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HomeMy WebLinkAboutBohannan Huston, Inc. - Insurance Certificate 2024-2025 �1 BOHAHUS-01 CMONTOYA CERTIFICATE OF LIABILITY INSURANCE (MMIDDN 7/26/2022024 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 endorsements. PRODUCER License#0757776 CONTACT NAME: HUB International Insurance Services(SOW) PH/ No,Ext):(505)828-4000 FAX No):(866 487-3972 6565 Americas Parkway Suite 720 ) Albuquerque,NM 87110 ADDRESS:clarice.montoya@hubinternational.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Hartford Fire Insurance Company 19682 INSURED INSURER B:Hartford Ins Co of the Midwest 37478 Bohannan Huston,Inc. INSURER C:Hartford Casualty Insurance Company 29424 7500 Jefferson St. NE INSURER D:Zurich American Insurance Company 16635 Albuquerque,NM 87109-4335 INSURER E:Continental Casualty Company 20443 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. ILTRNSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE a OCCUR X 34000L6067 8/1/2024 8/1/2025 DAAEPR SESIF.oc currence) $ 300,000 MED EXP(Any oneperson) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY jEef 1-1 LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: JEMPLOYEE BENEFI $ 1,000,000 B AUTOMOBILE LIABILITY EO EII aEeD nII SINGLE LIMIT $ 1,000,000 X ANY AUTO X 34UENOL5066 8/1/2024 1 8/1/2025 BODILY INJURY Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS SSyyN BODILY INJURY Per accident $ AUTOS ONLY AUOTOS ONLD Pd20acEciRde DAMAGE $ C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE 34XHUOL5068 8/1/2024 8/1/2025 AGGREGATE $ 10,000,000 DIED I X I RETENTION$ 10,000 D WORKERS COMPENSATION X I PER OTH- AND EMPLOYERS'LIABILITY TE E YIN WC5706353 8/1/2024 8/1/2025 E.L.EACH ACCIDENT $ ANY ER/EXCLUDERD?ECUTIVE ❑ N/A 1,000,000 (MandatorylnNH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 - - If yes,describe under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below 1,000,000 E Professional/Poll AEH288359977 8/1/2024 8/1/2025 4M Agg/150,000 DED 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) SEE ATTACHED ACORD 101 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 P.O. Box 580 ACCORDANCE WITH THE POLICY PROVISIONS. 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 AGENCY CUSTOMER ID:BOHAHUS-01 CMONTOYA LOC#: 1 ACORO ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY License#0757776 NAMED INSURED HUB International Insurance Services SOW Huston,Inc. � 7500 7500 Jeefffee rson St.NE POLICY NUMBER Albuquerque,NM 87109-4335 EE PAGE 1 CARRIER NAIC CODE EE PAGE 1 SEE P 1 EFFECTIVE DATE:SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Description of Operations/LocationsNehicies: The General Liability,Automobile and Umbrella policies include an automatic Additional Insured endorsement that provides Additional Insured status to the Certificate Holder and Owner, only when there is a written contract or written agreement between the named insured and the certificate holder and with regard to work performed and completed operations on behalf of the named insured. The General Liability,Automobile, Umbrella and Workers'Compensation policies provide a Blanket Waiver of Subrogation in favor of the same,when required by written contract. The General Liability policy contains a special endorsement with"Primary and Noncontributory"wording,when required by written contract. Project reference : RFP 9846 Engineering on-call services for Water,Wastewater,and Stormwater projects. Additional Insured,Waiver of Subrogation and Primary Non-Contributory apply per attached policy forms. ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD