HomeMy WebLinkAboutCORRESPONDENCE - RFP - AQUA ENGINEERINGAWRD. CERTIFICATE OF LIABILITY INSURANCE 06/04/03DD/YY)
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Van Gilder Insurance Corp. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
700 Broadway, Suite 1000 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Denver, CO 80203 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
303 837-8500 INSURERS AFFORDING COVERAGE
INSURED 1 Aqua Engineering, Inc. INSURER A St. Paul Insurance (Med/A&E)
4803 Innovation Drive - --- --
INSURER a Hartford Insurance (Service Center)
- - - --- --
Fort Collins, CO 80525 INSURER C.Security Ins Co of Hartford
- -
INSURER D: --- --- _-
1 INSURER E:
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
POLICYEFFECTIVEPIRAT TPO LICYEXION' - - - _ --_- __-- -- --- -
TE DD/Y AT /DD/ LIMITS
ERAL BK01366674
A XENCOMMERCBILIGENERAL
05/05/03 05/05/04 EACH OCCURRENCE
LIABILITY
--�$1,000,000 -.
FIRE DAMAGE (Any one Rre� $1�000�000
f' F
.LAMS MA D. X.. OCCUR
II, MED FXP(Anyone Derscn� 310,000 _
----� -----. _._.
PERSONAL& ADV INJURY .$1,000,000
GENERAL AGGREGATE $2,000,000
GEN AGGREGATE LIPAITAPPLIES PER: i
I 'PRO
_
PRODUCTS COMP/OPAGGF$2,000,000
POLICY LOC
A '_AUTOMOBILE LIABILITY BKO1366674
05/05/03 05/05/04 COMBINED SINGLE LIMIT
ANYAUTO
$1 0O0 000
(Ea accident) r ,
LALL OWNEL`AUTOS
---� -
_ SCHEDULED AUTOS
1 BODILYINJURY(Per person) $
X I HIRED AUTOS
X NON -OWNED AUTOS
BODILYINJURY
(Peraccident) i $
- -__--- _--- - --__- -- -
PROPERTY DAMAGE
$
(Peraccident)
GARAGE LIABILITY
'AUTOONLY-EAACCIDENT $
ANY AUTO
OTHER THAN EA ACC $
AUTO ONLY: AGG $.
A I EXCESS LIABILITY BK01366674
05/05/03 ! 05/05/04 i EACH OCCURRENCE $1,000,000_
Xf OCCUR - -: CLAIMS MADE
AGGREGATE $1,000,000
is
DEDUCTIBLE
RETENTION $
B WORKERS COMPENSATION AND I34WEGKC2904
05/05/03 05/05/04 X_I WCSTAT.. OTH'
EMPLOYERS! LIABILITY
-- TSl_I.—_
E.L EACH ACCIDENT 111,000,000
E. ! L.DISEASE EA EMPLOYEE $1,000,000
(�` '. OTHER Architects/ IAEE0224830
E.L. DISEASE -POLICY LIMIT $1,000,000
05/05/03 05/05/04 $1,000,000 Ea. Claim
Engineers
$1,000,000 Aggregate
Professional Liab
DESCRIPTION OF OPERATIONS/ LOCATIONS/VEHICLES/EXC LUSIONS AD DE D BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER ADDMONALINSURED•INSURER LETTER
CANCELLATION
SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Ft. Collins
DATETHEREOF,THE ISSUING INSURER WILLENDEAVORTO MAIL30 _DAYSWRITTEN
Purchasing Division
NOTICE TO THE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUT FAILURE TO DO SO SHALL
PO Box 580
IMPOSE NO OBLIGATION OR LIABILITY OFANYKIND UPON THE INSURER,ITSAGENTSOR
Fort Collins, CO 80522-0580
REPRESENTATIVES.
AUTH9_kIIZED REPRESENTATIVE
..-� v".r1-1 or T 8MJU4419 BCP 0 ACORD CORPORATION 1988