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Home My WebLink AboutWESTRIAN GROUP JR ENGINEERING - INSURANCE CERTIFICATEACORn CERTIFICATE OF LIABILITY INSURANCE 09/26/03DD/rr) 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 Westrian Group, Inc, JR Engineering LLC; Norris Repke, Inc 2620 E. Prospect, #190 Ft. Collins, CO 80524 WVERAGES INSURERS AFFORDING COVERAGE INSURER A:St. Paul Insurance INSURER B:Hartford Insurance INSURERc:Zurich American Insurance Company INSURER D: rINSURER 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. -- _-_-- �-.--- POLICYEFFECTIVE POLICYEXPIRATION --- ----- - TYPE OF INSURANCE POLICY NUMBER DA M T MM/ LIMITS A;GENERAL LIABILITY IBKO1491714 10/01/03 10/01/04 I'1EACH OCCURRENCE _$1,000 000 X .COMMERCIAL LIABILITY 1 FIRE DAMAGE (Any one fire$1000,000 MGENERAL -_� MED EXP(Anyone person) $10,000 _ PERSONAL & ADV INJURY $1 000 000- - GENERAL AGGREGATE_+$2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: I PRODUCTS-COMP/OP AGG $2,000,000 -- POLICY' X PRO ' LOC - -- -� -- A AUTOMOBILE -U LIABILITY BA01588678 10/01/03 10/01/04 1. X ANYAUTO COMBINED SINGLE LIMIT (Ea accident) $1,000,000 1' ALL OWNED AUTOS BODILYINJURY X 11' SCHh i DULED - AU70S HIRED AUTOS (Per person) BODILY INJURY $ X NON -OWNED AUTOS (Peraccident) $ - -_-- I - - --------- - - I PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY .AUTO ONLY- EAACCIDENT$ -_ -_ _ -- _ ANY AUTO EA ACC-- --- �OTHER THAN AUTO ONLY: AGO �- $ A ESS ABILITY- BKO1491714 10/01/03 ' 10101/1— 04 EACH OCCURRENCE - $5 000 000 _ t �, _ XCUCCUIR v LAMS MADE'' I AGGREGATE 1, $500 0000 - -- i$ DEDUCTIBLE _ I RETENTION $ $ B WORKERS COMPENSATION AND 134WEG KD6169 1O/01/O3 1O/01104 ------------- X ' WC STATU- IOTH- TOR'LLITS a EMPLOYERS' LIABILITY 1' E.L.EACH ACCIDENT _._ $1,000,000 l E.L. D ISEASE-EA EMPLOYEE $1,000,000 _ E.L.DISEASE-POLICY LIMIT $1,000,000 C OTHER Architects & EOC376860900 10/31/00 10/31/03 i $1,000,000 Ea Claim Engineers $2,000,000 Aggregate Professional Liab DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS City of Fort Collins Attn: James O'Neill, CPPO P.O. Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE E*IRATION DATETHEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAI L,__ __DAYSWRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUr FAILURE TO DO SO SH ALL IMPOSE NO OBLIGATION OR LIABILITY OFANYKIND UPON THE INSURER,ITS AGENTS OR mCt�a � �V�/r`✓I.VRNRXIIVn �tlae VIIGII�,T. V ACORD,CERTIFICATE OF LIABILITY INSURANCE 11/04/03DD/rr) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Van Gilder Insurance Corp. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 700 Broadway, Suite 1000 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80203 303 837-8500 INSURERS AFFORDING COVERAGE mauReo INSURERA:St. Paul Insurance _ Westrian Group, Inc; JR Engineering LLC; INSURER a: Hartford Insurance Norris , Re keInc. - -- — - _--- - - -- P INSURER Insurance Company_ (AIG) _ 2620 E. ec Pros t, #190 P INSURER D: Ft. Collins, CO 80524 INSURER E: V I"1VLV 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. ILTR TYPE OF INSURANCE j POLICY EFFECTIVE POLICY EXPIRATION POLICY NUMBER DA MM/D / D T MM/ LIMITS A I I LMENERALLIABILITY IBKO1491714 X COMMERCIAL GENERAL LIABILITY ''� CLAIMSMADEE OCCUR 10/01/03 110/01/04 I� EACH OCCURRENCE $1 0D0 00 FIRE DAMAGE (Any one Lire $1,OOQ-000 _ MEDEXP(Anyone person) $10,000 PERSONAL& ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 17 f �� PRO- POLICY R LOC PRODUCTS-COMP/OP AGO s2,000,000 A AUTOMOBILE LIABILITY IBA01588678 ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS 10/01/03 i 110/01/04 COMBINED SINGLE LIMIT j (E— a_accident) $1,000,000 Xi BODILY INJURY (Per person) $ Xq LX BODILYINJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANYAUTO AUTO ONLY-EAACCIDENT1$ III OTHERTHAN EAACC AUTO ONLY: AGO $ $ A EXCESS LIABILITY BK01491714 X OCCUR �J CLAIMS MADE DEDUCTIBLE RETENTION $ 10/01/03 10/01/04 EACH OCCURRENCE s5,000,000 AGGREGATE $5 00O 000 $ $ $ B 1 WORKERS COMPENSATION AND 34WEGKD8169 EMPLOYERS' LIABILITY 10/01/03 10/01/04 X WCSTATU- LOTH. LIMI .T51 ER E.L. EACH ACCIDENT $1,000,000 E.L.DISEASE-EA EMPLOYEE $1,000,000 E.L.DISEASE-POLICY LIMI $1,000,000 C IOTHER Architects & (Engineers Professional Liab 11433532 10/31/03 10/31/04 $1,000,000 per claim $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HULUEH I AUUITIONALIN5UHCU;INSMK=11M[ �Miv.. IIWIV SHOULD ANYOFTHE ABOVE DESCRIBE D POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins DATETHEREOF,THE ISSUING INSURER WILLENDEAVORTO MAIL30——DAYSWRITTEN Attn: James O'Neill, CPPO NOTICETOTHE CERTIFICATE HOLDER NAMED TO THE LEFT, BUTFAILURE TODOSOSHALL P.O. BOX 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITSAGENTS OR Fort Collins, CO 80522 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE raL,UHu za-a ny/17 OT T 0I111I3[aOy[