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HomeMy WebLinkAbout110168 U S ENGINEERING CO - INSURANCE CERTIFICATE (10)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID L DA "IDDIYYYY) USENG-1 07 29 04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Thomas McGee, L. C. HOLDER. THIS CERTIFICRE DOES NOT AMEND, EXTEND OR 920 Main, Suite 1700 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Kansas City MO 64105 Phone:816-842-4800 Fax:816-472-5018 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Ins Co of Pennsylvania* INSURER B: Zurich American Ins CO* INSURER C: American Guarantee i Liab Ins- U.S. Engineering Company INSURER D: 729 S.E. 8th Loveland CO 80537 INSURER E: COVERAGES 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 kU NSR TYPE OF INSURANCE POLICY NUMBER DATE MMlDDIYY DATE MMMDl1^/ LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PREMISES Eaoccurence) $ 300000 B X X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X❑ OCCUR GL0508624900 07/31/04 07/31/05 MED EXP(Any one person) $ 10000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENII. AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X JECT PRO LOC C AUTOMOBILE LIABILITY ANY AUTO BAP508624800 07/31/04 07/31/05 COMBINED SINGLE LIMIT (Ea accident) $ 1,000, 000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO $ EXCESSAIMBRELLA LIABILITY EACH OCCURRENCE $ 5000000 A X OCCUR F-ICLAIMSMADE 46046185 07/31/04 07/31/05 AGGREGATE $ 5000000 $ RDEDUCTIBLE $ X RETENTION $ 0 B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNEWEXECUTNE OFFICERIMEMBEREXCLUDED? WC508625000 07/31/04 07/31/05 X TWC STAT0-r-T=- ORY LIMITS I I ER E.L. EACH ACCIDENT $ 1000000 E.L. DISEASE - EA EMPLOYEE — $ 1000000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 1000000 OTHER B Equipment Floater MCP4554145 07/31/04 07/31/05 Limit 200000 Leased/Rented I I I Ded 2500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certholder is named additional insured with respects to general liability for all operations performed by the insured for the Certholder. CERTIFICATE HOLDER CANCELLATION CITYFT2 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 City of Fort Collins Dir. of Purchasing & Risk Mgt. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 256 W. Mountain Avenue REPRESENTATIVES. AUTHOR SENT Fort Collins CO 80521 ACORD 25 (2001108) © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.