HomeMy WebLinkAbout443857 HOFFMANN, PARKER, WILSON & CARBERRY PC - INSURANCE CERTIFICATE (2)DATE (MM DD,YYYY)
ACORO� CERTIFICATE OF LIABILITY INSURANCE
I*. � 1 7/29/2019
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 CONTACT
NAME: Daniel Jobs
AssuredPartners Colorado PHONE 303-863-7788 FAX
acNo:303-861-7502
4582 S. Ulster St., Suite 600 E-MAIL
Denver CO 80237 ADDRESS: deniel.jobs@lassuredpartners.com
INSURER(S) AFFORDING COVERAGE ,. _ NAIC p
INSURER A: Madill Casualty Insurance Company 22241
INSURED HAVES-1 INSURER a : Hartford Casual Insurance Co 29424
Hoffmann, Parker, Wilson -
8 Carberry P.C. iNsuRERc: Sentinel Insurance Cc LTD 11000
511 Sixteenth St. Suite 610 INSURER D:
Denver CO 80202 INSURER E :
COVERAGES CERTIFICATE NUMBER: 5195387 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.
DDLSUT INS
ID OF INSURANCE AD wvD POLICY NUMBER�T 'I��yy PDUCY EXP
ODM/YY MMIDDIYYYY LIMITS
8
X COMMERCIAL GENERAL LIABILITY ti
34SBAPM3930
8/112019 81l2020 EACHOCCURRENCE
$1.000.000
5300.000
CLAIMS -MADE X OCCUR
DAMA9ES Eaoccur_�rDence
_
S 10.000
MED EXP tAny oneperson)
$1.000.000
_
i
PERSONAL B ADV INJURY
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$2,000,000
X POLICY r--1 PRO- �,
JECT LOC
PRODUCTS COMP/OP AOO
—..
$2,000.000
OTHER:
9
8
AUTOMOBILE LIABILITY
j Y
348BAPM3930
8/12019
8112020
COMBINED SINGLE LIMIT
S 49,2Q0
BODILY INJURY (Per person)
ANY AUTO
S
j ALL OWNED SCHEDULED
AUTOS AUTOS
S
BODILY INJURY (Per aodtknt)
X HIRED AUTOS X NON -OWNED
S
PROPERTY DAMAGE
�lPu-Mt9beD.t) ___
s
UMBRELLA LIAB _ J OCCUR
EACH OCCURRENCE
$ _
AGGREGATE
EXCESS LIAB CLAIMS -MADE
$
DEC I RETENTIONS
$
C WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR.'PARTNERIEXECUTIVE
MI OFFICEREMBER EXCLUDED? N / A
8n2019
Bn20Z0
PER OTH-
x ATUTE ER
- -
$100.000 - -
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYE
(Mandatory In NH) -
II ye6 describe under
S 100.000
--
I- L. DISEASE -POLICY UMIT
DESGRIPTI N OFOPERATIONSlow
$500.000
A Professional UaMky
I
19MCCODOCI 12
8/12019 811/2020 Each Claim 2.000,000
Aggregate 2.000,000
DESCRIPTION OF OPERATIONS I LOCATIONS: VEHICLES (ACORD 101. Additional Remarks Schedule, mybe attached it more space is required)
City of Fort Collins is listed as an additional insured with respects to the general and auto liability policies as per written contract.
The insurance evidenced by this Certificate will not reduce coverage or limits and will not be cancelled, except after thirty (30) days written notice has been
received by the city of Fort Collins
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
215 North Mason Street
Fort Collins CO 80524 AUTHORIZED REPRESENTATIVE
9 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014,101) The ACORD name and logo are registered marks of ACORD
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