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Home My WebLink About110168 U S ENGINEERING CO - INSURANCE CERTIFICATEACORD. CERTIFICATE OF LIABILITY INSURANCE OP ID $ DATE(MM/DDIYYYY) USENG-1 07 27 07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Thomas McGee, L . C . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 419013 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Kansas City MO 64141-6013 Phone:816-842-4800 Fax:816-472-5018 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Travelers Indemnity Company INSURER B: Travelers Prop. Cas. of Amer.- INSURER C: U. S . Engineering Company 3433 Roanoke Road Kansas City NO 64111 INSURERD: INSURER E: COVERAGES 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. LTRINSRO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MWDD/YY _L'CY EXPIR DATE MMIDDIYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Ic OCCUR X XCU VTKC0131J8589IND07 07/31/07 07/31/08 EACH OCCURRENCE $1,000,000 PREMISES(Eaocc'urence) $ 300, 000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $1,000,000 X Blkt Contractual GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROJECT LOC PRODUCTS - COMP/OP AGG s2,000,000 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS VTJCAP131J8590TIL07 07/31/07 07/31/08 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ A EXCESSIUMBRELLA LIABILITY X OCCUR CLAIMSMADE DEDUCTIBLE X RETENTION $ 0 VTSMKCUP131J8608I 0707/31/07 07/31/08 EACH OCCURRENCE $5,000,000 AGGREGATE $ 5, 000, 000 Follow $ Form $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE O FFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below VTC2KUB2932L55307 07/31/07 07/31/08 WC 6TAT-U X I TORY LIMITS ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS All operations conducted by the insured. CERTIFICATE HOLDER CANCELLATION FORTC01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL SUX>7+7H =MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT OG 0X6=0= nSHALL City of Fort Collins IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR P 0 BOX 580 REPRESENTATIVES. Fort Collins CO 80522 AUTHORI SENT w ACORD 25 (2001/08) ©ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001108) IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S (2001108) 2 of 2 #M388605