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HomeMy WebLinkAboutAYRES ASSOCIATES - INSURANCE CERTIFICATE (3)ACOREIn, CERTIFICATE OF LIABILITY INSURANCE YY) 2/27/M,DD,Y /27/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION WAUSAU SIGNAL URE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 3430 OAKWOOD (MALL DR - STE 300 HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW EAU CLAIRE, WI 54701 715 835-6174 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA Wausau Underwriters Insurance Co 26042 AYRES ASSOCIATES INC INSURER B Employers Insurance Company of Wausa 21458 ATTN TOM STUMM, PO BOX 1590 INSURERC Wausau Business Insurance Company 26069 EAU CLAIRE, WI 54702-1590 INSURER D INSURER E COVFRAGFS THE POLICIES OF INSURANCE LISTED 61-LOW HAVE BEEN ISSUED TO T HE INSURED NAMED A13OVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRAC I OR OI HER 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 E XCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN [JAY HAVE BEEN REDUCED BY PAID CLAIMS INSR LTR ADD L NSRE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMUDDIYYT POLICY EXPIRATION DATE MMIDDIYV LIMITS A GENERAL LIABILITY YYJY91503188068 01/01/08 01/01/09 EACH OCCURRENCE $1000000 GENERAL LIABILITY DAMAGE TO RENTED PREMISES $3DD ODD TCOMMERCIAL CLAIMS MADE a OCCUR MED EXP (Anyann parson) $5 000 PERSONAL B ADV INJURY $1000000 _ GENERAL AGGREGATE s2,000,000 _ GEN L AGGRE GATE OMIT APPLIES PER PRODUCTS COMP/OPAGG $2000000 POLICY n PE Or 1 TOG C AUTOMOBILE LIABILITY ANY APT 0 ASJY91503188028 01/01/08 01/01/09 COMBINED SINGLE LIMIT (Ea aOGdln1) $1 000,000 X BODILY INJURY (Per person) $ At L OWNED AUTOS SCHEDULED AU TOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON GONAD AUTOS X PROPERTY DAMAGE For accident) $ GARAGE LIA131LITY AUTOONLY EAACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY AGG B EXCESSIUMBRELLALIABILDN THCY91503188038 01/01/08 01/01/09 EACH OCCURRENCE $5000000 X OCCUR ❑ CI AIMS MADE AGGREGATE s51000,000 $ $ DEDUCTIBLE $ X RETFNPON $ 10,000 _ A WORKERS COMPENSATION AND WCJY91503188048 01/01/08 01/01/09 OTH X TWO STATU 11 CRYEMPLOYERS LIABILITY ANY PROPRIETOR/PARINERIEXECUTIVE EL EACH ACCIDENT $100,000 L DISEASE EA EMPLOYEE $100,000 OFFICER/MEMBER EXCLUDED'E If yes describe under SPECIAL PROVISIONS below E L DISEASE POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERA (IONS I LOCATIONS I VI HIC LES I EXCLUSIONS ADDED BY EN DORSEMENT I SPECIAL PROVISIONS PROJECT CITY OF FORT COLLINS CONSULTING ENGINEERING SERVICES NORTH (See Attached Descriptions) CITY OF FORT COLLINS PURCHASING DEPT PO BOX 580 FORT COLLINS, CO 80522 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _30_ DAYS WRITTEN E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL IE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR AUTHORIZED ACORD 25 (2001/08,1 1 of 3 AEM485460 TS1 © 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-S (2001I08) 2 of 3 #M485460 DESCRIPTIONS (Continued from Page 1) 1 COLLEGE DRAINAGE IMPROVEMENT PROJECT AND FUTURE WATER, WASTE WATER AND STORM WATER FACILITIES CAPITAL IMPROVEMENTS - PROJECT #P959 THE CITY OF FORT COLLINS IS INCLUDED AS AN ADDITIONAL INSURED UNDER THE GENERAL LIABILITY POLICY PER GL0566 AND AS LIMITED INSURED UNDER THE AUTO PER CA2048 AMS 25 3 (2001108) 3 of 3 #M485460