HomeMy WebLinkAboutHDR ENGINEERING - INSURANCE CERTIFICATE (4)ACORDr CERTIFICATE OF LIABILITY INSURANCE o6/ov20o6 05/252005'
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Lockton Companies ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
444 W. 47th Street, Suite 900 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Kansas City Mo 64112-1906 ALTER THE COVERAGE AFFORDED B TH IFS RFI OW.
(816) 960-9000 INSURERS AFFORDING COVERAGE
INSURED HDR ENGINEERING, INC.
1013472 ATTN: LOUIS J. PACHMAN
8404 INDIAN HILLS DRIVE
OMAHA, NE 68114.4049
nr lr�.Angie L]nDTATnl QA
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
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMID
POLICY EXPIRATION
DATE M D
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE FXI OCCUR
GL03504583
06/01/2005
06/01/2006
EACH OCCURRENCE
S 1,000,000
FIRE DAMAGE (Any one fire
$ 1 000 000
MED EXP fAny one erson
$ 10 000
PERSONAL & ADV INJURY
$ 1,000,0w
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY X JE C- X LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
B
B
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
BAP3504584
TAP3504586
06/01/2005
06/01/2005
06/01/2006
06/01/2006
COMBINED SINGLE LIMIT
(Ea accident)
$ 2,000,000
X
BODILY INJURY
(Per person)
$ XXXXXXX
X
BODILY INJURY
(Per accident)
$ XXXXXXX
X
PROPERTY DAMAGE
(Per accident)
$ XXXXXXX
GARAGE LIABILITY
ANY AUTO
NOT APPLICABLE
AUTO ONLY - EA ACCIDENT
$ XXXXXXX
OTHER THAN EA ACC
AUTO ONLY: AGG
$ XXXXXXX
$ XXXXXXX
B
EXCESS LIABILITY
X OCCUR CLAIMS MADE
X UMBRELLA
DEDUCTIBLE FORM
RETENTION $
AUC3808400
(EXCLUDES PROF. LIAB)
06/01/2005
06/01/2006
EACH OCCURRENCE
$ 1,000,000
AGGREGATE
$ 1,000000
$ XXXXXXX
XXXXXXX
$ XXXXXXX
C
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
90-14910-01
90-14910-02
06/01/2005
06/01/2005
06/01/2006
06/01/2006
TH-
){ WC STATU- OER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1 000 000
E.L. DISEASE - POLICY LIMIT
1 $ 1 000 000
D
OTHER
ARCHS & ENGS PROFESSIONAL
LIABILITY
PLA 113978408
06/01/2005
06/01/2006
PER CLAIM: $1,000,000. AGG: $1,000,000.
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
1916422 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF FORT COLLINS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
ATTN: PURCHASING
P.O. BOX 580 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
FORT COLLINS CO 80522 IMPOSE NO OBLIGATION OR LIABILFFY OF APPItKINDUPONT11" INSURER, FM AGENTIR OR
AUTHORIZED REPRESENTATIVE
ArnQn 13S-c nron For a Icwu raawina Nh certleoata. Canlael the nunilm iistad In the'Producee saclbn above and a itir the Client code'HDRINet'. ® ACORD C PORATION 1988