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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