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Home My WebLink About112468 FELSBURG HOLT & ULLEVIG INC - INSURANCE CERTIFICATE (11)ACnRnn CERTIFICATE OF LIABILITY INSURANCE 06/07/05DDlYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Van Gilder Insurance Corp. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 700 Broadway, 1000 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Y ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80203 303 837-8500 INSURERS AFFORDING COVERAGE -- - -- INSURED - - �NSURERA St. Paul Insurance Felsburg Holt & Ullevig, Inc. 'INSURER B.Hartford Insurance Group 6300 S. Syracuse Way, #600 INSURERC.Hartford Insurance (Service Center) Centennial, CO 80111 - - _ -- INSURER D XL Specialty Insurance Company INSURER E: MVRQAGPC 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. TR TYPE OF INSURANCE - _- - _ --_- INSR POLICYNUMBER POLICY EFFECTIVE POLAITY MM/DDjION LIMITS A GENERAL LIABILITY BKO1421523 05/01/05 05/01/06 EACH OCCURRENCE $1,000,000 - X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one flreY $1,000'000-_ _ I CLAIMSMADE X OCCUR! -MEDEone XP(Anyo,-000 - - $10 -- _ -- PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,_000,000 - _- -_ _ E LIMIT AP GE PLIES PER: L AGGREGATE - - -_ $2,000,000 PROT POLICY. LOC -- --_- ' B `AUTOMOBILE LIABILITY 34UECFW6245 . 05/01/05 05/01/06 COMBINED SINGLE LIMIT $1,000,000 X ANYAUTO (Eaaccident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULEDAUTOS (Perperson). X HIREDAUTOS BODILY INJURY i $ X NON -OWNED AUTOS ., (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY- EAACCIDENT$ ANY AUTO . OTHER THAN EAACC $ AUTO ONLY: AGG $ A EXCESS LIABILITY'S BKO1421523 05/01105 05/01/06 EACH OCCURRENCE $4,000,000 X, OCCUR CLAIMSMADEI AGGREGATE $4,000,000 DEDUCTIBLE $ RETENTION $' $ C WORKERS COMPENSATION AND 34WEGKC2800 05/01/05 05/01106 __.: WOCRy LIMITS.__.. ,OER ____ EMPLOYERS' LIABILITY it E.L.-EACH ACCIDENT - $500,000 E.L.DISEASE-EA EMPLOYEE'$500,000 i E.L.DISEASE-POLICY LIMIT s500,000 D OTHER Architects & DPR9401794 06/21/04 06/21/05 $2,000,000 per claim Engineers $4,000,000 annl aggr. Professional Liab DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESIEXCLUSIONSADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: P-942 US 2887/South College Avenue Bike Lane Project City of Fort Collins is listed as an Additional Insured, under General Liability only, in respects to their interest in work performed by the insured as per written specified contracts. City of Fort Collins Administrative Services -Purchasing 215 N. Mason St., Second Floor PO BOX 580 Fort Collins, CO 80522-0580 SHOULD ANYOFTHE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATETHEREOF,THE ISSUING INSURER WILL EN DEAVORTO MAI L30_.- DAYSWRTTTEN NOTICETOTHE CERTIFICATE HOLDER NAMED TOTFE LEFT, BUTFAILURE TO DOSOSHALL IMPOSE NOOBLIGATION OR LIABILITY OF ANY KIND UPON THE INSUFIER,ITS AGENTS OR D REPRESE .-........ �.. �.....rl vl 1 fflvlY IJYVV lvl%g( .�.......... ......rv.....,v,. lopV ACORN CERTIFICATE OF LIABILITY INSURANCE 06107/0s°°'"' 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 YI ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80203 303 837-8500 INSURED Felsburg Holt & Ullevig, Inc. 6300 S. Syracuse Way, #600 Centennial, CO 80111 MXICO A r_cc INSURERS AFFORDING COVERAGE INSURER A: St. Paul Insurance INSURER B:Hartford Insurance Group INsuRERc Hartford Insurance (Service Center) 1 INSURER D:XL Specialty Insurance Company 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 T - POLICY EFFECTIVEjPOLICYEXPIRATION LTRTYPE OF INSURANCE POLICY NUMBER ATE MM/DD/ ! / LIMITS A GENERAL LIABILITY!!BKO1421523 05/01/05 05/01/06 OCCURRENCE X COMM o$1.,000iOOO— FIRE (- -netlrey$1000000-- CLAIMS MADE X-J OCCUR MED EXP(Any one person) $10,000 - ri, PERSONAL B ADV INJURY $1� 000 OO _.._1000 I GENERAL AGGREGATE i $2,000,000 S GEN'L AGGREGATELIMIT APPLIES PER: PRODUCTS COMPIOPAGG $2,000,000POLIC__ OGATE PR- LOG B AUTOMOBILE LIABILITY 134UECFW5245 05/01105 05/01/06 COMBINED SINGLE LIMIT $1000,000 X ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) - _X HIRED AUTOS BODILY INJURY $ X 'NON -OWNED AUTOS (Peraccident) - PROPERTY DAMAGE $ (Peraccident) GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $.._ ANY AUTO ICI OTHER THAN EA ACC $ AUTO ONLY: AGO $ A EXCESS LIABILITY BKO1421523 05/01/05 05/01/06 EACH OCCURRENCE $4,000,000 4 X' OCCUR CLAIMS MADE iI AGGREGATE $4,000,000_ _ DEDUCTIBLE -_ ,$ RETENTION $ $ C '�. WORKERS COMPENSATION AND '34WEGKC2800 05/01/05 05/01/06 _ --,WC STATj SI OTH-�, ERi—__---------------_ EMPLOYERS' LIABILITY E.L. EACH ACCIDENT 1 500,000 E.L.DISEASE-EAEMPLOYEE�$500,000 E.L. DISEASE -POLICY LIMIT s500,000 D OTHER Architects & DPR9401794 06/21/04 06/21/05 $2,000,000 per claim Engineers $4,000,000 annl aggr. Professional Liab DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: #P-768 North College Corridor Improvements Phase I City of Fort Collins Administrative Services -Purchasing 215 N Marson St.,2nd Floor PO Box 580 Fort Collins, CO 80522-0580 SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL EN DEAVORTO MAIL3II__— DAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDER NAMED TO THE LEFT, BUTFAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVE ^�--"`--- -'.'-`II VI 1 wlvlI IJ7VV ICI V(V