HomeMy WebLinkAboutCAPSTONE PLANNING & CONTROL INC - INSURANCE CERTIFICATEA� D®
CERTIFICATE OF LIABILITY INSURANCE
DATE(MWDD/YYYY)
1 12/27/2011
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 endorsement(s). `
..
PRODUCER-_.,_ ' L:.. I
Taggart,& Associates,:>inc.,
__
1600 Canyon Boulevard
P. O. BOX 147
Boulder CO 80306
CONTACT -
NAME: Melissa Whittier, CIC
_
PHOHE (303)442-1484 '.. Ls FAX No,.c3o11 ail;eeii;;
__
E-MAIL .melissaw@taggartinsurance.com
INSURERS AFFORDING COVERAGE
` NAICN'I I`
INSURER A:Hartford Fire Insurance Co
19682
INSURED
Capatone Planning & Control, Inc.
11001 W. 120th Ave, Suite 220
Broomfield CO 80021
INSURERS -Rated by Multiple Companies
00914
INSURER C:Adco
0030
INSURER D:
NSURERE:
INSURER F:
COVERAGES CERTIFICATE NUMBER:12-13 Master -Current 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
TYPE OF INSURANCE
ADDL
UB
POLICY NUMBER
MM DD/YYYR POLICY F
Y
PMIDDIYOLICY YY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 11000,000
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
34SBAER2345
/3/2012
1/3/2013
AGE 10 RENTED
PREMISES ES Ea oco..
$ 300,000
MED EXP (AW one son)
$ .10,000
PERSONAL B ACV INJURY
$ 1,000,000
'
-
GENERAL AGGREGATE:
$ 2,000,000
•
-
'GEN'L AGGREGATE
LIMIT; APPLIES PER:, _'
PRODUCTS - COMP/OP AGG
$_-' +2,060,000
'
I
-
'.� ,;
.X ;POLICY
PRO- LOG
JFCT
AUTOMOSILELIABILITY„
;, ,- ,. •
COMBINED
EDISINGLE LIMB
1 000 000
''ANVAUTO""
BODILY INJURY (Per Person)'
•E "� :C .'.
A'
-
J" -
ALLOWNED SCHEDULED
AUTOS AUTOS
-
4SBAER2345 .'
"-
1/3/2012 -
/3/2013
BODILY INJURY (Per accident)
$ -
X
NON-O
HIRED AUTOS X AUT SEED
PROPERTY
Pw aacoenl DAMAGE
$
$
X
UMBRELLA LIAR
X
OCCUR
-
EACH OCCURRENCE
$ 8,000,000
AGGREGATE
$ 81000,000
A
EXCESS LIAR
CLAIMS -MADE
DELI I X I RETENTIONS 10, 00C
$
4SBABR2345
1/3/2012
1/3/2013
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE ❑
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
N/A
4WBCGL876e
1/1/2012
1/1/2013
X WC STATU- 0TH-
Pp
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYE
$ 11000,000
If y- desaibo undo,
DESCRIPTION OF OPERATIONS" I.
I
E. L. DISEASE -POLICY LIMIT
$ 1 00D 000
C
Professional Liability
03067192
6/2/2011
/2/2012
Limit $5,000,000
Deductible $25, 000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD lot. Additional Remarks Schedule, H more apace Is required)
City of Fort Collins
Attn: Ms. Opal Dick
700 Wood Street
Fort Collins, CO 80522-0580
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 REPRESENTATME
ACORD 25 (2010I05)
Whittier, CIC/JAP
i kFI:bLiDL•bia7;7aZaia79SU:L•\$N7: �dI�RI
INS025 (20l(X5).01 The ACORD name and logo are registered marks of ACORD