HomeMy WebLinkAboutHDR ENGINEERING - INSURANCE CERTIFICATE (5)ACORD. CERTIFICATE OF LIABILITY INSURANCE 06/01/2005 05/31/2004
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Lockton Companies ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
444 W. 47th Street, Suite 900 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Kansas City Mo 64112-1906 ALTER THE COVERAGE AFFORDED BY THEPOLICIES
(816)960-9000
INSURERS AFFORDING COVERAGE
INSURED
1013472 HDR ENGINEERING, INC.
ATTN: LOUIS J. PACHMAN
8404 INDIAN HILLS DRIVE
OMAHA, NE 68114-4049
COVERAGES HDRIN01 SA
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
I TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE IMNIlDDfYYl
POLICY EXPIRATION
DATE MM D
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
1,000,000
A
X COMMERCIAL GENERAL LIABILITY
GL03504583
06/01/2004
06/01/2005
FIRE DAMAGE tAny one fire
$ 1,000,000
MED EXP (Any oneperson)
$ $ 000
CLAIMS MADE a OCCUR
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GENT AGGREGATE LIMIT APPLIES
PRO- X
POLICY FXl JE
PER:
LOC
PRODUCTS - COMPIOP AGG
$ 2,000,000
AUTOMOBILE
LIABILITY
B
ANY AUTO
BAP3504584
06/01/2004
06/01/2005
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
X
B
ALL OWNED AUTOS
SCHEDULED AUTOS
TAP3504586
06/01/2004
06/01/2005
BODILY INJURY
(Per person)
$ XXXXXXX
X
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$ XXXXXXX
X
PROPERTY DAMAGE
(Per accident)
$ XXXXXXX
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$ XXXXXXX
ANY AUTO
NOT APPLICABLE
OTHER THAN EA ACC
XXXXXXX
$ XXXXXXX
AUTO ONLY: AGG
B
EXCESS LIABILITY
X OCCUR CLAIMS MADE
AUC3808400-00
06/01/2004
06/01/2005
EACH OCCURRENCE
$ 1,000,000
AGGREGATE
$ 1,000,000
x UMBRELLA
(EXCLUDES PROF. LIAB)
XXXXXXX
XXXXXXX
DEDUCTIBLE FORM
}( WC STATU- OTH-
ER
$ XXXXXXX
RETENTION $
06/01/2004
06/01/2005
C
WORKERS COMPENSATION AND
90-14910-01
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
ARCHS & ENGS PROFESSIONAL
PLN113978408
06/01/2004
06/01/2005
PERCLAIM:$1,000,000. AGG:$1,000,ODO.
LIABILITY
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
1916422 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF FORT COLLINS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR --TO MAIL 30 DAYS WRITTEN
ATTN: PURCHASING
P.O. BOX 580 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
FORT COLLINS CO 80522 !MPOSW NO OR"a"TIONOR UABIL.TyGr A Ply KIND UPON Timm INSURER, ITS firriNTS-OR
REPRESENTATIVE,
AUTHORIZED REPRESENTATIVE
ACORD 25-S (7/97) For questions regarding this oenifiesb, contscl the number lissed In tits'Produme section above LAM specify the client cod 11DRIMI-. ® ACORD C PORATION 1999