Loading...
HomeMy WebLinkAbout309311 CAPSTONE PLANNING & CONTROL INC - INSURANCE CERTIFICATE (3)'' "® CERTIFICATE OF LIABILITY INSURANCE ih�12/za/2o1z ATE (MWDDNYYY) °2/28/ 012 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(les) must be.endonsed. 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). PRODUCER ( .. ._...___. _._.. _.. ...- Taggart S AHSOClate9, Inc.' 1600 Canyon Boulevard P. O. BOX 147 Boulder CO 80306 CONTACT -- - - - - NAME: Regina Casey i L.. , PHONE cN. (303)442-1484 FA%No.(303)442-a822' AEpMApgLESS.rcasey@taggartinsurance.com INSURE S AFFORDING COVERAGE NAIC4 INSURER A.Hartford Fire Insurance CO 19682 INSURED O -bO Capstone Planning S Control, Inc. CAPSTONE PLANNING S CONTROLS LLC 11001 W. 120th Ave, Suite 220 Broomfield CO 80021 INSURERB:Rated by Multi le Companies 00914 INSURERC: INSURER D: INSURERS: INSURER F: COVERAGES CERTIFICATE NUMBER:13-14 Master 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 TYPE OF INSURANCE AWL SUNNI POLICY NUMBER MMIDarYYYY CY EFF MMIDDrYYXY`( LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 occurrence $ 300,000 X COMMERCIAL GENERAL LIABILITYPREMISESEa MED EXP(A one person)) E 10,000 A CLAIMS -MADE OCCUR 4SBAKR2345 /3/2013 /3/2014 PERSONAL B AW INJURY S �1, 000o000 ' - GENERAL AGGREGATE E 21 000;000 N 'GELAGGREGATE LIMB APPLIES PER- '� �'� ,-< PRODUCTS E 2,000�000 - - _ CC' . E -- .,, POLICY PRO' -. � X LOC ,.. r.. ._ .. .• .._ _ AUTOMOBILE LABILTY COMBINED SINGLE LIMIT Eaaccident -- 1 000 000 BODILY INJURY (Per person) f A- ANY AUTO -,.*. ALLOWNED- SCHEDULED AUTOS . AUTOS X HIRED AUTOS X AUT SNNED .' 4SBAER2345 - , /3/2013 /3/2014 BODILY INJURY (Per acciden0 $ PROPERTY ^DAMAGE $ $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 8,000,000 AGGREGATE $ 8,000,000 A EXCESS LIAB CLAIMS -MADE LSBAER,2345 DEC I X I RETENTION$ 10, 00c 1 $ /3/2013 /3/2014 B WORKERS COMPENSATION X WC STATU- OTIti AND EMPLOYERS' LABILITY YINANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT E OFFICERIMEMBER EXCLUDED? In NH) NIA 4WECGLB76B /1/Z013 /1/2014(Mandatory E.L. DISEASE -EA EMPLOYE $ mio000,000 E.L. DISEASE -POLICY LIMIT E If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, AdditiamO Remarks Schedule, a from space Is required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins Attn: Ms. Opal Dick 700 Wood Street AUTHORIZED REPRESENTATNE Fort Collins, CO 80522-0580 ACORD 25 Casey/RMC `v�A -�-�,-n ' C,� ©1988-2010 ACORD CORPORATION. All rights reserved. INSn2Fnntmslm Th. Arnpn name and Inn^ nra ronmfnmd mark- of Annlan ACOROe CERTIFICATE OF LIABILITY INSURANCE �/ DATE (MM DD 12 12/26/2012 ,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. --- '-"" -- -- I IMPORTANT: If the certificate holder is,an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED,.subjecl 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).' PRODUCER - Taggart 6 Associates, Inc., 1600 Canyon Boulevard P. 0. BOX 147 Boulder CO 80306 NTA T Regina Cage ` NAME Reg y PNONE (303)442-1484 jAIC,FAX : (303) 442-8822 ••':. '"AIL .rcasey@taggartinsurance.com INSURE S AFFORDING COVERAGE NMC0 INSURER A: Hartford Fire Insurance Co 19682 INSURED Capstone Planning S Control, Inc. CAPSTONE PLANNING 6 CONTROLS LLC 11001 W. 120th Ave, Suite 220 Broomfield CO 80021 INSURERS Rated by Multiple Companies 00914 INSURERC: INSURER D: INSURER E: INSURER F: rrvvcoerc¢ rPDTIFIrATPMIIMRFR-13-14 Master RFVIRIONNIIMRFR- 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 REDU CED BY PAID CLAIMS. INSR TR TYPE OF INSURANCE ADDLSUBRI POLICY NUMBER MMNDY/YYYFY MMDD EXP UNITS GENERAL LUIBIUTY EACH OCCURRENCE f 1,000,000 PREMISES Ea occurrence S 300,000 X COMMERCIAL GENERAL LIABILITY :A. CLAIMS-AIMS _. _ ._ 4SEAER2345 /3/2012 /3/2013 MED EXP(Any one person) S 10,000 PERSONAL S AW INJURY S 1,000,000 __. ,- - „ - GENERAL AGGREGATE f 2,000, 000 , :. .�,. ,. ___. .. GENLAGGREGATE LIMITAPPUEESPER. - PRODUCTS -COMP/OPAGG f 2,000,000 ... 'POLICY _ n. PR00.'. 'X LOC - _ ,;" - E' - " AUTOMOBILE LIABILITY - Ee BI EaD SINGLE LIMIT.._ ..y., '" 1 • 000�; 000 BODILY INJURY (Per Person) f j ANY AUTO a .. A ALLOMED SCHEDULED 4SBAER2345 - /3/2013 /3/2014, BODILY INJURY acciden0 f AUTOS AUTOS PPReOPPERTY DAMAGE f X X NAONOANED HIRED AUTOS UTOSf mi X UMBRELLA LIAB OCCUR EACH OCCURRENCE f 8,000,000 N AGGREGATE S 8,000,000 A EXCESS LIAB CLAIMS -MADE DED I X I RETENTIONS 10,00C $ 34SBAER2345 /3/2013 /3/2014 B =WEBB COMPENSATION X WC $TATU- OTH- AND EMPLOYERS' LMBIUTY E.L. EACH ACCIDENT f 11000,000 ANY PROPRIETOWPARINER/EXECUTNE ^ OFFICERrMEMBER EXCLUDED? u (Mandatory In NH) NIA 4WECGL8768 /1/2013 /1/2014 E.L. DISEASE - EA EMPLOYE f 1,000,000 II yes, desmW under DESCRIPTION OF OPERATIONSWM E.L. DISEASE -POLICY LIMIT f 1,000,00 DESCRIPMONOFOPER MONSILOCATIONSIVENCLES (A1 ch ACORD101,AddMmal Remar &ScheWle,emom"celsmqulred) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins Attn: Ms. Opal Dick 700 Wood Street AUTHORIZED REPRESENTATNE Fort Collins, CO 80522-0580 Casey/RMCe-R— ACORD 25920101051 INS025nmmsvH The ACnRn mm. and Innn ar. reni.le..A mark. of Ar.nRn