HomeMy WebLinkAbout466669 BISHOP-BROGDEN ASSOCIATES INC - INSURANCE CERTIFICATE (6)Client#: 1082995 BISHOASS
ACORD_ CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
7/29/2015
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:
USI Colorado, LLC Prof Liab PHONE g00 873-8500
A/C No Ext : A C No
P.O. Box 7050 E-MAIL
_
Englewood, CO 80155 ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
800 873-8500 INSURER A: Travelers Insurance Company 119038
INSURED Bishop-Brogden Associates,lnc INSURER B : Travelers Casualty and Surety C 19038
333 W. Hampden Ave. #1050 INSURERC:
Englewood, CO 80110 INSURER0:
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 CONTRACTOR 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.
ILTRNS
TYPE OF INSURANCE _
ADDLSUBR
NSR
WVD
POLICY NUMBER
MM/DDNYYF
EXP
MM/DAY -
LIMITS
A
GENERAL LIABILITY
680287OL56A
7/29/2015
07/29/2016
$1,000,000
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
EEAACCH�OECCCURRENCE
PREMISES EaEoccccuErrrence
s300000
MED EXP (Any one person)
s5,000
PERSONAL BADVINJURY
$1,000,000
GENERAL AGGREGATE
$2 000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 2,000,000
POLICY PRO- JECTLOC
$
A
AUTOMOBILE LIABILITY
BA2871 L73915
7/29/2015
07/29/201
COMBINED SINGLE LIMIT
Ea BINEDt
110001000
BODILY INJURY (Per person)
$
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY (Per accident)
$
XI HIRED AUTOS X NON -OWNED
AUTOS
PROPERTY DAMAGE
Per accident
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAR
CLAIMS -MADE
_ DED I RETENTION $
$
WORKERS COMPENSATION
TO Y LIMIT OTH-
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? ❑
NIA
.L
E.L.CH ACCIDENT
$
E.L DISEASE - EA EMPLOYEE
--- --
$
(Mandatory in NH)
If yes, describe under
_ DESCRIPTION OF OPERATIONS below
_
E.L. DISEASE - POLICY LIMIT
$
B Professional
105322581
07129120115
07/29/201
_
$1,000,000 per claim
Liability
$1,000,000 annl aggr.
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
As required by written contract or written agreement, the following provisions apply subject to the policy
terms, conditions, limitations and exclusions: The Certificate Holder and owner are included as Automatic
Additional Insured's for ongoing and completed operations under General Liability; Designated Insured under
Automobile Liability; but only with respect to liability arising out of the Named Insured work performed on
behalf of the certificate holder and owner. The General Liability and Automobile Liability insurance
(See Attached Descriptions)
t r-ri IIrlIL iIt
City of Fort Collins -
Purchasing
PO Box 580
Fort Collins, CO 80522-0000
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
�l e
ACORD 25 (2010105) 1 of 2
#S15897531/M15897296
01988-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
KMAZP
DESCRIPTIONS (Continued from Page 1)
applies on a primary and non-contributory basis. A Blanket Waiver of Subrogation applies for General
Liability and Automobile Liability.
Please note that Additional Insured status does not apply to Professional Liability.
SAGITTA 25.3 (2010/05) 2 of 2
#S15897531/M15897296