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HomeMy WebLinkAbout113275 ALLER-LINGLE-MASSEY ARCHITECTS PC - INSURANCE CERTIFICATE (8)OP ID: CR CERTIFICATE OF LIABILITY INSURANCE DATE04/13D/YYYY) 1 4/13/12 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 NAMEACT Front Range Insurance Group 1100 Haxton Drive Suite 100 Fort Collins, CO 80525 David A. Wooldridge LUTCFAAI 1f PHONE FAX , INC. N.. EXI); (AJC No: EMAIL PRODUCER C TOM R ID a: ALLER-1 INSURERS AFFORDING COVERAGE NAIL N INSURED Aller-Lingle-Massey INSURER A: Pinnacol Assurance 41190 Architects, P.C. INSURER 8:The Hartford 30104 712 Whalers Way, Suite B-100 Ft. Collins, CO 80525 INSURERC: RLI 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 ADDL B POLICY NUMBER POLICY EFF MMIDDIYYYYI POLICY EXP fMhUDOIYYYY)LIMITS B GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxIOCCUR X 34SBA KJ7716 DX 04/09/12 04109/13 EACH OCCURRENCE $ 1,000,00 PRA MISES Ea d=ur ence S 300,00 MED EXP (My one person) $ 10,00 PERSONAL S ADV INJURY $ 1,000,00 X EPLI $5,000 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE 1-1 POLICY LIMIT APPLIES PER. - X PlFr.T 1-1 RO LOC PRODUCTS - COMP/OP AGG $ 2,000,00 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON-OWNEDAUTOS 34UECIQ8390 04/09112 04/09/13 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X BODI LY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ B UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 34SBA KJ7716 DX 04/09/12 04109113 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, describe under DESCRIPTION OF OPERATIONS below NIA 1951272 04/01/12 04101/13 X WC STATU- OTH- E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,00 E. L. DISEASE - POLICY LIMIT $ SOO,OO C Prof. Liability RDP0005714 12114/11 12/14/12 Per Claim 2,000,00 Aggregate 2,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace 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 rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD OP ID: CR CERTIFICATE OF LIABILITY INSURANCE DAT04/13D/YYYY) F 04/13/12 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 LUTCFA CONTACT PHONE FAX Arc o Est ; we No): EMAIL ADDRESS:AI PRODUCER CUSTOM"e:ALLER-1 INSURERS AFFORDING COVERAGE NAIC Is INSURED Aller-Lingle-Massey Architects, P.C. 712 Whalers Way, Suite B-100 Ft. Collins, CO80525 INSURER A:Pinnacol Assurance 41190 INSURER B:The Hartford 30104 INSURER C:RLIInsurance 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 rypE OF INSURANCE A L SUERPOLICY POLICY NUMBER EFF MM/DDNYYYJ POLICY EXP (MMIDDiYYYY1 LIMITS B GENERAL LIABWTY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX-1 OCCUR - X 34SBA KJ7716 DX - - "- 04/09112 04/09113 - EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 300,00 MED EXP (Any one person) $ 10,00 PERSONAL SADVINJURY $ 1,000,00 X EPLI$5,000 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER POLICY X PRO-JECT 71 LOC PRODUCTS - COMP/OP AGG $, 2,000,00 - $ • B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 34UECIQ8390 04/09/12 04/09/13 COMBINED SINGLE LIMIT $ 1,000,00 • X BODILY INJURY BODILY INJURY (Per person) 8 BODILYINJURY(Peracrwdem) - $ PROPERTY DAMAGE (Per accident) $ S B UMBRELLA LIAB EXCESS LAB X OCCUR CLAIMS -MADE 34SBA KJ7716 DX 04l09112 04/09113 EACH OCCURRENCE $ 1,000,00 AGGREGATE $ DeoucrleLE RETENTION $ 10000 $ X $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes desvibe under DESCRIPTION OF OPERATIONS below N/A 1951272 04101/12 04/01/13 X WC STATU- OTH- E.L. EACH ACCIDENT $ 600,00 E.L. DISEASE - EA EMPLOYEE $ 500,00 E.L. DISEASE - POLICY LIMIT $ SOO,OO C Prof. Liability RUP0005714 12/14/11 12/14112 Per Claim 2,000,00 Aggregate 2,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, ACdltlonal Remarks Schedule, if more space Is required) South Transit Center. The City of Fort Collins is named as an additional insured with regards to general liability. CERTIFICATE HOLDER CANCELLATION CITY OF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CI Of Fort 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 (2009109) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD