HomeMy WebLinkAbout532500 TOOL DESIGN GROUP LLC - INSURANCE CERTIFICATEACORO® CERTIFICATE OF LIABILITY INSURANCE
L.�
DATE (MM/
12/30/2012014
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
Klein Agency, LLC.
P.O. BOX 219
Timonium MD 21094
CONTACT
NAME:
ONE Fall. (410)832-7600 FAX PN,(410)832-1849
Noi
EMAIL
INSURERS AFFORDING COVERAGE
NAIC e
INSURER A: National Surety CO
INSURED _
Toole Design Group, LLC
8484 Georgia Avenue, Suite 800
Silver Spring LAID 20910-5609
INSURER BAmeri can Automobile Ins. Co.
INSURER C:Trumbull Insurance Co.
INSURER D:Continental Casualty Company
INSURER E:
1 INSURER F:
COVERAGES CERTIFICATE NUMBER:15-16 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
ADDLbuum
POLICYNUMBER
POLICY EFF
(MMIDONYYYI
PODGY EXP
IMMIDDrYYY1nLIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 2,000,000
PREMISES Ea occurrence
$ 1,000,000
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE 7 OCCUR
ABC80901895
/1/2015
/1/2016
MED EXP(Any one person)
$ 10,000
PERSONAL B ADV INJURY
$ 2,000,000
X Contractual Liability
GENERAL AGGREGATE
$ 4,000,000
GENT AGGREGATE
LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 4,000,000
17 POLICY
FX7 PROJFQ,T LOC
$
AUTOMOBILE
LIABILITY
ICEOMINEDB SINGLE LIMIT
1,000,000
X
BODILY INJURY (Per Person)
$
B
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
80309935 HD
/1/2015
/1/2016
BODILY INJURY Per accident
( )
$
HIRED AUTOS NON -OWNED
AUTOS
80309936 VA
PROPERTY DAMAGE
Par accident
$
$
X
UMBRELLA UAB
X
OCCUR
EACH OCCURRENCE
$ 1,000,000
AGGREGATE
$ 2,000,000
A
EXCESS LIAB
CLAIMS -MADE
DED I I RETENTION$
$
ABCS0901895
/1/2015
/1/2016
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNERIE(ECUTIVE
OF EXCLUDED?
(Mandatory In NH)
If yes, descihe under
NIA
0wECCN9232
/1/2015
/1/2016
1r I WC STATU- OTH-
I TORY LIMITS ER
E.L. EACH ACCIDENT
$ 11000,000
E.L DISEASE -EA EMPLOYE
$ 1,000,000
E.L DISEASE -POLICY LIMIT
$ 11000.000
DESCRIPTION OF OPERATIONS eel.
D
Professional Liability
/1/2015
/1/2016
perclavn $2,000,000
rE592868957
AgTe9ate $2,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Addidonal Remarks Schedule. H more space is required)
Re: 7559 Bike Plan Update and TOG Project it B001 30 days notice of cancellation is provided, 10 days
for non-payment. See attached for specific additional insured wording.
City of Fort Collins
P.O. Box 580
Fort Collins, CO 80522
ACORD 25 (2010/05)
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
Justin Klein/LINDA `
01988-2010 ACORD CORPORATION. All rights reservE
IN51325 (201005).01 The ACORD name and logo are registered marks of ACORD