HomeMy WebLinkAbout413953 HUDSPETH & ASSOCIATES INC - INSURANCE CERTIFICATE (4)ACo ,off CERTIFICATE OF LIABILITY INSURANCE'
Page 1 of .2
05/28/2010
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 1NSURER(S), AUTHORIZED ..
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL (INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS'WAIVED, subject to the terms and conditions of the Polley, certain, policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate Molder in lieu of such endorsements .
PRODUCER CONTACT Willis Towers Watson Certificate Canter
NAME:
Willie Towers Watson Insurance Services. West; Inc. .PHONE'FAX
C/o 26'Cantury Blvd - . 1-877-945-7378 AIC No: 1-888-467-2378
P.O. Box 305191 E. ADDRESS: certificetea@willie.6034
Nashville; TN' 372305191 USA- - - ,ucrieeo,e,'aerricinimn eewcuAeaa `ue,cs
Hudspeth a Associates, Inc.
4775 S Santa Se Circle
Englewood, CO 801106477
ACE American
_ACE Property 4, Casualty Insurance Company
Tokio Marine Specialty:Znauranee Company
22667
IINSURER[): Berkley Assurance Company 1 39462 I
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED
INDICATED: NOTWITHSTANDING ANY REQUIREMENT, TERM
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN
BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO wHICH THIS
AFFORDED BY THE POLICIESDESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS,
MAY HAVE'BEENREDUCED BY PAID CLAIMS.
I
LTR
TYPE OF INSURANCE.
DD
U
�POLICVNUMSEH ..
MWDCDmF.-
EX
MMrLIDWY 7PY
LIMITS
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE I `-I OCCUR
T
HDO
- -
G71080080 002
I
06/01/i02O
66/02/202L
EACHOCCURRENCE . ..
$. ..._ __. 3,906,000
DAMAGE TO RENTED
PREMISES Me ocaurrorcel
$ 100,000
MED EXP (Any onePerson)
$. 10; 000
-
PERSONAL 6 ADV INJURY
$ 3i000;000
GEN1 AGGREGATE LIMIT APPLIES PER:
POLICY Ci JE4 J LOC
OTHER:.
GENERAL AGGREGATE
$ 3,000, 000
PRODUCTS - COMPIOP AGO
$ 3i000,OOO
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
.OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -,OWNED
AUTOS ONLY AUTOS ONLY
8A HOSS72429
06/01/2020
06/01/2021
COMBINED SINGLE LIMIT
Ea accident
g 5, 000, 000
X
BODILY INJURY (Per person)
$
BODILY INJURY (Per aod dont 1
$
-
PROPERTY AMAGE
Peraccid
$
Is
B
XJ
UMBRELLA LIAR X OCCUR
IEXCESS UA6 CLAIMS -MADE
XOO
G28122676 005
06/01/2020
06/01/2021
EACHOCCURRENCE
g 10,000,000
AGGREGATE
g 10,000,000
DEG I X.1 RETENTION$50,000
$
A
WORKERS COMPENSATION-
AND EMPLOYERT LIABILITY
ANYPROPRIETORIPARTNER/EXECUTIVE Y! N.
OFFICMMEMBEREXCLUDED? No
(Mandatory In NH) -
11 Yes. descdbe under
.DESCRIPTION OF OPERATIONS below
N/AI
TfLA.
C48135298
06/01/2020
06/01/2021
-XI STATUTE 1 ER
E.L. EACH ACCIDENT
$- 2,600,000
_
E.L. DISEASE - EA EMPLOYEE
$ - 2,000,000
E.L. DISEASE- POLICY LIMIT
$ 2,000,006
*
Contractors Pollution Liability
PPx2136227
06/01/2020
06/01/2021
Per Incident
Aggregate Limit
$10„000,000
810,000,000
DESCRIPTION OF OPERATIONS) LOCATIONS I VEHICLES (ACORD I01, Additional
SEE ATTACHED
Remarks Schedule, may be attached 1l more space Is requoed) �
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEo BEFORE
THE EXPIRATION DATE THEREOF, NOTICE' WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Sort Collins
215 IN Macon St 2nd Floor AUTHORIZED REPRESENTATIVE
PO Box 590
Fort Collins,liCO 809220980
01988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016(03) The ACORD nal a and logo are registered marks of ACORD
r
OR m: 19642558 B&TcIt: 1692155
2 of 5 675E
AGENCY CUSTOMER ID:
LOC 8�
The ACORD name and logo are registered marks of,ACORD
SA ID: 19642558 HATCH: 1692155 CERT: W16556098