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HomeMy WebLinkAboutQuantum Water Consulting LLC - Insurance Certificate 2024-2025 QUANWAT-01 MARGARETM ACORO CERTIFICATE OF LIABILITY INSURANCE FDATE E(MM/DD/YYYY) �� 8/6/2024 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 have ADDITIONAL INSURED provisions or 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 Margaret Mulloy NAME: CCIG PHONE 155 Inverness Drive West FAx (A/C,No,Ext):(720)212-2057 (A/C,No): Englewood,CO 80112 ADDAIL RESS:Margaret.Mulloy@thinkccig.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Nautilus Insurance Company 17370 INSURED INSURER B:Selective Insurance Company of America 12572 Quantum Water Consulting LLC INSURER C:Pinnacol Assurance 41190 dba Quantum Water&Environment, 1746 Cole Boulevard,Suite 340 INSURERD: Lakewood,CO 80401 INSURER E: 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 ADDLSUBR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCUR ECP201741818 3/1/2024 3/1/2025 DAMAGE TO RENTED 100,000 X PREMISES(Ea occurrence) $ MED EXP(Any one person) _$ 5,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY PRO ❑ LOG PRODUCTS-COMP/OP AGG $ 4,000,000 JECT OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ X ANY AUTO S2303050 3/1/2024 3/1/2025 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident) $ A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 X EXCESS LIAB CLAIMS-MADE FFX201741918 3/1/2024 3/1/2025 AGGREGATE $ 2,000,000 DED I X RETENTION$ 0 $ C WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N 4150439 9/1/2024 9/1/2025 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Professional Liab. ECP201741818 3/1/2024 3/1/2025 Ea.Claim Limit 2,000,000 A Pollution Liab. ECP201741818 3/1/2024 3/1/2025 Ea Condition Limit 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) As required by written contract or written agreement,the City of Fort Collins is included as Additional Insured for ongoing operations under General Liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing Division PO Box 580 Fort Collins,CO 80522 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD c u TM \VDV X \MV Y Z ! NM GMW ] \ h UN e d C ] ! 94 RP c ( c ( ( 011ipa 15i (TD Y !j Z j ] 9 ] ] C3 k ] ] _ ( (5 k I [ ! EM ] 5 &k ! Z Y KSqmW Z fly ! n Y ! I) C EM ] ! o ! fit o ! ! d c I� ] l ! ! % F © H I J i A2 3) ! © ! K 32 ! I� ! A J I lJ K !l' 4W I Alm I I Am / F © % ] n ! / *& I / !a ] ] b H V/0 I I El MEEWO 4 O WEN gm W X ! Max 5z ! [ Az ow cm m f e FIB \ ! Wom \ MW 5 \ J� !j X \ \ ODD 15 \ \ F5k \ \ ^ 5k Sk ^ ! X W 15MINIS X MW ! l #h n W ! TOM o \ FINaG Mk ! ! ! W X \ 5 n ]R \ fz ] i W ak ! 6 D 9 E .9 (N 19: ! JE K F LG D F F ! F N� F L ! ! F M F F UT V 5 QM K U 7 W le ! (cam F F UT > V Y F I zr_ T V !^ UT F UT F _ F F F AW �� vmw No V/ A& % MAW 1�t R W W VOV R VbVV X Y ] b a_^ -n _^ _" a a a a n _n a