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HomeMy WebLinkAbout113275 ALLER-LINGLE-MASSEY ARCHITECTS PC - INSURANCE CERTIFICATE (10)OP ID: CR . hh O CERTIFICATE OF LIABILITY INSURANCE `� DAT03/28YYYY, 03/28/13 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: It the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WANED, 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 endorsemen s - PRODUCER 970-223-1804 NAME Front Range Insurance Group 1100 Haxton Drive Suite 100 Fort Collins, CO 80525 David A Wooldridge LUTCFAAI ll Z i PHONE Arc Na, OR PR ucE c ALLER-1 INSUR 9 AFFORMNG COVERAGE NAC0 INSURED Aller-Lingle-Massey INSURER A: PInnacol Assurance 41190 Architects, P.C. 712 Whalers Way, Suite B-100 Ft. Collins, CO 80525 INSURERS: RLIInsurance Company INBURER C: INSURER D: 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFF M POLICY EXP MIDD UNITS GENERALLUUNUTY EACH OCCURRENCE S 1,000,00 B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X❑ OCCUR X PSB0003168 04/09113 04/09114 PREMISES E S 1,000,0 MED EXP M . ) $ 10,00 X EPLI 10K PERSONAL SADV INJURY $ 1,000,00 GENERALAGGREGATE 5 2,000,0 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $ 2,000,00 X POLICY P'FrITRO- LOC Em . Ben. s 500,00 B AUTOMOBILE LIABILITY ANY AUTO PSA0001167 04109/13 D4/09114 COMBINED SINGLE LIMIT (Esa Ikrt) S 100000 ,, BODILY INJURY(Pe, pwa ) f ALL OWNED AUTOS BODILY INJURY(Per accidaM) S SCHEDULED AUTOSPROPERTY HIREDAUTOS IX DAMAGE (Per Is= e ) S 5 NON-OWNEDAUTOS $ X UMBRELLA LUU) X OCCUR EACH OCCURRENCE $ 1,000,00 AGGREGATE S B EXCESS LIAR CIAIMS-MADE PSE0003007 04/08/13 04/09/14 $ X1DeoucneLE T S RETENTION 10000 A WORKERS COMPENSATION EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFCERIMEMBER EXCLUDED? El NIA 1951272 04/01/13 O4/01114 X WC STATU- FUR-' E.L. EACH ACCIDENT S 500,00 E. L. DISEASE - EA EMPLOYE $ 500,00 (Mandatory In NN) H Yee, cia.tx under OE RIPTIONOf OPERATIONS 0ebw 1E.L. DISEASE -POLICY LIMIT 3 500,9 B IProf. Liability RUP0008980 12/14/12 12114/13 Per Claim 2,000,00 Aggregate 2,000,00 DESCRIPTON OF OPERATIONS I LOCATIONS I VEHICLES (ABach ACORD 101, A ItNr al Re,nerlu Se I, Nm m aPaca Is The Citp of Fort Collins is named additional insured with regards to general liability. CITY OF City of Fort Collins Purchasing Division 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. AUTHOFUEED REPRESENTATNE ®1988-2009 ACORD CORPORATION. All rights ACORD 26 (2009109) The ACORD name and logo are registered marks of ACORD OP ID: CR ACQ^ Q� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIODNYYY) 03/28113 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 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 endorsemen s . PRODUCER 970-223-1 Front Range Insurance Group 1100 Halton Drive Suite 100 Fort Collins, CO 80525 David A. Wooldridge LUTCFAAI N ME: PHONE A/C N0: EMAIL . PRODO R ALTER4 INSURE 8 AFFORDING COVERAGE NAILS INSURED Aller-Lingle-Massey Architects, P.C. 712 Whalers Way, Suite B-100 Ft. Collins, CO80525 INSURER A:PinnacolAssurance 41190 INSURERS: RLIInsurance Company wsURERD: INSURER D INSURER!: " NSURERr: 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 TYPE OP INSURANCE POLICY NUMBER MID(VYY lwomufficnyEXp LIMITS GENERAL WIe1LRY EACH OCCURRENCE $ 1,000,00 B X COMMERCIAL GENERAL LIABILITY CLAIMS ­MADE 7XOCCUR X PSB0003168 04l09/13 04l09H4 p Ea n=,.M, f 1,000,00 MED EXP( ono, person) $ 10,00 PERSONAL &ADV INJURY If 1,000,0 X EPLI 10K GENERALAGGIEGATE f 2,000,00 GEN-L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG S 2,000,00 X POUCY PRO LOC Em .Ben. f 500,00( B AUTOMOBILE I)ABILITY ANY AUTO - PSA0001167 04/09/13 04/09114 COMBINED SINGLE LIMIT (e°aodaem) $ 1,000,00 X BODILY INJURY(Pef pwmo) S ALL OWNED AUTOS BODILY INJURY(Pw ectlCaM) $ SCHEDULED AUTOS HIRED AUTOS X PROPERTY DAMAGE (Pw eci0e,0) f X NON -OWNED AUTOS 1 S ,X UMBRELLA LIAR X OCCUR EACH OCCURRENCE S 11000100 - AGGREGATE $ B "Cass UPS CLAIMSIUADE ---------- — PSE0003007 04/09/13 04/09/14 S DEDUCTIBLE X RETE14TION S 10000 S A WORKERS COMPENSATION AND EMPLOYERS' WIB UL ANY PROPRIETORIPARTNERIEXECUTNE YONN OFFICER) MBER EXCLUDED? (Ma,Wabry In NH) fir Oeaaibe wMar DESCRIPTION OF OPERATIONS below NIA - 1951272 04/01M3 04/01/14 _ X WC STATU' OTH- E.L. EACH ACCIDENT f 500100 E.L DISEASE - EA EMPLOYEE f 500,00 E.L DISEASE -POUCY LIMIT f 600,00( B Prof. Liability ROPOOO8980 12/14/12 17JI4113 Per Claim 2,000,00( Aggregate 2,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach no=101, AOe .I Mmarfa S Wa, M m0n spew la ra9°NaC) South Transit Center. The City of Fort Collins is named as an additional insured with regards to general liability. CITY OF City of Fort Collins 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 C 1988.2009 ACORD CORPORATION. All riahts reserved ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD