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HomeMy WebLinkAbout373720 WILLIAM SPECKMAN - INSURANCE CERTIFICATE4CORtf CERTIFICATE OF LIABILITY INSURANCE �� ODD 12/22/22/2011 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 Denver Agency Company 210 University Blvd, Suite 600 Denver CO 80206-4661 CONTACT Christi Nistler, CIC NAME: PHONE . (303) 892-6900 FAX (303)e92-6938 Epfp&, .christi@denveragency. corn INSURERS AFFORDING COVERAGE NAIL N INSURER A:Hartford Casualty Ins CO INSURED William Speckman 8658 W. Wesley Place Lakewood CO 80227 1 INSURERS Darwin Select Insurance Cc I INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:11/12 GL/PL RFVICIr11J MHMRFR- 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 SUBR POLICY NUMBER POLICY EFF tMMIDO POLICY EXP fMMIDDNYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 34SBAIH9492 12/11/2011 2/11/2012 DAMA ET RENTED PREMISES Ea occurrent $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL B ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 4,000,000 X POLICY PFQ.TRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ilia accident 2,000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 4SBAIH9492 2/11/2011 2/11/2012 BODILY INJURY (PerauJtlenl) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ WORKERS COMPENSATION WC STATU- DTH- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNER/EXECUTIVE OPFICEWMEMBER EXCLUDED? N / A LIM E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYE $ (Mandatory In NH) If yes, describe untle, DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ B Professional Liability 3051417 2/3/2017 2/3/2012 Each Claim 1,000,000 $1,000 Deductible Aggregate 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace Is required) Ref: 7113 Sales, Use and Lodging Tax Hearing Officer. City of Fort Collins is included as Additional Insured as respects General Liability coverage. City of Fort Collins - Purchasing Attn: Mr. James B. O'Neill II, CPPO, FNIG Director of Purchasing and Risk Management P.O. 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 ACORD 25 (2010/05) McKeever, CIC/CHRIS ©1988.2010 ACORD CORPORATION. All rights reeerved INS025(201005).01 The ACORD name and logo are registered marks of ACORD