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Home My WebLink About376039 THE BALLARD GROUP INC - INSURANCE CERTIFICATE (2)ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYVV) 8/31 /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 endorsements . PRODUCER NTA T NAME: Nancy Roman Van Gilder Insurance Corp. PNONEAJ 303-837-85 0 uc No):303-831-5295 p, Suite 200 Denver CO 80202 Den r CO 8 ADDRIESS:nroman v IC.COm �� INSURERS AFFORDING COVERAGE NAICI p INSURERA:HARTFORD FIRE IN 19682 0 I INSURED BALGRO INSURER B:Travelers Casualty. & Surety Co 93Q8 The Ballard Group, Inc. INSURER C: P.O. 36007 Denver CO 80236 INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 1809549951 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 rypE OF INSURANCE AODR I MD POLICY EFF POLICY EXP LTR itMD POLICY NUMBER MMIDO/YYYY MM/DDIYYY1rLIMITS A GENERALLIABILITY Y Y b4SBWEU2032 91112012 /1/2013 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES RENT rrencej $300,000 CLAIMS -MADE IT]OCCUR MED EXP(Any one person) $10,000 PERSONAL B ADV INJURY $1,000.000 GENERAL AGGREGATE $2.000.000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $2,000,000 POLICY F7 PRO FX7 LOC IrrT $ A AUTOMOBILE LIABILITY Y Y 34SBWEU2032 1112012 /1/2013 Ea accitlenq $1,0001000 BODILY INJURY (Per person) IS ANY AUTO AOWNEDULED SCHEDCHED AUTOS BODILY INJURY (Per accident) $ X ER ccitlen DAMAGE $ HIRED AUTOS X NOUTOS N-OWNEDPeoa $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEC) I I RETENTION $ $ WORKERS COMPENSATION WC STATU- I OTH- AND EMPLOYERS' LIABILITY YIN E.L. EACH ACCIDENT $ ANY PROPRIETORIPARTNERIEXECUTIVE❑ OFRCERIMEMBER EXCLUDED? N / A EL DISEASE-EAEMPLOVE� (Mandatory In NH) It yes, tlesulbe under - E.L. DISEASE -POLICY LIMIT 1 $ DESCRIPTIONOFOPERATIONSbelow B Professional Liablity N Y 101334165 9/1/2012 I9/1/2013 Per Claim $1,000,000 Claims Made Annual Aggregate $2.000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) 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 and Automobile Liability 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 and Automobile Liability. Limited Contractual Liability is included. Additional Insured: City of Fort Collins, CO City of Fort Collins P.O. Box 580 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. AUTHORREPRESENTATIVE ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD TION. All rights reserved