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Home My WebLink AboutNORTHERN ENGINEERING SERVICES - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE DATE OB/29/2007 $TAT APM 9/2007 THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION B b s n State Farm Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 6 81T8ui1PPm0 y Rd Ste 201 HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR Fo s CO 80525 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE INSURED Northern Engineering Services Inc 200 S College Ave Ste 100 Fort Collins CO 80524 25143 NAIC # 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 nR LTR A—W-L MSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYY POLICY E%PIRATION DATE MMID LIMITS A X GENERAL LIABILITY 96-KD-0067-1 01/15/2008 01/15/2009 EACH OCCURRENCE $ 1 000 000 DAMAGE TO PREMISES RENTED rMrce $ 300 000 X COMMERCIAL GENERAL LIABILITY MED EXP orre $ 5 000 CLAIMS MADE F OCCUR PERSONAL B ADV INJURY $ 1 000 000 GENERAL AGGREGATE $ 2 000 000 GENLAGGREGUE LM/IWPLESPHt PRO POLICY JECT LOC PRODUCTS COMP/OPAGG $ 2,000 000 A AUTOMOBILE X LIABILITY ANY AUTO 0505391-06 06/16/07 06/16/08 COMBINED SINGLE LIMIT (Ea accident) $ 1 000 000 BODILY INJURY Per pero ,) $ ALL OWNED AUTOS SCHEDULED AUTOS X X BODILY INJURY (PM scaderd) $ HIRED AUTOS NON OWNED AUTOS PROPERTY DAMAGE (Per scadeM) $ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ OTHER THAN EAACC $ ANY AUTO AUTO ONLY AGG $ • LIABILITY OCCUR FICLAIMS MADE 96-KE-6441-3 01/15/08 01/15/09 EACH OCCURRENCE $ 4 000 000 AGGREGATE $ nCESSfUMBRELLA DEDUCTIBLE $ RETENTION $10 000 A WORKERS COMPENSATION AND EMPLOYERS LIABILITY 96-KH-9018-6 01/15/08 01/15/09 WCSTATU TORV LIMITS x oTH ER ANY PROPRETORIPARTNERIEXECUTIVE OFFICERIMEMSER EXCLUDED? EL EACH ACCIDENT $ 1 OOO OOO EL DISEASE EAEMPLOYEE $ 1 000 000 B yaa describe under SPECIAL PROVISIONS below EL DISEASE POLICY LIMN $ 1 000 000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS and various Officers excluded from workers compensation Location of ogpera`\tti.-omens,,,, .above City of Fort Collins SHOW ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION PO BOX 580 DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Fort Collins CO 80522 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SOSHALL Martinez Park Phase II IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES A WE REPRESENTATIVE .._.-_.__--__...-.-...-_...._..._...__�...,,.. .....r......... ....�� v..,..t..... ..vnrvrvA nvn rwoo cuor H 32Bas oa-T3-2os7 All rights reserved / —'l T ARM ® CERTIFICATE OF LIABILITY INSURANCE 08'29/""/2 07 THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION B s n State Farm Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 6 81r&uHAIROo y Rd Ste 201 HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR F ° CO 80525 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW A INSURERS AFFORDING COVERAGE NAIC # INSURED Northern Engineering Services Inc INSURERA State Farm Fire and Casualty Company 25143 200 S College Ave Ste 100 INSURERB Fort Collins CO 80524 INSURERC INSURER D 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 MSR LTR ADD1 INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMVDONYI POLICYEXPIRATION DATE MMM LIMITS A X GENERAL LIABILITY 96-KD-0067-1 01/15/2OO8 01/15/2009 EACH OCCURRENCE $ 1 000 000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 300 000 MED EXP/Ariy ore Perean) $ 5 000 CLAIMS MADE FxIOCCUR PERSONAL S ADV INJURY $ 1 000 000 GENERAL AGGREGATE $ 2 Q00 000 GENLAGGREGATE LA$rAPPLES PER PRO POLICY JECT LOC PROOUCTS C@.PIOPAGG $ 2 000 QOO A AUTOMOBILE X LIABILITY ANY AUTO 0505391-06 06/16/07 06/16/08 COMBINED SINGLE LIMB (Ea accebnq S 1 000 000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per Person) $ X BODILY INJURY (Per ecadem) $ HIREDAUTOS NON-0WNEDAUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY —EA ACCIDENT $ OTHER THAN EAACC $ ANY AUTO AUTO ONLY AGG S A EXCE'UMBRELLA X I LIABILITY OCCUR r-1 CLAMS MADE 96-KE-6441-3 01/15/08 01/15/09 EACH OCCURRENCE $ 4 000 000 AGGREGATE $ $ DEDUCTIBLE X RETENTION $ 10 000 $ A WORKERS COMPENSATION AND EMPLOYERS LUIBLLT' ANY PROPRIETORR'ARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? 96-KH-9018-6 O1/15/Q8 Ol/15/O9 VYC SLATU ORV LIMITS X OTH ER EL EACH ACCIDENT S 1 000 000 ELDISEASE EAEMPLOYEE $ 1 000 000 N yes Oasorbe under SPECIAL PROVISIONS below EL DISEASE POLICY LIMIT Is 1,000 000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECM. PROVISIONS Location of operations above and various Officers excluded from workers compensation CCDTICIf ATC U^I nCD 2629 Redwing Rd Ste 280 Fort Collins CO 80526 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF TIE 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 2007 IAA CERTIFICATE OF LIABILITY INSURANCE DATE 08/29/20079/2007 y FFor R State Farm Rd Ste 201 CO 80525 THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE NAIC N INSURED Northern Engineering Services Inc 200 S College Ave Ste 100 Fort Collins CO 80524 INSURERA State Farm Fire and Casualty Company 25143 INSURER NSURERC INSURER D 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 ADD1 POLICY EFFECTIVE POLICY EXPIRATION LTR MSRD TYPE OF INSURANCE POLICY NUMBER DATE (MWDDrrO DATE MMMOfYY LIMITS A X GENERAL LIABILITY 96-KD-0067-1 01/15/2008 01/15/2009 EACH OCCURRENCE $ 1 000 000 PREMISES Eaacwn. $ 300 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR MED EXP (Ary one rson $ 5 000 PERSONAL B ADV INJURY $ 1 000 000 GENERAL AGGREGATE $ 2 000 000 GENLAG(iECATELNRAPPLESPER PRODUCTS CONPIOPAGC It 2 000 000 PROJECT POLICY LOC A AUTOMOBILE LIA91UW 0505391-06 06/16/07 06/16/08 COMBINED SINGLE LIMIT (Ea ewidem) $ 1 000 000 x ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Pere Clem) $ HIRED AUTOS NON -OWNED AUTOS x PROPERTY DAMAGE (Per amdem) It GARAGE LABILITY AUTO ONLY —EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY AGG $ A EXCESSIUMBRELLA LIABILITY 96-KE-6441-3 01/15/08 01/15/09 EACH OCCURRENCE $ 4 000 000 x OCCUR FICLAIMS MADE AGGREGATE $ $ DEDUCTIBLE X $ RETENTION $ 10 000 A RRI(INCOMPENSATIONUAND 96-KB-9018-6 01/15/0$ O1/15/09 RVUMTS X ER EL EACH ACCIDENT $ 1 000 000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? S PEa a under SPECIAALL PROVISIONS below1 EL DISEASE FAEMPLOYEE $ 1 OOO OOO E L DISEASE POLICY LIMIT $ 000 000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS Location of operations above and various Officers excluded from workers compensation CERTIFICATE HOLDER CANCELLATION City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Natural Resource Department DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL —300 DAYS WRITTEN 200 W Mountain NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL Fort Collins CO 80521 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE AGUKU ZO \ZUUTIUB) I ne registration notices In0lCere Ownership OT me marks by their respective owners U IIACUKD GUKPUKATIUN TMSO Z007 132849 0313 2007 All rights reserved BTRTF I4RM INEYRRNCE 7 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 PTV Vf L0 tAuu uWay