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112468 FELSBURG HOLT & ULLEVIG INC - INSURANCE CERTIFICATE (2)
ACORo.a CERTIFICATE OF LIABILITY INSURANCE DATE /07 os/2zo7 DIYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Van Gilder Insurance Corp. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 700 Broadway, Suite 1000 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Denver, CO 80203 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 303 837-8500 INSURERS AFFORDING COVERAGE INSURED INSURER A. The Travelers Indemnity Co of Amer Felsburg Holt & Ullevig, Inc. INSURERS: Hartford Underwriters Ins. Co. 6300 S. Syracuse Way, #600 INSURER c: Hartford Accident & Indemnity Centennial, CO 80111 INSURER D: XL Specialty Insurance Companv bVYcn vco 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. NSR LT TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDfYY POLICY EXPIRATION ATE MM/DD LIMITS A GENERAL LIABILITY 68022781-711 06/21/07 06/21/08 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 41 OCCUR FIRE DAMAGE (Any one fire) $1 000 000 MED EXP (Anyone person) $10 000 PERSONAL B ADV INJURY $1 000 000 GENERAL AGGREGATE _ s2,000,000 GEN'L AGGREGATE LIM ITAPPLIES PER: POLICY X PEO LOC PRODUCTS-COMP/OPAGG $2000000 B AUTOMOBILE LIABILITY ANY AUTO BA30081260 06/21/07 06/21/08 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIREDAUTOS X NON -OWNED AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGO A EXCESS LIABILITY X1OCCUR CLAIMS MADE CUP654OY22A 06/21/07 06/21/08 EACH OCCURRENCE s4,000,000 AGGREGATE $4 000,000 DEDUCTIBLE RETENTION It $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 34WEGPP3731 06/21/07 06/21/08 X WC STA iU- OTH- ITORY LIMITS EEL E.L. EACH ACCIDENT $1 000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 D OTHER Professional lability laims Made DPR9604545 06/21/07 06/21/08 $2,000,000 per claim $5,000,000 annl aggr. DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS RE: #P1027 Mason Transportation Corridor Trail Upgrade Separated Crossing As required by written contract or written agreement, the Certificate Holder is included as Additional Insured under General Liability with respect to the above referenced. rcoT�c�rnrc u'.. ncn City of Fort Collins 215 N Mason St.,2nd Floor PO Box 580 Fort Collins, CO 80522-0580 SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30DAYSWRITTEN NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTH E LEFT, BUTFAILURE TODD SOSHALL IM POSE NO OBLIGATION OR LIABILITY OF ANY HIND UPON TH E INSURER,ITS AGENTS OR REPRESENTATIVE Amon 99 c 171n7l • . WnFl lvvJw! EQC © ACORD CORPORATION 1988