HomeMy WebLinkAboutANDERSON CONSULTING ENGINEERS - INSURANCE CERTIFICATE (4)ACORDiDATEY)
TM. CERTIFICATE OF LIABILITY INSURANCE FEB23 4
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. I HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
POULSBO WA 98370
PHONE: (360)598-3700
FAX: (360) 598-3703 Aaencv Lic#: 91-1461089
INSURED
ANDERSON CONSULTING ENGINEERS, INC.
772 WHALERS WAY, SUITE 200
FORT COLLINS CO 80525-3314
COVERAGES
INSURERS AFFORDING COVERAGE
INSURER A: CNA INSURANCE COMPANY
INSURER B:
INSURER C:
INSURER D:
INSURER E:
NAIC #
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.
INSF
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDD
POLICY EXPIRATION
DATE MMIDONY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
$
$
DAMAGE TO RENTED
PREMISES a omvence
MED. EXP (Any One Person)
i�
PERSONAL &ADV INJURY
$
GENERAL AGGREGATE_
Is
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS-COMP/OP AGG..$$
POLICY I
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$
ALL OWNED AUTOS
BODILY INJURY
j
(Per person)
$
SCHEDULED AUTOS
HIREDAUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
Is
PROPERTY DAMAGE
—
$
--------------
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN EA ACC
$
AUTO ONLY: AGG
$
EXCESS / UMBERELLA LIABILITY
EACH OCCURRENCE
$
OCCUR CLAIMS MADE
$
AGGREGATE
$
DEDUCTIBLE
$
J,.. RETENTION $
$
WORKERS COMPENSATION AND
LIABILITY
'' WC STATU TORY LIMITS OTHEREMPLOYERS'
$
E.L. EACH ACCIDENT
ANY PROPR!ETO.RD+ARTNER/EX=CUTIVE
OFFICERIMSMSER EXCLUDED?
—_...__. ___.—_-_—..___..___T_.
E.L. DISEASE-EAEMPLOYEE
'$
It yes, describe under
E.L. DISEASE -POLICY LIMIT
$
SPECIAL PROVISIONS below
OTHER:
AEA114088084
FEB 11 04
FEB 1105
$1,000,000 PER CLAIM
A
PROFESSIONAL LIABILITY
$1,000,000 AGGREGATE
CLAIMS MADE FORM
DESCRIPTION OF OPERATIONS/LOCATION/VEHICLES/EXCLUSIONS ADDED ENDORSEMENT/ SPECIAL PROVISIONS
r=07111iii Uni r1C0 I T ADDITIONAL INSURED -INSURER LETTER: !`Aurm 1 ATInm
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
SENIOR BUYER UTILITIES/PURCHASING
FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
CITY OF FORT COLLINS
INSURER, ITS AGENTS OR REPRESENTATIVES.
PO BOX 580
AUTHORIZED REPRESENTATIVE
FORT COLLINS CO 80522
Attention: OPAL F. DICK, CPPO
ACORD 25 (2001108) Certificate # 7992 MattneW L. L;OPUS