Loading...
HomeMy WebLinkAbout101882 VAUGHT FRYE LARSON ARCHITECTS - INSURANCE CERTIFICATEAeOO o® CERTIFICATE OF LIABILITY INSURANCE 7/1/2 DATE(MM111Df/1'YY) 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 endorsemenl(s). PRODUCER Van Gilder Insurance Corp. 1515 Wynko Op, Suite 200 Denver CO 80202 CONTACT NAME: PHONE IFAX AIC No—Eaf): 3 0 3 - 8 3 7 - AIC, No: - - E-MAIL ADDRESS: amaClaS@V 1C.COm PRODUCER CUSTOMER ID R: VFLA INSURER(S) AFFORDING COVERAGE NAIC M INSURED INSURERA:XL Specialty Insurance Co. 37885 Vaught Frye Larson Architects (VFLA) VFR Design, Inc. INSURER B: Hartford Insurance Service Ce 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: 838967808 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 INSR MD POLICY NUMBER POLICY EFF MMIDDIYYYY) POLICY EXP IMMIDDITYYY1 LIMITS C GENERAL LIABILITY 34SBWW6123 7/1/2011 7/1/2012 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY PREMISESEa occurrence $300000 MED EXP(Any one person) $10000 CLAIMS -MADE OCCUR PERSONALS ADV INJURY $1000000 GENERAL AGGREGATE $2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $2000000 POLICY 7 PRO- X LOC S C AUTOMOBILE LIABILITY 34UECP08278 7/1/2011 7/1/2012 COMBINED SINGLE LIMIT (Ea accident) $1000000 X A1NY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Per acddenl) $ $ NON -OWNED AUTOS C X UMBRELLA LIAB X OCCUR 34SBWV176123 7/1/2011 7/1/2012 EACH OCCURRENCE $1000000 AGGREGATE $1000000 EXCESS LUIB CLAIMS -MADE DEDUCTIBLE $ X $ RETENTION $10000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? � MIA 34WEGKC6664 7/1/2011 7/1/2012 % IWC STATU- OTH- TCFY LIMITS E.L. EACH ACCIDENT $1000000 E.L. DISEASE - EA EMPLOYE $1000000 (Mandatory In NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $1000000 DESCRIPTION OF OPERATIONS below A Professional Liability DPR9691527 7/1/2011 9/1/2012 Per Claim $2,000,000 Claims Made Aggregate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aftach ACORD 101, Additional Remarks Schedule, If more apace 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 All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD ACC AGENCY CUSTOMER ID: VFLA LOC #: ADDITIONAL REMARKS SCHEDULE Page 1 of I AGENCY NAMED INSURED 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 utomobile Liability; and Additional Insured under Umbrella / Excess Liability but only with respect to lability arising out of the Named Insured's work performed on behalf of the certificate holder and owner. his insurance will apply on a primary, non-contributory basis. Per project aggregate applies to General iability. A Blanket waiver of Subrogation applies for General Liability, Automobile Liability, nbrella/Excess Liability and Workers' Compensation. Limited Contractual Liability is included. The nbrella / Excess Liability policy provides excess coverage over the General Liability, Automobile iability and Employers Liability. dditional Insured: City of Ft. Collins © 2008 ACORD The ACORD name and logo are registered marks of ACORD September 1", 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 endeavorto 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 [Tel 800.873.8500 1 Fax 303.831.52951 w .vgic.com MPssuu Gb P M