HomeMy WebLinkAbout130088 ICON ENGINEERING INC - INSURANCE CERTIFICATE (2)ACORD DATE (MM/DD/YYYY)
TM. CERTIFICATE OF LIABILITY INSURANCE 02/15/2007
PRODUCER Phone: (360) 598-3700 Fax: (360) 598-3703 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
MICHAEL J. HALL & COMPANY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
19578 10TH AVENUE N.E. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
POULSBO WA 98370 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE NAIC #
_-__ __ __ Agency Lid#: 91- 1461089 _—
INSURED I INSURER A: Lloyd's Of London
ICON ENGINEERING INC INSURER B:
8100 SOUTH AKRON STREET, #300 - -- _- _ — - -- -- -- —
ENGLEWOOD CO 80112 INSURER C:
INSURER D:
4L/ V CRPIOCA
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
LTR INSR LIMITS
DATE MMIDD/YY DATE MMIDD
I GENERAL LIABILITY
EACH OCCURRENCE
$
COMMERCIAL GENERAL LIABILITY
— r '
i ''
DAMAGE RENTED
PREMISES (Ea rence)
$
CLAIMS MADE I I OCCUR
MED. EXP (Any one person)
$
PERSONAL 8 ADV INJURY
$
LGEN'L
GENERAL AGGREGATE
$
AGGREGATE LIMIT APPLIES PER:
$
PRODUCTS-COMP/OP AGG
C
PRO- -_�
POLICY JECT LOC
-
AUTOMOBILE
LIABILITY
7,
COMBINED SINGLE LIMIT
ANY AUTO
(Ea accident)
$
ALL OWNED AUTOS
OS
�— - --- — - -
BODILY INJURY
_---- -- -
SCHEDULEDAUTOS
(Per person)
$
-
HIRED AUTOS
BODILY INJURY
NON -OWNED AUTOS
(Per accident)
$
-- — --- - ---- --
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
i
ANY AUTO
_
$ — - -- — _
OTHER THAN EA ACC
'
AUTO ONLY: qGG
_
$
EXCESS / UMBRELLA LIABILITY
EACH OCCURRENCE
_
$
OCCUR CLAIMS MADE
_... _. . _
—_
_
r _- .__
AGGREGATE
$
Is
- --
DEDUCTIBLE
--
__
RETENTION $
wCS
EMPL
—iOTHER
ANYROOMRIRTOORMARTNEEIE ECUTIVE
EL EACH ACCIDENT
!
N yes, describe antler I
E L DISEASE EA EMPLOYEE $
I
SPECIAL PROVISIONS below
j E.L. DISEASE -POLICY LIMIT $
A
OTHER:
PROFESSIONAL LIABILITY
1104900297/007 01/30/07 01/30/08
$1,000,000 PER CLAIM
CLAIMS MADE FORM
AGGREGATE
I$1,000,000
RETRO DATE: 1/1197
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
PROJECT: GENERAL CONSULTING SERVICES
CERTIFICATF Wnl nco
CITY OF FORT COLLINS
PURCHASING DEPARTMENT
215 NORTH MASON STREET, 2ND FLOOR
FORT COLLINS, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE
TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER.
ITS AGENTS OR REPRESENTATIVES.
Attention:
Arnon �c 11nn4 root
Matthew L. CODus
�' JV "' 0 ACORD CORPORATION 1988