HomeMy WebLinkAbout112468 FELSBURG HOLT & ULLEVIG INC - INSURANCE CERTIFICATE (17)ACORnn CERTIFICATE OF LIABILITY INSURANCE 04130/04DOrrr)
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
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Denver, CO 80203
303 837-8500
INSURED
Felsburg Holt & Ullevig, Inc.
6300 S. Syracuse Way, #600
Centennial, CO 80111
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INSURERS AFFORDING COVERAGE
INSURER A .St. PaUI InSUranCe
- - - - - --
INSURER a Hartford Insurance Group
INSURERc:Hartford Insurance
INSURER D:XL Specialty Insurance Company
INSURER E: -
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.
17�
TYPE OF INSURANCE
POLICY NUMBER 0 ICYDATEMMEIDO/VITC EPOLICY EXPIRADTION
- LIMITS
A
GENERAL LIABILITY
BKO1421523
05/01/04
05/01/05
EACHOCCURRENCE
$1,000,000
X COMMERCIAL GENERAL LIABILITY
CLAIMSMADE�X OCCUR
FIRE DAMAGE (Any one fire
$1 0,00 OOO
MED EXP(Anyone person)
i$M000
PERSONAL&ADV,INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GE AGGREGATE LIMIT APPLIES PER:
POLICY I PROJECT- LOC
PRODUCTS-COMP/OP AGG
$2,000000
—
B
�AUTOMOBILE LIABILITY 34UECFW5245
ANY AUTO
05/01/04 05/01/05
COMBINED SINGLE LIMIT
(Eaaccident)
$1,000,000
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
X HIREDAUTOS
X NON -OWNED AUTOS',
!
BODILY INJURY $
(Per accident)
P�RTY DAMAGE -
(Per accident) $
GARAGE LIABILITY
AUTO ONLY-
_.
$ �_ -�--
ANY AUTO
'
OTHER THAN EA,ACC
AUTO ONLY: AGG
1
'I $
$
A EXCESS LIABILITY
l
X OCCUR D CLAIMS MADE
BKO1421523
05/01/04
05l01/05
EACH OCCURRENCE
II�
AGGREGATE
$4000,000
T. _-.
4000 000
$
DEDUCTIBLE
X RETENTION $10000
$
C
WORKERS COMPENSATION AND
34WEGKC2800
05/01/04 05/01/05
X WCSTATU-' OTH.
-_...ITORYLI ITS1
EMPLOYERS' LIABILITY
__EFL_
E.L. EACH ACCIDENT
— - -
$500,000
E.L. DISEASE -EA EMPLOYE
$500,000
%500.000
E.L. DISEASE -POLICY LIMI
D
OTHER Architects &
DPR9401392
03/30/04
06/21/04
$2,000,000 per claim
Engineers
$4,000,000 annl aggr.
Professional Liab
DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: #P-768 North College Corridor Improvements Phase I
City of Fort Collins
Administrative Services -Purchasing
215 N Marson St.,2nd Floor
PO Box 580
Fort Collins, CO 80522-0680
SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAI L3V-. DAYSWRTTTEN
NOTICE TO THE CERnFICATE HOLDER NAMED TOTHE LEFT, BUT FAILURE TO DO 90 SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
11
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