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HomeMy WebLinkAbout113275 ALLER-LINGLE-MASSEY ARCHITECTS PC - INSURANCE CERTIFICATE (7)OP ID: CR ACORO° CERTIFICATE OF LIABILITY INSURANCE OATDYYYY) 04/094/09/12 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' " 970-223-1804 Front Range Insurance Group 1100 Haxton Drive Suite 100 Fort Collins, CO 80525 David A. Wooldridge LUTCFAAI CONTACT PHONE FAX MC.No Ear, ac No E-MAIL PRODUCER Cu TOMERI...ALLER-1 INSURERS AFFORDING COVERAGE NAIC Y INSURED Aller-Lingle-Massey - INSURER A: Plnnacol Assurance 41190 Architects, P.C. INSURER B: The Hartford 30104 712 Whalers Way, Suite B-100 Ft. Collins, CO 80525 NsuRERc: RLI Insurance Company INSURER D : INSURER E NSURER F: COVERAGES CERTIFICATE NUMBER: ' 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 L TYPE OF INSURANCEADDL SUBS POLICY NUMBER POLICY EFF MM/DDn'YYY POLICY EXP MM/DD/YYYY LIMITS B GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx_] OCCUR X 34SBA KJ7716 DX 04/09/12 04/09113 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 300,00 MED EXP (Any one person) $ 10,00 PERSONAL B ADV INJURY $ 1,000,00 X £PLI$5,000 GENERAL AGGREGATE $ 2,000,00 GEN1 AGGREGATE POLICY LIMIT APPLIES PER: X PRO- JECTLOC PRODUCTS - COMP/OP AGG $ 2,000,00 $ 8 AUTOMOBILE LIABILITY ANV AUTO ALLOWNEDAUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 34UECIQ8390 04/09/12 04/09/13 COMBINED SINGLE LIMIT (Ea acoident $ 1,000,00 X ROOT LY INJU RY(Par person) $ BODI LY INJ URY(Per accident $ PROPERTY DAMAGE (Per accident $ $ $ B UMBRELLA UAB E%CESS LIAR X OCCUR CLAIMS -MADE 34SBA KJ7716 DX 04I09/12 04I09113 EACH OCCURRENCE $ 1,000,00 AGGREGATE $ DEDUCTIBLE RETENTION $ 10000 $ X $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, desoibe under DESCRIPTION OF OPERATIONS below NIA 1951272 04/01112 04/01/13 X I WCSTATU- OTH- FR E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYEES 500,00 E.L. DISEASE - POLICY LIMIT $ 500,00 C Prof. Liability RDP0005714 12114111 12/14112 Per Claim 2,000,00 Aggregate 2,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) The City of Fort Collins is named additional insured with regards to general liability. CITY OF City of Fort Collins Purchasing Division 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. AUTHORIZED REPRESENTATIVE © 1988-2009 ACORD CORPORATION- All riahfa reserved ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD No Text OP ID: CR ,d►�oRo CERTIFICATE OF LIABILITY INSURANCE Da 04/09/nrvr) F 04/09/12 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- eInsu --- - 970-223-1804 Front Range Insurance Group 1100 HaXton Drive Suite 100 Fort Collins, CO 80525 David A. Wooldridge LUTCFAAI CONTACT - - - PHONE FAX _ MC. 0 No Exit, NC No): E-MAIL PRODUCER cu MERIDa:ALLER-1 INSURERS AFFORDING COVERAGE NAIC d INSURED Aller-Lingle-Massey Architects, P.C. 712 Whalers Way, Suite B-100 Ft. Collins, CO 80525 INSURER A: PInnacol Assurance 41190 INSURER B:The Hartford 36104 INSURER C ALI Insurance Company INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 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 POLICY NUMBER EFF MM DDYIYYYY Y EXP MMIDD LIMITS B GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE aOCCUR ' X 34SBA KJ7716 DX .. 04/09/12 04/09/13 EACH OCCURRENCE $ 1,000,00 PftREMISES Ea occurrence $ 300,00 MED EXP(Any one person) $ 10,00 PERSONAL B ADV INJURY $ "" 1,000,00 -X EPLI$5;000 GENERALAGGREGATE - $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER'. POLICY X PRO LOC PRODUCTS - COMPIOP AGG S 2,000,00 $JECT ' B AUTOMOBILE LIABILITY.' ,. ANY AUTO - ' ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 34UECIQ8390 04/09/12 04/09113 COMBINED SINGLE LIMIT (Eaaccident) , $ 1,000,00 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Peramident) $ $ B UMBRELLA LIAR EXCESS LUIB X OCCUR CLAIMS -MADE 34SBA KJ7716 DX 04I09112 04109113 EACH OCCURRENCE $ 1,000,00 AGGREGATE $ DEDUCTIBLE RETENTION $ 10000 $ X $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICERIMEM8ER EXCLUDED't (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 1951272 04/01/12 04/01/13 X WC STATU- OTH- E.L. EACH) CCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYEE $ 500,00 E.L. DISEASE - POLICY LIMIT 1 $ 500,00 C Prof. Liability RDP0005714 12114111 12114112 Per Claim 2,000,00 Aggregate 2,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ANach ACORD 101, Additional Remarks Schedule, If mom space Is required) South Transit Center. The City of Fort Collins is named as an additional insured with regards to general liability. CERTIFICATE HOLDER CANCFI I ATInN CITY OF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CI Of FOR CollinsTHE City EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE ACORD 25 (2009/09) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD No Text