HomeMy WebLinkAbout509811 JAMES DUNCAN AND ASSOCIATES - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE
11 20 2012
THIS CERTIFICATEIS 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 SUBROGATIONIS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statementon this certificatedoes not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
VAN GILDER INSURANCE CORP/PHS
341438 P: (866)467-8730 F: (877)905-0457
PO BOX 33015
PHONE FAx
("/AI"°E'" (a66)467-e73o I(A/c,Na: (a77)9os-o45
ADDRESS:
INSURERS) AFFORDING COVERAGE NAICN
SAN ANTONIO TX 78265 m
�V 1
INSURER A: Hartford Accident & indemnity C
INSURED
JAMES DUNCAN AND ASSOCIATES, INC DBA
DUNCAN ASSOCIATES
360 NUECES ST APT 2701
INSURER B: Twin City Fire Ins Co
INSURER C:
INSURERO
wsuRERE:
AUSTIN TX 78701
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
LTA
I TYPE OF INSURANCE
INSR
WVD
POLICY NUMBER
(MOLICY V'
(MMIDD/VYYY)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE=EF
5 2 / 000, 000
PREMISES (Ea occurrence)
5 300, OOO
- COMMERCIAL GENERAL L�IABILITY
A
CLAIMS -MADE " OCCUR
X General Liab
_I
L
_
a
34 SBA PI4387
12/01/2012
12/01/2013
VIED EXP (Any one person)
s 10,000
1 PERSONAL &ADV INJURY
s 2 000000
GENERAL AGGREGATE
S 4, 000, 000
GEN'L AGGRE[GAATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
5 4 , 000 , O O0
POLICY " JECT u LOC
$
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
.(Ea accidenfl
S
2,000, 000
ANY AUTO
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
A
ALL OWNED I ISCHEDULED
AUTOS u AUTOS
X HIRED AUTOS �jj((�� NON OWNED
L`J AUTOS
_I I_
u
u
34 SBA PI4387
12/01/2012
12/01/2013
PROPERTY DAMAGE
IPer accident)
$
X
UMBRELLA LIAB X OCCUR
EACH OCCURRENCE.
$ 1,000,000
A
EXCESS LIAB CLAIMS MADE
I I
u
u
34 SBA PI4387
12/01/2012
12/01/2013
AGGREGATE
s 1 000 000
1
DEDIXI RETENTION $ 10000
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNEfl/EXECUTIVE
OFFICER/MEMBER EXCLUDED? a
(Mandatory in NH)
U yes, describe under
DESCRIPTION OF OPERATIONS helow
NIA
I I
u
39 WEC PL9622
12/Ol/2012
12 /O1/2013
WC STATU- OTH-
X TORV LIMITS ER
E.L. EACH ACCIDENT
s 500 000
E.L. DISEASE -EA EMPLOYE
s 500000
E.L. DISEASE -POLICY LIMIT
5 500, OO O
I I
u
II II
u
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. Additional Remarks Schedule, if more space is required)
Those usual to the Insured's Operations.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
City of Fort Collins BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
Attn: Jessica Ping -Small DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
PO BOX 580 AUTHORIZE UPRESENTATIVE
FORT COLLINS, CO 80522Ql��r^�
000 arr a, a.. -
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
�-� CERTIFICATE OF LIABILITY INSURANCE
11 E2o 2012
THIS CERTIFICATES 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 INSURERISI, AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONALINSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statementon this certificate does not confer rights to the
certificate holder in lieu of such endomement(s). -
PRODUCER
VAN GILDER INSURANCE CORP/PHS
341438 P: (866)467-8730 F: (877) 905-0457
PO BOX 33015
CO T
PHONE Ax
(e66)467-8730 I(A/c,N°): (a�7)gos-oes
EMAILoEv":
ADDRESS
INSURER(SI AFFORDING COVERAGE NAICN
SAN ANTONIO TX 78265
INSURERA: Hartford Casualty Ins Co
INSURED
INSURERS: Hartford Underwriters Ins Co
JAMES DUNCAN AND ASSOCIATES, INC DBA
DUNCAN ASSOCIATES
360 NUECES ST APT 2701
INSURER C:
INSURER D:
AUSTIN TX 78701
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.
ILTH
TYPE OF INSURANCE
IINSR
WVDI
POLICY NUMBER
IMMIDD/YYYY)
I (MMIODIYYYYI
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE 5 2, 000,000
PREMISES IEa occurrence) 5 300, OOO
CO
COMMERCIAL GENERAL LIABILITY
MED EXP (Any one person) $ 10, 000
A
�
CLAIMS -MADE X] OCCUR
X General Liab
I I
u
u
34 SEA PI4390
12/01/2012
12/01/2013
PERSONAL & ADV INJURY 5 2 000,000
GENERAL AGGREGATE
5 4, 000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP ASS
5 4, 000,000
�
POLICY X PRO LOC
JECT —
$
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
En accident)
$2, OOO, OOO
ANYAUTO
BODILY INJURY (Per Person)
$
BODILY INJURY (Par accident)
$
A
ALL OWNED I ISCHEDULED
AUTOS L� AUTOS
X HIRED AUTOS NONOWNEDPROPERTY LXJDAMAGE
AUTOS
_I I_
u
Li
SBA PI4390
12/01/2012
12/01/2013
IPar accident)
5 -
X
UMBRELLA LIAB XI OCCUR
`a
EACH OCCURRENCE
$ 1,000,000
A
EXCESS LIAB CLAIMS -MADE
u
u
34 SBA PI4390
12/01/2012
12/01/2013
AGGREGATE
$ 1 000,000
DED�XI RETENTION $ 10,000
$
B
WORKERS COMPENSATION
AND EMPLOYERS ' LIABILITY Y / N
ANY PROPRIETREXCLUDER/ XECUTIVE—
u
N/A
U
34 WEC PL9620
-
12/01/2012
12/01/2013
X TORY L MTITS OER
I
E.L. EACHACCIDENT
$ 500000
E.L. DISEASE - EA EMPLOYE
$ 5 0 O 000
(Mandatory in NH)
If s, describe un
DESCRIPTION OFdOPERATIONS below
E.L. DISEASE -POLICY LIMIT
I $ 500, 000
uu
DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is requirad)
Those usual to the Insured's Operations.
L.vLVLn L.HINL.[LLM IKON
City of Fort Collins
Attn: Jessica Ping -Small
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.
AUTHORIZER afPP/RESENTATIVE
ACORD 25 (2010/05)
® LgRR-9020
The ACORD name and logo are registered marks of ACORD
n,.hre ..... .A