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HomeMy WebLinkAbout113275 ALLER-LINGLE-MASSEY ARCHITECTS - INSURANCE CERTIFICATE (3)ALLER-3 OP ID: 1C .4�oRo CERTIFICATE OF LIABILITY INSURANCE DATnAlnQ11AYYI Ad/nOHd 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 . ER CONTACT PRODUCER Brown Brown Inc Phone: 970.482-7747 NAME:. Lindsay Craf o 4532 Boardwalk Dr, Suite 200 Fax: 970 484 4165 Lac"N ,Est , 970482-7747 FAx No • 970-4U4166 E MAIL Fort Collins, CO 80525 ADDRESS: lcraigo@bbcolorado.com Shanna M Jamsay INSURED Aller-Lingle-Massey Architects '7 INSURER a: Westfield lnsuranceCom n 24112 P.C. 113-2I S INsultERc:Pinnacol Assurance Company 41190 712 Whalers Way, Ste. B-100 Fort Collins, CO 80525 INSURER D: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER' RFVLSN]NNUMRFR- 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 INSURANCEAWL SUBS POLICY NUMBER POLICY EFF MMIDD/YYYY P UCY EXP MMIDD LIMITS B GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR X EPLI$100,000 X BOP0987114 BOP0987114 BOP0987114 04/09114 04/09/14 04/09/14 04109/15 04/09115 04/09/15 EACH OCCURRENCE S 1,000,00 PREMISES a occurrence $ 300,00 MED EXP (My one person) S 5,00 PERSONAL BADVINJURY $ 1,000,00 X Emp. Benefits GENERAL AGGREGATE 3 2,000,00 GEN'L AGGREGATE POLICY LIMIT APPLIES PER: RO* rX1 LOC F1 PIFCT PRODUCTS -COMPIOP AGO S 2,000,001 lEmp. Ben. s 1,000,00( B AUTOMOBILE LIABILITY JX ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS SOP0987114 04/09114 04/09/15 COMBINED SINGLE LIMIT Ea accident) 1,000,00 BODILY INJURY(Per person) $ BODILY INJURY(Per aodtlent) S PROPERTY DAMAGE cd Paradenl S S B X UMBRELLALU11 EXCESSLWB X OCCUR CLAIMS -MADE SOP0987114 04/09/14 04/09/15 EACH OCCURRENCE 9 2,000100 AGGREGATE B 2,000,011111 DED I I RETENTIONS 0 5 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORI➢ARTNER/EXECUTIVE Y� OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 1951272 04/01/14 04/011115 X TWOSTATLI- OTH- - E.L. EACH ACCIDENT S 1,000,00 E.L. DISEASE - EA EMPLOYEE S 1,000,0 E.L. DISEASE - POLICY LIMIT S 1,000,00 A Prof Liability PPL10004431600 17J14113 12/14/14 Ea Claim 2,000,00 Aggregate 2,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace to required) The City of Fort Collins is named additional insured with regards to general liability. CITYFT5 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. REPRESENTATIVE � � a� 9)1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ALLER-3 OP ID: 1C ,d►�oRo CERTIFICATE OF LIABILITY INSURANCE DAT04/09DIVVVY) oa/os/1a 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: Brown 8 Brown Inc Fax: 4532 Boardwalk Dr, Suite 200 Fort Collins, CO 80525 Shanna M Jamsay 970-482-7747 INSURED Aller-Lingle-Massey Architects INSURER 9: Westfield insurance Company 24112 P.C. 712 Whalers Way, Ste. 8-100 INSURER C:PinnacolAssurance Compny 41190 Fort Collins, CO 80525 INSURER D INSURERS: 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 INSURANCEADDL SUBS POLICY NUMBER POLICY EFF WDD UCYEK MMIDD LIARS OFalML LIABILITY EACH OCCURRENCE $ 1,000,00( PREMISES Es 00O $ 300,00 B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxI OCCUR X BOP0987114 04109/14 04/09116 MED EXP (Any one person)$ 5,00 PERSONAL SADVINJURY 5 1,000, X EPU$100,000 BOP0987114 04/09/14 04109115 X Emp.Benefib GENERAL AGGREGATE $ 2,000,011111 BOP0987114 04109/14 04/09/15 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO E 2,000, POLICY PRO X I LOC Em . Ben. $ 1,000,00( AUTOMOBILE LIABILITY COMBINED SINGLE LIMB eeddeM 1,000, X BODILY INJURY (Par person) S B ANY AUTO BOP0987114 04M14 04MIS ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X NON-OWNED HIRED AUTOS Ix HIRED AUTOS AUTOS PROPERTYDAMAGE PereccIdenl S E X UMBRELLA LIAS X OCCUR EACH OCCURRENCE $ 2,000,00 AGGREGATE $ 2,000,00( B EXCESS UAB CLAIMS -MADE BOP0987114 04101 04/09/15 DED I I RETENTION 0 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITYER ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory In NH) N/A 1961272 04/01/14 04/01/15 X I WC STATU- OTH- E.L.EACH ACCIDENT 5 1,000,00 E.L. DISEASE - EA EMPLOYEE 5 1,000,00 If yea, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,00 A Prof Liability PPLI0004431600 12114/13 12/14/14 Ea 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) South Transit Center. The City of Fort Collins is named as an additional insured with regards to general liability. CERTIFICATE HOLDER CANCELLATION 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 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD