HomeMy WebLinkAbout445046 PATTON SOGGS LLP - INSURANCE CERTIFICATE/� m
A�Ro CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDD/YYVY)
10MZ7013
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 endomement(s).
PRODUCER
Aon Risk Services Northeast, Inc.
New York MY Office
199 Water Street
NEW York NY 10038-3551 USA
CONTACT
NAME:
PHONE(866) ]83-7122 FAX (a00) 3fi3-0105
ac. No.EM: Ac. Na.
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ADDRESS:
WLIRMES) AFFORDING CWBOWF
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INS
Patton Se,,S LLP , /
INSURER A: Great Northern Insurance Co.
20303
INSURER B: Federal Insurance Company
20291
2550 M Street, N.W. 1—J!•(Vn
OC 20037-1350 USA ���0'
SURER U:
rINSURERcWashington
SURER E:SURER
F:
yTHIS 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. Limits shown are as requested
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TYPE OF INSURANCE
INSR
W
PGl1CY r111L�
M
MIND
U ITS
OENFROL LIABILITY
% COWERCUL GENERAL LIABILITY
Package Policy
EACHOCCURAENCE
$1,000,000
PREMISES a rsuaence
S1,000,000
MED EXP W, oft peman)
$10,000
CLAIMSN %❑OCCUR
PERSONAL a ADV INURY
$1,000,000
% Pm40ompJOp l,cl in Genl A00
GENERAL AGGREGATE
$2,000,000
PRODUCTS-COMPIOP Apo
GENT AGGREGATE ISaT APPLIES
PER:
% POLICY PR0.
LOL
B
AstOIIOseJetuAsUrY74986701
Automobile Policy
1
COMBINED SINGLE UNIT
$1,000,000
BODILY INJURY ( Per Plamdnl
X AID, AUTO
AULOWNED SCHEDULED
BODILYINJURY(Parxafto)
PROPERTY DAMAGE
AUTOS AUTOS
% HIRED, AUTOS % NONPOWNEO
AUTOS
er.d.nl
a
%
UIBPYLu tNB
%
OCCUR
93630074
Umbrella POII Cy
1070172613
10/01/2014
EACHOCCURRENCE
$5,000, 000
AGGREGATE
I5,000, 000
EXtpsUM
CWMS#tADE
DEO I IRETEN77ON
A
WORMERS COMPENSATION AND
EMPLOYERS' LNBIUTY YIN
ANY MOPMETOR I PMTNER I EXECUTIVE
OFRCERNEMOER EXCLUDED, ❑
(MMshema,W NM
NIA
71721244
Workers' Compensation Pol
5
X TORT LIMBS 1
ER
EL EACH ACCIDENT
$1,000,000
EL DISEASE -EA EMPLOYEE
S1,000, 000
E.LOISEASE.POLICYLIMIT
I1,000,000
nye Gaalae..a.,
DESCRIPTION OF OPERATIONS bebw
OESC earem, OF OPERATIONS I LOCATIONS I VEHICLES (Mach ACORD 101, AdeswW some,s achaduM.4 mom space Is n0uimen
Evidence of insurance coverage in force.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE GROVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
FOULY PROVISIONS.
The City of Fort Collins, Colorado, MTHORRED REPRESENTATIVE
A Municipal Corporation
P.O. Collins
580
ins r� �r _,,Ct i /Y "Ll
Fort Col tins CO 80522 USA a(</J/U�L� c//N�t JF'
91988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
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