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HomeMy WebLinkAbout130088 ICON ENGINEERING INC - INSURANCE CERTIFICATE (11)A CORD DATE (MM/DD/YYYY) /` TM. CERTIFICATE OF LIABILITY INSURANCE FEB 1405 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MICHAEL J. HALL & COMPANY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 19578 10TH AVENUE N.E. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR POULSBO WA 98370 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # Agency Lic#: 91-1461089 INSURED INSURER A: Lloyd's Of London ICON ENGINEERING, INC. 8100 SOUTH AKRON STREET, #300 ENGLEWOOD CO 80112 NSURER e: INSURER C: - -- --- INSURER D: INSURER E: rnVFQAr.Fc 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 -CCLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS IN LTR INSR DATE MMIDD/YV DATE JMMiDDNYI GENERAL LIABILITY EACH OCCURRENCE - COMMERCIAL GENERAL LIABILI DAMAGE TO RENTED $ CLAIMS MADE( 1 OCCUR 4j $ MED EXP (Any one person) PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER (PRODUCTS-COMP/OP AGG. $ POLICY PROJECT LOC — — - AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY ( Per person) $ - SCHEDULED AUTOS HIREDAUTOS BODILY INJURY $ {Per NON -OWNED AUTOS accident) PROPERTY DAMAGE -----� ------ —-- $ -- (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ - AUTO ONLY:AGG -_EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR I CLAIMS MADE AGGREGATE $ i $ DEDUCTIBLE _.. $ RETENTION$ $ !WORKERS COMPENSATION AND WC STATU- ' OTHER EMPLOYERS' LIABILITY SORYLUMli9 E.L.EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? L. DISEASE -EA EMPLOYEE ;$ If es, describe under SPECIAL PROVISIONS below r- ---- —_--- - __ - _ E.L. DISEASE -POLICY LIMIT $ OTHER: 1104900297/005 JAN 30 05 JAN 30 06 $1,000,000 PER CLAIM A PROFESSIONAL LIABILITY $1,000,000 AGGREGATE CLAIMS MADE FORM RETRO DATE: 111197 DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS PROJECT: GENERAL CONSULTING SERVICES rcoTICH'ATo unl nco rAMr Pi I ATInA1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT CITY OF FORT COLLINS FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE PURCHASING DEPARTMENT INSURER, ITS AGENTS OR REPRESENTATIVES. 215 NORTH MASON STREET, 2ND FLOOR AUTHORIZED REPRESENTATIVE FORT COLLINS, CO 80522 Attention: Matthew L. Copus ACORD 25 (2001/08) Certificate # 30537 ©ACORD CORPORATION 1988