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HomeMy WebLinkAbout466669 BISHOP-BROGDEN ASSOC INC - INSURANCE CERTIFICATEACORO® CERTIFICATE OF LIABILITY INSURANCE DA 12'01DD YYYYI B 1 zMil 1 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 /���e�� 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