HomeMy WebLinkAbout466669 BISHOP-BROGDEN ASSOC INC - INSURANCE CERTIFICATEACORO® CERTIFICATE OF LIABILITY INSURANCE
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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
CONTACT
NAME: V --Ztone
PHONE FAX
-8500 A/c ND: - -
Gilder Insurance Corp.
1515 Wynkoop, Suite 200
Denver CO 80202
EMAIL
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIC N
INSURER A:TraVelers insurance
INSURED BISBRO
INSURER B.H t£O d InsUr_Ei a fqP,yiCE, C
INSURERC: Marine In5
Bishop-Brogden Associates,Inc
INSURER D:
333 W. Hampden Ave. #1050
Englewood CO 80110
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: 915346560 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
LS
TYPE OFINSU RANGE
ADD
INSR
UBR
WVD
POLICY NUMBER
POLICY EFF
MWDD
POLICY EXP
MM/DD
LIMBS
A
GENERAL LIABILITY
Y
Y
680287OL56ATCT11
/29/2011
/29/2012
EACH OCCURRENCE
$1,000, 000
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE El OCCUR
DAMAGE TO RANTED
PREMISES Ea occurrence
$1,000, 000
MED EXP(My one person)
$30,000
PERSONAL B ADV INJURY
$1, 000, 000
GENERAL AGGREGATE
$2,000,000
GENT AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGO
$2,000,000
P" LOC
X POLICY � JECT
$
A
AUTOMOBILE
LIABILITY
Y
Y
BA287IL73911
/29/2011
/29/2012
Ea e¢itlenl
1 000, 000
BODILY INJURY (Per person)
$
ANY AUTO
ALL OSCHEDULED
AUUTOSS AUTOS
H
BODILY INJURY (Per accdent)
$
X NON -OWNED
HIRED AUTOS AUTOS
PROPERTY DAMAGE
Perer acidaccident
$
S
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAR
CLAIMS -MADE
DED RETENTION
Is
R
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER,MEMBER EXCLUDED? ❑
N/A
Y
34WEGKE0438
2/31/2010
2/31/2011
% I WC STATU- OR
TORYUV]
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE - EA EMPLOYE
$1, 000, 000
(MIn NH)
It yandatory
DESCRIPTIide under
ON OF OPERATIONS helaw
E.L. DISEASE- POLICY LIMIT
$1, 000, 000
C
Professional Liability
105322581
/29/2011
/29/2012
Per Claim $1.000,000
Claim. Made
Annual Aggregate $1, 000,000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES lAttach ADDED 101, Additional Remarks Schedule, if more apace is me ulmd)
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
Automobile Liability; and Additional Insured 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. A Blanket Waiver of Subrogation applies for General Liability,
See Attached...
City of Fort Collins - Purchasing
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.
AUTHORUEED
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Cf1RPr1PATIr1M All A, Ikte .eee.....d
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: BISBRO
LOC #:
A41CC)OR ADDITIONAL REMARKS SCHEDULE Pagel of 1
AGENCY
Van Gilder Insurance Corp.
NAMED INSURED
Bishop-Brogden Associates,Inc
333 W. Hampden Ave. #1050
Englewood CO 80110
POLICY NUMBER
CARRIER
NAIL CODE
EFFECTNE DATE:
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE:CERTIFICATE OF LIABILITY INSURANCE
Automobile Liability, and Workers' Compensation
(Attachments)
ACORD
Limited Contractual Liability is included.
2008 ACORD CORPORATION_ All riahte
The ACORD name and logo are registered marks of ACORD