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HomeMy WebLinkAboutVAUGHT FRYE LARSON ARCHITECTS - INSURANCE CERTIFICATEAli & CERTIFICATE OF LIABILITY INSURANCE ,DATE iD ) 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 endorsement(s). PRODUCER Van Gilder Insurance Corp. 1515 Wynkoop, Suite 200 Denver CO 80202 CONTACT NAME: PHONE FAX IMC. No Ert: 303 - - AIC,N.) - - E-MAIL ADDRESS: amaclas@v ic.com PRODUCER CUSTOMER ID #: V FLA INSURER($) AFFORDING COVERAGE NAIC # INSURED INSURERA:XL Specialty Insurance Co. 37885 Vaught Frye Larson Architects (VFLA) VFR Design, Inc. INSURERS: Hartford Insurance Service Cc 0 INSURER C:HartfOrd Insurance Company 0 401 West Mountain Ave., Suite 201 INSURER D: Fort Collins CO 80521 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 83896-1808 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. I�TR TYPE OF INSURANCE 1 S BR POLICY NUMBER POLICY EFF MMIDDIYYYY YEXP MMMD LIMITS C GENERAL LIABIUTY % COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ZI OCCUR 34SBWW6123 7/1/2011 7/1/2012 EACH OCCURRENCE $1000000 AMA ET PREMISES Ea Dccunence $ 300000 MED EXP(Any one person) $10000 PERSONAL B ADV INJURY $1000000 GENERAL AGGREGATE $2000000 GEN'L AGGREGATE POLICY LIMIT APPLIES PER: FI PE'CT Ix l Lot PRODUCTS - COMNOP AGG $2000000 S C AUTOMOBILE LIABILITY A1NY AUTO ALL OWNED AUTOS SCHE DULED AUTOS HIRED AUTOS NON- WNED AUTOS 34URCPO527S 7/1/2011 7/1/2012 COMBINED SINGLE LIMIT (E..cadent) $1000000 % BODILY INJ URY(Per person) $ BODI LY INJ URY(Per accident) $ PROPERTY DAMAGE (Per en .cadt) $ $ C LIAB EXCESS LIAR X OCCUR CLAIMS -MADE 34SBNVT6123 7/1/2011 7/1/2012 EACH OCCURRENCE $1000000 NUMBRELLA AGGREGATE g1..00.. X DEDUCTIBLE RETENTION $10000 $ Is B WORKERS AND EMPLOYOMPENSATION ERS' LIABILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE OFFICEWMEMBER EXCLUDED? Y I (Myandatory in NH) DESCc-scrine under RIPTION OF OPERATIONS helow NIA 34WEGKC6664 7/1/2011 7/1/2012 % 4Hy1TAWTiRS OTH- E.L. EACH ACCIDENT $1000000 E.L. DISEASE - EA EMPLOYE S1000000 E.L. DISEASE - POLICY LIMIT 1 $1000000 A Professional Liability Claims Made DPR9691527 7/1/2011 I7/1/3012 IPer Claim $2,000,000 Aggregate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS ;VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) If required by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The Certificate Holder and Owner are included as Additional Insureds for ongoing and completed operations under General Liability; Designated Insured under See Attached... City of Fort Collins Attn: Purchasing 215 North Mason Street 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 #0�� ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: VFLA LOC #: ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMEDINSURED Van Gilder Insurance Corp. Vaught Frye Larson Architects (VFLA) VFR Design, Inc. 401 West Mountain Ave., Suite 201 POLICY NUMBER Fort Collins CO 80521 CARRIER NAIL CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE:CERTIFICATE OF LIABILITY INSURANCE Automobile Liability; and Additional Insured under Umbrella / Excess Liability but only with respect to liability arising out of the Named Insured's work performed on behalf of the certificate holder and owner. This insurance will apply on a primary, non-contributory basis. Per project aggregate applies to General Liability. A Blanket Waiver of Subrogation applies for General Liability, Automobile Liability, Umbrella/Excess Liability and Workers' Compensation. Limited Contractual Liability is included. The Umbrella / Excess Liability policy provides excess coverage over the General Liability, Automobile Liability and Employers Liability. Additional Insured: City of Ft. Collins The ACORD name and logo are registered marks of ACORD ON I vangnder September 1 W, 2010 Re: Enclosed Certificates Starting on 01 September 2010, the "Certificate of Liability Insurance national template issued by ACORD changed. The certificate contains new cancellation notice language. Van Gilder, nor any other insurance agency, is no longer allowed to amend the certificate template. However, we understand how Important notice of certain items is to you. Therefore, we are committed to providing the following: Should any of the policies identified on the enclosed certificates be cancelled or non -renewed, Van Gilder will endeavor to provide 30 days notice to you or that amount of notice coinciding with the notice Van Gilder receives from the insurance company. In the event of non-payment of premium, Van Gilder will endeavor to provide 10 days notice. Please note that failure to provide notice does not impose an obligation or liability on the insurance company, or its agents, or representatives. Please do not hesitate to contact us with any questions or concerns Van Gilder Insurance Corp. Van Gilder insurance Corporation I PO Box 465101 Denver, CO 80201 1 Tel 800.873.8500 1 Fax 303.831.52951 v .vgic.mrn Ml U=GbaW PW r