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HomeMy WebLinkAbout113275 ALLER-LINGLE-MASSEY ARCHITECTS PC - INSURANCE CERTIFICATE (6)OP ID: JA ,4`�Ro CERTIFICATE OF LIABILITY INSURANCE UAT03/31DYYYY) 03/31/11 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 certificate holder in lieu of such endorsements . PRODUCER 970-223-1804 Front Range Insurance Group 1100 Haxton Drive Suite 100 Fort Collins, CO 80526 David A. Wooldridge LUTCFAAI CONTACT NAME: PHONE FAX INC. No Exit, JAIC, No): ADE-DRESS:MAIL PRODUCER ALLER-1 CUSTOMER ID d: INSURERS AFFORDING COVERAGE NAIC d INSURED Aller-Lingle-Massey Architects P.C. 712 Whalers Way, Suite B-100 Ft. Collins, CO 80525 INSURER A: Pinnacol Assurance 41190 INSURERS -The Hartford INSURER C;Beazley Insurance Company, Inc INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 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 rypE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF MMIODNYYY) POLICY EXP (MMIDDNYYYI LIMITS B GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X 34SBA KJ7716 DX 04I09111 04I09112 EACH OCCURRENCE $ 1,000,00 DAMAGE TO 1EITE PREMISESEa ocm ante $ 300,00 MED EXP(Any one person) $ 10,00 PERSONAL B ADV INJURY $ 1,000,00 X EPL165,000 GENERAL AGGREGATE $ 2,000,00 GENL AGGREGATE POLICY LIMIT APPLIES PER: X PRO LOC JECTAUTOMOBILE PRODUCTS AGO $ 2,000,00 $ B LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 34UECIQ8390 04109111 04/09/12 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Par accident) $ $ $ B UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE 34SBA KJ7716 DX 04/09111 04/09/12 EACH OCCURRENCE $ 1,000,00 AGGREGATE $ DEDUCTIBLE RETENTION S 10,000 $ X g A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? IMandatory in NH) It Year describe under DESCRIPTION OF OPERATIONS below N I A 1951272 04101/11 04101112 NC STATU- X OTH- E.I.EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,00 I E.L. DISEASE -POLICY LIMIT $ 500,00 C Prof. Liability V15Q3U100201 12/14110 12/14/11 Each Occu 2,000,00 Aggregate 2,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) The City of Fort Collins is named additional insured with regards to general liability. CITY OF City of Fort Collins Purchasing Division PO Box 580 Fort Collins, CO 80522 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 © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD OP ID: JA n11. o CERTIFICATE OF LIABILITY INSURANCE DAT03/31DVVYY) 03/31/11 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 certificate holder in lieu of such endorsements . PRODUCER 970-223-1604 Front Range Insurance Group 1100 Haxton Drive Suite 100 Fort Collins, CO 80526 David A. Wooldridge LUTCFAAI CONTACT NAME: FA% INC, No Ext: AlG No: E-MAIL PRODUCER CUSTOMER ID A: ALLER-1 INSURERS AFFORDING COVERAGE NAIL A INSURED Aller-Lingle-Massey INSURER A: Pinnacol Assurance 41190 Architects P.C. INSURER B: The Hartford 712 Whalers Way, Suite B-100 Ft. Collins, CO 80525 INSURER C:Bea2le Insurance Company, Inc INSURER D INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: REVISIONNUMBER: 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 rypE OF INSURANCE A L UB POLICY NUMBER POLICY EFF MMIDDNYYY POLICY EXP MMIDDNYYY LIMITS B GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx_] OCCUR X 34SBA KJ7716 DX 04/09N1 04/09112 EACH OCCURRENCE $ 1,000,00 PREMISES ea occurrence $ 300,00 MED EXP (Any one person) $ 10,00 PERSONAL B ADV INJURY $ 1,000,00 X EPLI $6,000 GENERAL AGGREGATE $ 2,000,00 GENE AGGREGATE LIMIT APPLIES PER'. POLICY X PRO LOC JECAUTOMOBILE PRODUCTS AGO $ 2,000,00 $ B LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 34UECIO8390 04109111 04109/12 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X BODILY INJURY (Per Person) $ BODILY INJURY (Per aceidenl) $ PROPERTY DAMAGE (Per accident) $ $ $ B UMBRELLA. LIAR EXCESS DAB X OCCUR CLAIMS -MADE 34SBA KJ7716 DX 04109111 04109112 EACH OCCURRENCE $ 1,000,00 AGGREGATE $ DEDUCTIBLE RETENTION 10,000 S X $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITYI ANY PROPRIETORIPARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 1951272 04/01/11 04/01/12 WC STATU- X OTH- TOR LIMITS E.L. EACH ACCIDENT $ 500,00 E. L. DISEASE -EA EMPLOYEE $ 500,00 E.L. DISEASE - POLICY LIMIT $ 500,00 C Prof. Liability 1503U100201 12114110 12/14111 Each Occu 2,000,00 Aggregate 2,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) City of Fort Collins, Lincoln Center is listed as Additional Insured with regards to General Liability. CITY-01 City of Fort Collins Lincoln Center 300 Laporte Ave. Fort Collins, CO 80521 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 V 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD OP ID: JA ,4t�oizo CERTIFICATE OF LIABILITY INSURANCE OAT03131/IYYYY) 03131111 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 certificate holder in lieu of such endorsements . PRODUCER 970-223-1804 Front Range Insurance Group 1100 Haxton Drive Suite 100 CONTACT PHONE FAX INC. No EXt: INC. No: EMAIL ADDRESS: Fort Collins, CO 80525 David A. Wooldridge LUTCFAAI PRODUCER ALLER-1 CUSTOMER ID N: INSURERS AFFORDING COVERAGE NAIC # INSURED Aller-Lingle-Massey INSURER A: Pinnacol Assurance 41190 Architects P.C. INSURER B:The Hartford 712 Whalers Way, Suite B-100 Ft. Collins, CO 80525 INSURER C:BeaZle Insurance Company, Inc INSURER D: INSURER E IN Lit RF: COVERAGES CERTIFICATE NUMBER: 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 SUERPOLICY POLICYNUMBER EFF MMIDDIYYYYJ POLICY EXP (MMIDDNYYYI LIMITS B GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxI OCCUR X 34SBA KJ7716 DX 04/09/11 04/09112 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 300,00 MED EXP (Any one person) $ 10,00 PERSONAL& ADV INJURY $ 1,000,00 X EPLI$5,000 GENERALAGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER'. POLICY X PRO LOC PRODUCTS - COMPIOP AGG $ 2,000,00 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 34UECIO8390 04109111 04109112 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X BODILY INJURY (Per person) $ BODILY INJURY (Per accidem) $ ' PROPERTY DAMAGE (Peraccident) $ $ $ B UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 34SBA KJ7716 DX 04I09111 04I09112 EACH OCCURRENCE $ 1,000,00 AGGREGATE $ DEDUCTIBLE RETENTION $ 10,000 $ X $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICERIMEMBER EXCLUDEW (Mandatory in NH) If yes, describo under DE SCRIPTION OF OPERATIONS below NIA 1951272 04/01/11 04/01/12 WC STATU- X OTH- E.L EACH ACCIDENT $ 500,00 E. L. DISEASE - EA EMPLOYEEI $ 500,00 E.L. DISEASE -POLICY LIMIT $ 500,00 C Prof. Liability V1503U100201 12/14/10 12/14/11 Each Occu 2,000,00 Aggregate 2,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space is required) South Transit Center. The City of Fort Collins is named as an additional insured with regards to general liability. CITY OF City of Fort Collins PO Box 580 Fort Collins, CO 80522 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 © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD