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HomeMy WebLinkAbout130469 THE BRENDLE GROUP INC - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE I °9;0(`11 °"ryY'
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
/an Gilder Insurance Corp.
1515 Wynkoop, Suite 200
Denver CO 80202
INSURED
The Brendle Group, Inc
212 West Mulberry Street
Fort Collins CO 80521-2814
BREGR01
«449
COVERAGE
COVERAGES CERTIFICATE NUMBER:1471465215 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 INSURANCEADDLSUBR
POLICY NUMBER
POLICY EFF
mmmQ
POUCYEXP
LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIM3-MADE 1:1 OCCUR
EACH OCCURRENCE
$
$
MED EXP (Any ore parson)
S
PERSONAL S ADV INJURY
S
GENERAL AGGREGATE
s
GEN'L AGGREGATE
POLICY
LIMIT APPLIES PER:
7 PRO- LOC
JECT
PRODUCTS-COMP/OP AGO
S
S
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
HIRED AUTOS AUTOS
FA sodden
BODILY INJURY (Per �'L
S
BODILY INJURY (Per
S
PROPERTY DAMAGE
Per accident
S
S
UMBRELLA LIAR
EXCESS LIAR
OCCUR
CLAIMSAME
I
EACH OCCURRENCE
$
AGGREGATE
S
DED I I RETENTIONS
S
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIIEMBER EXCLUDED? ❑
(Mendatory In NH)
a ye aeexnbe under
DE SCRIPTION OF OPERATIONS below
N/A
I VI1C STATU- DTI+
LIMANY
E.L. EACH ACCIDENT
S
E.L. DISEASE -EA EMPLOYEE
S
E.L. DISEASE -POLICY LIMIT
S
Professional Liability
Claims Made
CM13DPLO318241V
2/1/2013
121112014
Per Claim $1,000,000
Annual Aggregate $2,000,000
DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (Asach ACORD 101, AddRlonal Remarks Schedule, If mom space Is n0ulred)
City of Fort Collins Purchasing
Aftn: Ed
215 N. Mason
Fort Collins CO 80524
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
© 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
vangilder
September 1", 2010
Re: Enclosed Certificates
Starting on 01 September 2010, the "Certificate of Liability Insurance" national template issued by
ACORD changed. The certificate contains new cancellation notice language. Van Gilder, nor any other
insurance agency, is no longer allowed to amend the certificate template.
However, we understand how important notice of certain items is to you. Therefore, we are committed to
providing the following:
Should any of the policies identified on the enclosed certificates be cancelled or non -renewed, Van Gilder
will endeavor to provide 30 days notice to you or that amount of notice coinciding with the notice Van
Glider receives from the insurance company. In the event of non-payment of premium, Van Gilder will
endeavor to provide 10 days notice.
Please note that failure to provide notice does not impose an obligation or liability on the insurance
company, or its agents, or representatives.
Please do not hesitate to contact us with any questions or concerns
Van Gilder Insurance Corp.
Van Gilder Insurance Corporation I PO Box 46510 1 Denver, CO 80201 1 Tel 800,873.8500 1 Fax 303.831_5295 1 v .vgie.00m
A Rsatut Gb fame.