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HomeMy WebLinkAbout466669 BISHOP-BROGDEN ASSOCIATES INC - INSURANCE CERTIFICATE (3)ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MM DO Y ) 8/1/2012 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 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). PRODUCERCONT CT NAME: Van Stone Van Gilder Insurance Corp. PHONE FAX AIC No : - - 5295 1515 Wynkoop, Suite 200 E-MAIL Denver CO 80202 Aooasss: v INSURERS AFFORDING COVERAGE NAIC a 1 �{ 6V INSURER A:Tray `N'kl, INSURED BISBRO INSURERB -Hartf r n rance_(ServiceCe 0 INsuRERc-Travelers-Casualt R Surety 19308 Bishop-Brogden Associates,lnc 333 W. Hampden Ave. #1050 Englewood CO 80110 INSURER D: INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 10619392 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 ADDL INSR UBR Me POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY) LIMITS A GENERAL LIABILITY Y Y 680287OL56ATCT12 `7/29/2012 /29/2013 EACH OCCURRENCE $1,000,000 x COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occumence $300.000 MED EXP (Any one person) $5,000 CLAIMS -MADE 1XI OCCUR PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2.000,000 POLICY X PRO- _PQTLOC § A LIABILITY Y Y BA2871L73912 7/29/2012 /29/2013 EaaC('NLU 11.1 §1,000,000 BODILY INJURY (Per person) $ ANY AUTO ALL OS AUTOS LED AUTOS AUTOS ROMOBILE BODILY INJURY (Per aoodent ) $ NON -OWNED HIRED AUTOS P AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTIONS $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN y 34WEGKE0438 12/3l/2011 '12131/2012 14C STATU- OTH-I T R E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/EXCLUDED? NIA E.L. DISEASE -EA EMPLOYE $1,000,020 (Mandatory In NH) If yes, Describe under E.L. DISEASE - POLICY LIMI I 51,000,000 DESCRIPTION OF OPERATIONS below C Professional Liability Claims Made 105322581 /29/2012 /29/2013 Per Claim $1.000,000 Annual Aggregate $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If mom apace is re9uiredl 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. 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. AUTHORIZED REPRESENTATIVE ���1-� CnAiDnRATInN All einMe .ee m—A ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD