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Home My WebLink AboutOWEN AYRES - INSURANCE CERTIFICATEClient*- iAinR AWFNAVRF ACORO,., CERTIFICATE OF LIABILITY INSURANCE DATE 03/24/05WY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION WAUSAU SIGNATURE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 3430 OAKWOOD MALL DR - STE 300 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. EAU CLAIRE, WI 54701 715 835-6174 INSURERS AFFORDING COVERAGE NAIC N INSURED INSURER A. WAUSAU BUSINESS INSURANCE COMPI LNY OWEN AYRES AND ASSOCIATES INC ATTN TOM STUMM INSURER B: EMPLOYERS INSURANCE OF WAUSAU INSURERC: WAUSAU UNDERWRITERS INSURANCE O. PO BOX 1590 EAU CLAIRE, WI 54702-1590 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 N TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION 01/01/06 LIMITS EACH OCCURRENCE $1000000 A GENERAL LIABILITY YYKY91503188065 01/01/05 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDuu $300OOO CLAIMS MADE � OCCUR MED EXP (Any we person) $5 000 PERSONAL &ADV INJURY $1 000 000 GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2000000 POLICY PRO- LW ECT F A AUTOMOBILE LIABILITY ANY AUTO ASKY91503188025 01/01/05 01/01/06 COMBINED SINGLE LIMIT (Es axident) $1 000 OO r r O X BODILY INJURY (Per Person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per axident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG B EXCESSNMBRELLA LIABILITY THCY91503188035 01/01/05 01/01/06 EACH OCCURRENCE $5 00O 000 X1 OCCUR CLAIMS MADE AGGREGATE $5 00O 000 $ DEDUCTIBLE $ X RETENTION $ 10000 WORKERS COMPENSATION AND WCJY91503188045 01/01/05 01/01/06 OTH- TATjC X( WC SLIMIT IR EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE E.L. EACH ACCIDENT $100000 E.L. DISEASE - EA EMPLOYEE $100000 OFFICEWMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $500 000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS PROJECT: CITY OF FORT COLLINS CONSULTING ENGINEERING SERVICES. NORTH COLLEGE DRAINAGE IMPROVEMENT PROJECT AND FUTURE WATER, WASTE WATER AND STORM WATER FACILITIES CAPITAL IMPROVEMENTS - PROJECT #P959. (See Attached Descriptions) CITY OF FORT COLLINS PURCHASING DEPARTMENT PO BOX 580 FORT COLLINS, CO 80522 I ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION IEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL .1A_ DAYS WRITTEN TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD 25 (2001108)1 of 3 #360565 KW2 ® ACORD CORPORATION 1988 I 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. ACORD 25-S (2001/08) 2 of 3 #360565 CITY OF FORT COLLINS IS INCLUDED AS AN ADDITIONAL INSURED UNDER THE GENERAL LIABILITY POLICY PER GL0492 AND AS LIMITED INSURED -VICARIOUS LIABILITY UNDER THE AUTO PER WA8421. euic or It ionmrnm _.