HomeMy WebLinkAbout130088 ICON ENGINEERING INC - INSURANCE CERTIFICATE (3)ACORD CERTIFICATE OF LIABILITY INSURANCE OF ID SA
DATE(MM/DDMYY)
ICONS-1
Oz 07 08
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Cherry Creek Ins Agency, Inc
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Suite 500
HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR
5660 Greenwood Plaza Blvd
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Greenwood Village CO 80111
Phone 303-799-0110 Fax 303-799-0156
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
INSURER to Hartford Ind. ce C o P
f 22357
INSURER B
ICON Engineering Inc
Attn Mr Penn Gildersleev
8100 South Akron Street #300
Englewood CO 80112
INSURER C
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
LTR
ROU'L
NSR
TYPE OF INSURANCE
POLICY NUMBER
'EFFECTIVE
DATE MM/DD/YY
j POLICY EXPIRATION
DATE MM/DDM'
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1000000
A
COMMERCIAL GENERAL LIABILITY
34SBAPD8771
01/30/08
01/30/09
PREMISES(Eaoccu ante)
I$3000_OO_
CLAIMS MADE OCCUR
MED EXP (Any one person)
—�
_
ttt$ 1000O
—0 — —
X Business Owners
1 $ 1000000
PERSONAL B ADV INJURY
GENERALAGGREGATE
$ 2000000
GEN L AGGREGATE LIMIT APPLIES PER
PRODUCTS COMPIOP AGG000
X POLICY PEA LOC
A
AUTOMOBILE
LIABILITY
ANY AUTO
34SBAPD8771
COMBINED SINGLE LIMIT $
01/30/08 01/30/09 I (Ea accident)
X
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY — $11000000
(Pe Pe son)
X
HIRED AUTOS
NON OWNED AUTOS
r
BODILY INJURY i
I(P acc dent)— $
X
PROPERTY DAMAGP $
(Per accident)
GARAGE LIABILITY
AUTOONLY EAACCIDENT $
ANY AUTO
OTHER THAN EA ACC $
AUTO ONLY AGG $
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$
OCCUR CLAIMS MADE
AGGREGATE_
—
I$
DEDUCTIBLE
IS
RETENTION $
$
WORKERS COMPENSATION AND
EMPLOYERS LIABILITYA
ANY PROPRIETOR/
34SBAPD8771
01/30/08
01/30/09
XITORVLIMIT$ 1 1 ERi
LEL EACH ACCIDENT a 100000
OFFICERIMEMBER EXCLUDED
EXCLUDED?
EL DISEASE EA EMPLOYOY EE $ SOOOOO
Des describe under
CIALPROVISIONS cal.
-- -
EL DISEASE POLICY LIMIT I $ 500000
OTHER
PROPERTY 139500
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
RE General Consulting Services
City of Fort Collins
Purchasing Department
215 N Mason St 2nd Floor
Fort Collins CO 80522
CFORT-4 I SHOULD ANYOFTHE ABOVE UESCRIMED POLICIES BEGNf.ELLEDSEFOIIE
DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10_ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAK.UPIE TO DO SD SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
REPRESENTATIVES
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