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Home My WebLink About112468 FELSBURG HOLT & ULLEVIG INC - INSURANCE CERTIFICATE (3)ACORDTM CERTIFICATE OF LIABILITY INSURANCE 0DATE 7/19/07Dm) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Van Gilder Insurance Corp. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 700 Broadway, 1000 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Y ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80203 303 837-8500 INSURERS AFFORDING COVERAGE INSURED INSURER A: The Travelers Indemnity Co of Amer Felsburg Holt 8r Ullevig, Inc. INSURER B: The Phoenix Ins. Co. (SPT) 6300 S. Syracuse Way, #600 INSURERc: Hartford Accident 8r Indemnity Centennial, CO 80111 INSURER D: XL Specialty Insurance Company INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUREMENT, 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS A GENERAL LIABILITY 68022781-711 06/21/07 06/21/08 EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Any one fire) $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FX] OCCUR MED EXP (Any one person) $10 000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS -COMP/OP AGG s2,000,000 POLICY RO- LOC X B AUTOMOBILE LIABILITY ANY AUTO BA30081_260 06/21/07 06/21/08 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS LIABILITY CUP654OY22A 06/21/07 06/21/08 EACH OCCURRENCE s4,000,000 X OCCUR CLAIMS MADE AGGREGATE s4,000,000 $ $ DEDUCTIBLE $ RETENTION $ C WORKERS COMPENSATION AND 34WEGPP3731 06/21/07 06/21/08 X WC STATU- OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 D I OTHER Professional DPR9604545 06/21/07 06/21/08 $2,000,000 per claim lability $5,000,000 annl aggr. [Claims Made DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CANCELS AND REPLACES ANY PREVIOUSLY ISSUED CERTIFICATE RE: P-942 US 2887/South College Avenue Bike Lane Project City of Fort Collins is listed as an Additional Insured, under General Liability only, in respects to their interest in work performed by the insured as per written specified contracts. City of Fort Collins Administrative Services -Purchasing 215 N. Mason St., Second Floor PO Box 580 Fort Collins, CO 80522-0580 SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30__DAYSWRRTEN NOTICE TOTHE CERTIFICATE HOLDER NAM ED TOTH E LEFT, BUT FAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURERJTS AGENTS OR REPRESENTATIVE A\'VICAJ caa tfmf)1 of 1 #M503091 EQC O ACORD CORPORATION 1988 ACORDTM CERTIFICATE OF LIABILITY INSURANCE 0DATE 7119/07Dm) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Van Gilder Insurance Corp. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 700 Broadway, 1000 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Y ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80203 303 837-8500 INSURERS AFFORDING COVERAGE INSURED INSURER A: The Travelers Indemnity Co of Amer Felsburg Holt & Ullevig, Inc. INSURER B: The Phoenix Ins. Co. (SPT) 6300 S. Syracuse Way, #600 INSURER c: Hartford Accident & Indemnity Centennial, CO 80111 INSURER D: XL Specialty Insurance Company 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. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS A GENERAL LIABILITY 68022781711 06/21/07 06/21/08 EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Any one fire) $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE I -XI OCCUR MED EXP (Any one person) $10 000 PERSONAL & ADV INJURY $1 000 000 GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS -COMP/OP AGG s2,000,000 POLICY X PRO- LOC B AUTOMOBILE LIABILITY ANY AUTO BA300BL260 06/21/07 06/21/08 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS LIABILITY X OCCUR CLAIMS MADE CUP6540Y22A 06/21/07 06/21/08 EACH OCCURRENCE s4,000,000 ___ AGGREGATE _ $4 000.000 $ DEDUCTIBLE $ RETENTION $ C WORKERS COMPENSATION AND 34WEGPP3731 06/21/07 06/21/08 X WC STATU- OTH- EMPLOYERS' LIABILITY 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 DPR9604545 06/21/07 06/21/08 $2,000,000 per claim Liability $5,000,000 annl aggr. Claims Made DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CANCELS AND REPLACES ANY PREVIOUSLY ISSUED CERTIFICATE 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. City of Fort Collins 215 N Mason St.,2nd Floor PO Box 580 Fort Collins, CO 80522-0580 SHOULD ANYOF TH E ABOVE D ESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3,0_._DAYSWRITTEN NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTH E LEFT, BUT FAILURE TODOSOSHALL IM POSE NO OBLIGATION OR LIABILITY OF ANYKIND UPON TH E INSURERJTS AGENTS OR :ED REPRESENTATIVE 'A'A . ACORD 25-5 (7/97)1 of 1 #M503091 EQC 0 ACORD CORPORATION 1988