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HomeMy WebLinkAbout466669 BISHOP-BROGDEN ASSOCIATES INC - INSURANCE CERTIFICATE (2)4CORh® CERTIFICATE OF LIABILITY INSURANCE lai uoomrr) 1/1212012/2012 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 policyfes) 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 . PRODUCERCONTACT Van Gilder Insurance Corp. 1515 Wynkoop, Suite 200 Denver CO 80202 NAME: V tone PHONE AX30.1-837-8500 IC No: )303-831-5295 E-MAIL ADDRESs:v v INSURER(S) AFFORDING COVERAGE NAIC d INSURER A:Tr V Iers Insurance INSURED BISBRO INsuRERB:Liartford Insurance_ Service INSURER C:CL- t _Paul Fire & Mari ne_Insu Bishop-Brogden Associates,lnc 333 W. Hampden Ave. #1050 Englewood CO 80110 INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 1640075007 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 I rypE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LTR INSR MD POLICY NUMBER (MM/DDfYYYYI IMMIDDiYYYY1LIMITS A GENERAL LIABILITY Y Y 680287OL56ATCT11 /29/2011 /29/2012 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1 OCCUR DAMAGE TORENYEDo PREMISES Ea ccunence $1,000,000 MED EXP (Any one person) $10,000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $2,000,000 X POLICY PRO- LOC I $ A AUTOMOBILE LIABILITY Y Y BA28711_73911 /29/2011 /29/2012 Ea accident $1,000,000 BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accitlenl ( ) $ X HIRED AUT05 X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION$ g B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY V / N y WEGKE0438 t2/31/2011 12/31/2012 WC STATU- OTM- E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? N/A ET. DISEASE - EA EMPLOYE $1,000,000 (Mandatory In NH) If yes, describe under E.L. DISEASE -POLICY LIMIT 1 $1,000,000 DESCRIPTION OF OPERATIONS below C Professional Liability Claims Made 105322581 7/29/2011 /29/2012 I Per Claim $1.000.000 Annual Aggregate $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Romania 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 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, Automobile Liability, and Workers' Compensation. Limited Contractual Liability is included. (Attachments) 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. AUTHORIMD I ©1988.2010 ACORD ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD reserved.