HomeMy WebLinkAboutTHE ENGINEERING COMPANY - INSURANCE CERTIFICATE (2)ACORM CERTIFICATE OF LIABILITY INSURANCE DATE 4 WDD(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 INSURERA-. Hartford Insurance (Service Center)
The Engineering Company -- -- - -- -
2310 E. Prospect, Suite B INSURER B:
INSURER C:
Fort Collins, CO 80525 INSURER D:
l:U V CHAUt1
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
LT
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MWDD/YY
POLICY EXPIRATION
DATE MM/DD/YY LIMITS
GENERAL LIABILITY
COMM ERCIAL GENERAL LIABILITY
CLAIMS MADE ElOCCUR
_._
I
EACH OCCURRENCE
$
FIRE DAMAGE (Any one fire)
$
MED EXP (Any one person)
$. .
PERSONAL & ADV INJURY
$
GENERAL AGGREGATE
GEN'LAGGREGATE LIMIT APPLIES PER:
POLICY I PE6 LOC
PRODUCTS -COMP/OPAGG
_$
$
AUTO
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON OWNED AUTOS
(MOBILE
nSINGLE LIMIT
Oa accident)
$
BODILY INJURY
(Per person)
$
$
-
BODILY INJURY
(Per accident)
--
PROPERTY DAMAGE
(Per ac"d nt)
$
--- --
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA_ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
EXCESS LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
' RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
$
$ -
$
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
34WEGKE5019
01/01/05 101/01/06
X WC STATU- OTH-
T RY LIMITS ER
E.L. EACH ACCIDENT_
$1,000,000
E.L. DISEASE -EA_EMPLOYEE
$1,000,000
E.L. DISEASE . POLICV LIMIT
$1 _000,000
OTHER
DESCRIPTION OF OPERATIONSrLOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
City of Fort Collins
Attn: James B. O'Neill II
P.O. Box 580
Fort Collins, CO 80522
I
SHOULD ANYOFTHE ABOVE DESCRIBED POLICIESBE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL30 DAYSWRITTEN
NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL
IMPOSE N O OB LIGATION OR LIABILITY OF ANY KIND UPON THE INSURE R,ITS AGENTS OR
REPRESENTATIVE