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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