HomeMy WebLinkAbout443857 HAYES PHILLIPS HOFFMANN & CARBERRY PC - INSURANCE CERTIFICATE (9)HAYES-1 OP ID: KR
'4ik Rom' CERTIFICATE OF LIABILITY INSURANCE
D08/01/2013Y)
08/01/2013
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 Phone: 303-863-7788
The Wright Group, Inc. (PC)
Property& Casualty Division Fax:303-861-7502
1873 S. Bellaire St., Ste. 600
Denver, CO 80222
CONTACT
Kim Rossi
PHONE FAX
AIc Ne EXt,303-228-2207 AIc No:
ADMAIL
DR ESS: krossi@twgservices.com
INSURERS AFFORDING COVERAGE
NAIC N
INSURERA: THE HARTFORD
002229
INSURED Hayes, Phillips, HOffm nn &
INSURER B: National Union Fire Insurance
Carberry, P.C.
1530 16th St., Ste 200
INSURERC:
Denver, CO 80202
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,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
rypE OF INSURANCE
ADDL
UB
POLICY NUMBER
POLICY EFF
MMIDDIYYYY
POLICY EXP
MMIDDIYYYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,00
A
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
X
34SBAPM3930
08/01/2013
0810112014
DAMA ETO RENTED
PREMISES Ea occurrence
$ 300,00
MED EXP(Any one person)
$ 10,00
PERSONAL B ADV INJURY
$ 1,000,00
X Business Owners
GENERAL AGGREGATE
000,00
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS-COMP/OP AGG
POLICY PRO LOC
AUTOMOBILE
LIABILITY
EO aBINEDtSINGLE LIMIT
K$2,000,000
000,00A
BODILY INJURY(Par person)
ANY AUTO
34SBAPM3930
0810112013
08/01/2014
ALL OWNED SCHEDULED
AUTOS
BODILY INJURY Per accitlenlAUTOS
( IHIRED
AUTOSNON-OWNED
AUTOS
PROPERTY DAMAGE
Per accident)
$
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED RETENTION $
$
WORKERS COMPENSATION
OTH-
A
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNERIEXECUTIVE YIN
OFFICER/MEMBER EXCLUDED?
NIA
34WECBG6335
08/01/2013
08/01/2014
TRY
T RY IMI R
E.L. EACH ACCIDENT
$ 100,00
E.I. DISEASE - EA EMPLOYEE
$ 100,00
(Mandator, in NH)
If yes describe antler
E. L. DISEASE -POLICY LIMIT
$ 500,00
DESCRIPTION OF OPERATIONS be.
B
Professional Liab.
21057037
01110112013
/1810112014
Per Claim 2,000,00
Aggregate 2,000,00
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
CITYFOR
City of Fort Collins
Attn: Purchasing
P.O. 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
U 1988-ZU1U ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD