ 1,000 000 E.L. DISEASE -POLICY LIMIT $ 1.000.000 C Professional Liability 710-18554 6/2/2010 6/2/2011 Each Occurrence $5,000,000 Aggregate $5, 000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, R mom space is required) City of Fort Collins Attn: Ms. Opal Dick 700 Wood Street Fort Collins, CO 80522-0580 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 Munro, CIC/LJK ~~ ACORD 25 (2009109) © 1988-2009 ACORD CORPORATION. All rights reserved. INS025 (200D03) The ACORD name and logo are registered marks of ACORD