HomeMy WebLinkAbout130088 ICON ENGINEERING INC - INSURANCE CERTIFICATE (9)ACORD _T DATE (MM/DD/YYYY)
TM. CERTIFICATE OF LIABILITY INSURANCE I 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 1 _ALTER THE. COVERAGE AFFORDED BY THE POLICIES BELOW.. _
Agency Lic#: 91-1461089
INSURED
ICON ENGINEERING, INC.
8100 SOUTH AKRON STREET, #300
ENGLEWOOD CO 80112
COVERAGES
INSURERS AFFORDING COVERAGE NAIC #
INSURER A: Lloyd's Of London
INSURER B:
INSURER C:
INSURER D:
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.
INSR: ADD' L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTNE POLICY EXPIRATION LIMITS
LTR INSRDATE MMIDD/YY DATE MM/DDIYY
GENERAL LIABILITY
CH OCCU RRENCE
EACH
$
COMMERCIAL GENERAL LIABILIT
DAMAGE TO RENTED
_
$
- _-
I CLAIMS MADE OCCUR
�R EWSES.IEA=ureore)-.. —
�MED. EXP (Any one person)
-
$
iPERSONAL &AOV INJURY
'$
' GENERAL AGGREGATE Is
-.-
GEN'L AGGREGATE LIMIT APPLIES PER
PRODUCTS-COMP/OP AGG.
$
POLICY PROJECTF1 LOC
iAUTOMOBILE LIABILITY
D SINGLE LIMIT
Is
_. ANY AUTO
7(E88p.c,.d
ALL OWNED AUTOS
NJURYSCHEDULED
AUTOSI
n) 1$
HIRED AUTOS
BODILY INJURY
-NON-OWNED AUTOS
(Per accident)
--
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
-__-�
,AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN EA ACC
k$
AUTO ONLY:
$
EXCESS I UMBRELLA LIABILITY
EACH OCCURRENCE �$
OCCUR I _ CLAIMS MADE
_.
AGGREGATE. $
$
l'I DEDUCTIBLE
$
RETENTION $
$
WORKERS COMPENSATION AND
WC STATLL OTHER
�MRYI C
EMPLOYERS' LIABILITY
-
E.L.EACH ACCIDENT $
ANY PROPRIETOR/PARTNER/EXECUTIVE
- I
OFFICERIMEMSER-XCLUDED?
E.L.DISEASE-EA EMPLOY Et $
If yea, describe under
E.L. DISEASE -POLICY LIMIT $
SPECIAL PROVISIONS bolo.
OTHER:
11049002971005
JAN 30 05
JAN 006
$1,000,000 PER CLAIM
A PROFESSIONAL LIABILITY
$1,000,000 AGGREGATE
CLAIMS MADE FORM
RETRO DATE: 1/1197
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
PROJECT: GENERAL CONSULTING SERVICES
r CnT101PATC U^l r1C0 / Akl/ Ml 1 ATln l
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 U AGUKD GURYUKA I IUN TBUB