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
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