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Home My WebLink AboutSEAR BROWN STANTEC - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE R nw DATE (MMIDDIYYYY) ACORD ss8 1 o1/aa/o4 PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Landmark Group of Brighton HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1956 W. Henrietta Rd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Rochester NY 14623-1308 Phone:585-272-1956 Fax:585-272-7709 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Oneaeacm Insurance CoW=y INSURERS: American ftvloyerls ins. Co. The Sear -Brown Group, Inc. INSURERC: Merchants mutual Insurance Co 300 Meridian Centre, Suite 250 INSURER D: Rochester NY 14618 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE (MWDDIYY) DATE (MMIDDIYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ A X X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FXI OCCUR R774352 12/31/03 12/31/04 DAMAGE TORE1PREMIScurence) $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 17 POLICY X PJECT RO- LOC A AUTOMOBILE X LIABILITY ANY AUTO AW35041 12/31/03 12/31/04 COMBINED SINGLE LIMIT (Es accident) $ 1, 000, 000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X X HIREDAUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per emident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 5,000,000 C X OCCUR El CLAIMSMADE CUP9134308 12/31/03 12/31/04 AGGREGATE $5,000,000 $ DEDUCTIBLE RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? H yes describe under SPECIAL PROVISIONS below H220997 12/31/03 12/31/04 X TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE- POLICY LIMIT $ 1 • 00 0 I DES RIPTION 0 OPERATIONS / LOCATIONS / VEHI�LES / EXCLUSIONS ADDED BY ENDORSI NENT I SPECIAL PRC VISIONb Prospect Road Improvements, project #020-207. City of Fort Collins is listed as Additional Insured as per CG2033. CERTIFICATE HOLDS R CANCELLATION City of Fort Collins P.O. box 580 215 N. Mason, 2nd Floor Fort Collins CO 80522 FORTCOL I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. ACORD CERTIFICATE OF LIABILITY INSURANCE �gR OW SEARB 1 DATE (MM DD/YYYY) 02/09/04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MAI I t:K 01- INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Landmark Group of Brighton HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1956 W. Henrietta Rd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Rochester NY 14623-1308 Phone:585-272-1956 Fax:585-272-7709 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: dneaeacon Insurance Company - INSURERB'. &Marican IImployerIa Ins. Co. The Sear -Brown Group, Inc. 300 Meridian Centre -Suite 250 Rochester NY 14618 INSURER C: Merchants Mutual Insurance Cc INSURER D: INSURER E: GUVtRA0I=b 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 rULIUT NSRO TYPE OF INSURANCE POLICY NUMBER DATE (MWDDIYY) DATE (MIaVDDiYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 - A X COMMERCIAL GENERAL LIABILITY R774352 12/31/03 12/31/04 DAMAGE TO RE !TED PREMISES (Ea occurence) $ 300.000 CLAIMS MACE OCCUR MED EXP (Any one person) $ 10,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X JEC LOC A AUTOMOBILE X LIABILITY ANY AUTO AW35041 12/31/03 12/31/04 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ALL OWNED AUTOS SCHEDULEDAUTOS BODILY INJURY (Per person) $ X X HIRED AUTOS NON-OWNEDAUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY - EACH OCCURRENCE $ 5 • 0 • 0 0 C X OCCUR L7— CLAIMSMADE CUP9134308 12/31/03 12/31/04 AGGREGATE $ DEDUCTIBLE �—i $ $ RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? H220997 12/31/03 12/31/04 X TORY LIMITS ER E.L. EACH ACCIDENT $ 1, 000, 000 E.L. DISEASE - EA EMPLOYE $1,000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 1$ 1, 000, 000 VERrCET97_E5MLIT9rffP5 ADDED or ENDORSEMENT I SPECIAL FKOVISIUP Re: E Prospect Roadway Widening Final Desing Proj #020224. City of Fort Collins, CO, its officers & employees are included as Additional Insureds on GL ppolicy per CG2033 limited to the liability arising out of the named insured operations CERTIFICATE HOLDER CANCELLATION CFTC- O1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 So SHALL City of Fort Collins IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR PO BOX 580 REPRESENTATIVES. Fort Collins CO 80522 AL,UKU ZO (ZUUI/UB) V AkL UKU L UKYUKA I IUN I VU