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HomeMy WebLinkAboutEngineering Analytics, Inc. - Insurance Certificate Ac RO o® CERTIFICATE OF LIABILITY INSURANCE DATE_'4/2001YYYY) �' 3/4l2025 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 0 T AssuredPartners Colorado NAME: 4582 S. Ulster St., Suite 600 IA PHONE . 303-863-7788 ac No:303-861-7502 Denver CO 80237 E-MAIL ADDRESS: APCOI assured artners.com INSURERS AFFORDING COVERAGE NAIC N INSURERA:The Burlington Insurance Company 23620 INSURED INSURER B:Travelers Casualty Insurance Company Of America 19046 Engineering A cs, INSURERC: Navigators Specialty Ins.Co. 36056 1600 Specht PointPoint Rd, Ste 209 te Fort Collins CO 80525 INSURER D: Pinnacol Assurance 41190 INSURER E:Zurich American Insurance Company 16535 INSURER F: Westchester Surplus Lines Insurance Company 10172 COVERAGES CERTIFICATE NUMBER:1372602315 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. - - --- -- -- - — -- _._...__..----... -- ILTR TYPEOFINSURANCE 1INDL WVR POLICY NUMBER rMM/DDYYYY 1 MM IC YYY, LIMITS LTR i A X COMMERCIAL GENERAL LIABILITY Y 432BG11299-01 3/4/2025 3/1/2026 I EACH OCCURRENCE $1,000,000 DA AGE TO E CLAIMS-MADE X OCCUR PREMISES fEa occurrence $100,00_0_ - _ ! MED EXP(Any one person) $5,000 PERSON NAL 8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES - I ) PER. X I r I -GENER ALG- REGATE $2,00-0,000 POLICY�i PRO - --G-- — JECT LOC I I PRODUCTS-COMP/OPAGG $2_000,000 OTHER: $ B AUTOMOBILE LIABILITY Y COMBINED SINGLE LIMIT _ BAOY564819 3/4/2025 3/4/2026 $1,000.000 X :ANY AUTO ' — ------- --- .._..--- BODILY INJURY(Per person) $ OWNED —; SCHEDULED 1 AUTOS ONLY ��1 AUTOS BODILY INJURY(Per accident) $ X HIRED X ; NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per-accident)________ - $ - - - $ C UMBRELLA LIAB X ! OCCUR LA25EXCZOGXR1IC ! 3/4/2025 3/1/2026 EACHOCCURRENCE $5.000.000 X AS EXCESS LI X RETENTh CLAIMS MADE I AGGREGATE $5.000,000- DED �� ON$ I � � � ------- ---- PNSATN E .ANDEMPLO WORKERS ERSELIABIUTY 1 4159191 j 3/1/2025 3/1/2026 X STATUTE ERH ANYPROPRIETOR PARTNEWExECurlvE Y r N I WC 9691890-14 3/1/2025 3/1/2026 — r E.L.EACH ACCIDENT $1.000,000 (MandaR/MEMNEREXCLUDED7 I N!A I 1(f yes,d(Mandatory In NH) 1 E.L.DISEASE-EA EMPLOYEE $1.000,000 I If yes,describe under I 1 i DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 F ':.Professional Liability G 71791774 006 3/4/2025 1 3/1/2026 Each Claim/Aggregate $2m/$2m i DESCRIPTION OF OPERATIONS r LOCATIONS r VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Pollution Liability Policy Number:G71791774 006 Carrier:Westchester Surplus Lines Policy Dates: 3/4/2025-3/4/2026 Limits: General Aggregate:$5.000,000 Each Pollution Condition:$5,000,000 See Attached... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins Building Department ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Fort Collins CO 80522 AUTHORIZED REPRESENTATIVE USA 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 2466: 2 ' of 3 i AGENCY CUSTOMER ID: LOC#: AC V ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED AssuredPartners Colorado Engineering Analytics,Inc. 1600 Specht Point Rd, Ste 209 POLICY NUMBER Fort Collins CO 80525 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE The City of Fort Collins is included as an additional insured per conditions and forms shown on page 2. ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 2466; 3 ` of