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HomeMy WebLinkAbout113275 ALLER-LINGLE-MASSEY ARCHITECTS - INSURANCE CERTIFICATE (2)ALLER-3 OP ID: CERTIFICATE OF LIABILITY INSURANCE 1 GAT12/16DIYYVYI 2/16/13 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: 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 PRODUCER Phone: 970-482-7747 Brown & Brown Inc Fax: 970384-4165 4532 Boardwalk Dr, Suite 200 NAn':y' - PNMEFAX (A/c,_No,ERtr _ - (AIC, No): Fort Collins, CO 80525 Shanna M Jamsay EMAIL ADDRESS: INSURE S AFFORDING COVERAGE NAM IN INSURER A: Endurance AmericanSpecialty 41718 INSURED Aller-Lingle-Massey Architects ^{ P.C. �3215 INSURER B: 712 Whalers Way, Ste. B-100 INSURER C: INSURER D: Fort Collins, CO 80525 _ 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 TYPE OF INSURANCE A POLICY NUMBER POLICY EFF MIDD POLICY EXP MMIDD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ PREMISES Es occurnese 3 COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 171 OCCUR MED EXP(Any " Person) t PERSONAL& ADV INJURY S GENERALAGGREGATE S GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S POLICY PRO- 7 LOC JFCT $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUT08 BODILY INJURY (Per accident) S NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ i UMBRELLA LMA1 OCCUR EACH OCCURRENCE S AGGREGATE S EXCESS UAB CLAIMS -MADE DIED I I RETENTION $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN ANY PROPMETORIPARTNERXECUTIVE OFFICER/MEMBER EXCLUDED? NIA E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLO --- 3 (MendatorylnNH) It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT I S A Prof Liability PPL10004431600 12114113 12(14/14 Fa Claim 2,000,00 Aggregate 2,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Reach ACORD 101, Additional Remarks Schedule, N mere spece Is re0uhed) CERTIFICATE HOLDER CANCELLATION CITYFT5 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 Purchasing Division AUTHORIZED REPRESENTATIVE PO Box 580 Fort Collins, CO 80522 ACORD 26 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ALLER-3 OP ID: DA ,4`oRo CERTIFICATE OF LIABILITY INSURANCE DATE 121161IYYYY) 2l16/13 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: 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 endorsement(s). PRODUCER Phone:970-482.7747 Brown 8, Brown Inc 4532 Boardwalk Dr, Suite 200 Fax: 970-484-4165 `'""'"'� NAME: _ PHONE C CIA. No): Fort Collins, CO 80525 Sharma M Jamsay E-MAIf-- ADDRESS: INSURERS AFFORDING COVERAGE NAIL a INSURERA:Endurance American Specialty 41718 INSURERS: INSURED Atier-Lingle-Massey Architects P.C. 712 Whalers Way, Ste. B-100 INSURER C: Fort Collins, CO 80525 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. ILTR NSR TYPE OF INSURANCEJUM ADDL SUER IBMPOLICY NUMBER MM/DDYr� Y EXP MMIDONY LIMITS GENERAL LUIBILRY EACH OCCURRENCE f COMMERCIAL GENERAL LIABILITY ARIA PREMISES IlEa omuaenoe S CLAIMS -MADE D OCCUR MED EXP(Any one Pecan) f PERSONAL S AOV INJURY S GENERAL AGGREGATE f GEN-L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG f 17 POLICY PRO- LOC f AUTOMOBILE L.IABILJTY COMBINED SINGLE LIMIT Ee acddenl BODILY INJURY(Pm pencn) S ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Par accident) f Peramlden TY DAMAGE f WNED NOWOHIRED AUTOS AUTOS f UMBRELLA UAB OCCUR EACH OCCURRENCE S AGGREGATE f EXCESS W18 CLAIMS -MADE DED I I RETENTION Is WORKERS COMPENSATION WCSTATU- OTH- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT f OFFICERIMEMBER EXCLUDED? ❑ NIA (Mandatory In NH) E.L DISEASE -EA EMPLOYEE S Una, desalbe under DESCRIPTION OF OPERATIONS below S E.L. DISEASE -POLICY LIMIT A Prof Liability PPLID004431600 12J14/73 12/14/14 Ea Claim 2,000,00 Aggregate 2,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, AUdltlonal Remand 300dUM, N man MM. b n Inln Project - South Transit Center CITYFC2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 l / \ 9 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD OP ID: TA ,44c"�R6CERTIFICATE OF LIABILITY INSURANCE Dnr12/16/ 3"YI F 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 970-223-1804 Front Range Insurance Group 1100 Haxton Drive Suite 100 Fort Collins, CO 80525 David A. Wooldridge LUTCFAAI CONTACT NAME: PHONE FAX fAJC. No. E91, ac No, E-MAIL ADDRESS: PRODUCERcUSTOMEg I it, ALLER-1 INSURE S AFFORDING COVERAGE NAICR INSURED Aller-Lingle-Massey Architects, P.C. 712 Whalers Way, Suite B-100 Ft. Collins, CO 80525 INSURER A:PInnacol Assurance 41190 INSURERB:RLIInsurance Company NEURERC: 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. I LrR TYPE OF INSURANCE POLICY NUMBER MOD EFF MPMILppr EXP Lnurs B GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS-MADE 7 OCCUR X EPLI IOK X PSB0003168 04/09/13 04/09/14 EACH OCCURRENCE S 1,000,0 PREMI E Ea-R ow."nm i 1,000,0 MED EXP one erson S 10,00 PERSONAL S ADV INJURY $ 1,000,00 GENERAL AGGREGATE S 2,000,00 GEN'L AGGREGATE X1 POLICY LIMIT APPLIES PER: I PRO 71 LOC IFr.TAUTOMOBILE PRODUCTS - COMP/OP AGG S 2,000,00 Em . Ben. $ 500100 B LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS PSA0001167 OM09/13 041091'14 COMBINED SINGLE LIMIT (Ea oxidant) $ 1,000,00 X BODILY INJURY (Per Person) E BODILY I NJURY(Par accident) S PROPERTY DAMAGE (Per axadem) $ X X $ S B X UMBRELLA WB EXCESS LIAR X OCCUR CLAIMS#UDE PSE0003007 04109113 04109114 EACH OCCURRENCE $ 1,000,00 AGGREGATE S DEDUCTIBLE RETENTION 10000 S X E A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICERIME(Mandatory In N„)EXCLUDED? If yea, deacrlbe under DESCRIPTION OF OPERATIONS balmy NIA 1951272 04/01/13 04/01114 X WC STATU- OTH- E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYEE $ 500,00 E.L. DISEASE - POLICY LIMIT 1 $ 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if mom apace is required) The City 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. AUTHORIZED REPRESENTATIVE e5. 64111161 �c ©1988.2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD OP ID: TA ,4161 o CERTIFICATE OF LIABILITY INSURANCE DAT12116DIYYYV) 12116113 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 970-223-1804 CONTACT Front Range Insurance Group 1100 Haxton Drive Suite 100 Fort Collins, CO 80525 David A. Wooldridge LUTCFAAI PHONE FAX X A/C No): E-MAIL ADDRESS: PRODUCER c ,ALLER-1 INSURE S AFFORDING COVERAGE NAICa INSURED Aller-Lingle-Massey INSURER A: PInnacol Assurance 41190 Architects, P.C. 712 Whalers Way, Suite B-100 Ft. Collins, CO 80525 INSURER a:RLIInsurance Company INSURER 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR NSR TYPE OF INSURANCEJIM POLICY NUMBE0. MMR) Y IsMIDDIYICY XP LIMITS B GENERAL UJUN ITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE �X OCCUR X EPLI 10K X PSB0003168 04/09/13 04/09/14 EACH OCCURRENCE S i'000,000 PREMISES Me documents) S 1,000,000 MED EXP ( " $ 10,000, PERSONAL S ADV INJURY $ 1,000,0 GENERAL AGGREGATE $ 2,000,0 GEN'L AGGREGATE X POLICY LIMIT APPLIES PER: PRO LOC PRODUCTS - COMP/OP AGG S 2,000,0 Em . Ben. $ 500,00 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS PSA0001167 04109113 04/09114 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S PROPERTY DAMAGE (Per accident) X X $ $ B X UMBRELLA LIAR EXCESS UAB X OCCUR CLAIMS -MADE PSE0003007 04/09/13 04/09/14 EACH OCCURRENCE $ 1,000,000 AGGREGATE S DEDUCTIBLE RETENTION 10000 $ XI $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORMARTNERIEXECUTNE Y OFFICERIMEMBER EXCLUDED4El (Mandatory In NH) H re, describe under DESCRIPTION OF OPERATIONS below NIA 1951272 04101113 04101114 X WC STIAMN�- OTH- EL EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYEE $ 500,00 I E.L. DISEASE -POLICY LIMIT I $ 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Alfach ACORD 101, Additional Remarks Schedule, If mom space Is required) 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 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD