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HomeMy WebLinkAbout112468 FELSBURG HOLT & ULLEVIG INC - INSURANCE CERTIFICATE (13)ACORn CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YY) 06/23/05 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 Felsburg Holt & Ullevig, Inc. 6300 S. Syracuse Way, #600 Centennial, CO 80111 L.V V CKAUCD INSURERS AFFORDING COVERAGE INSURER A.St. Paul Insurance (Med/ASE) INSURER B:Hartford Insurance Group INSURER c.Hartford Insurance (Service Center) 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 CERTIFCATE 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. T----_— ___ _. ___— INSRR. TYPE OF INSURANCE POLICY NUMBER PODLIbY MMEO T�VE.PO LICY EXPIRATION- - --_- DAT D/ LIMITS A LIABILITY GENERAL BK01421523 05/01/05 05/01/06 EACH OCCURRENCE _$1,000,000 X COMMERCIAL -_. `-FIRE DAMAGE (Anyone fire) $1,000,000 CLAIMS MADEI�-X. OCCUR _ VIED EXP(Anyone person) $1 D,000 _ --- -. __..... PERSONAL & ADV INJURY 1 $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $2,000,000 POLICY! PRO- LOC _ _- B AUTOMOBILE LIABILITY �34UECFW5245 05/01/05 05/01/06 X ANYAUTO COMBINED SINGLE LIMIT (Eaaccldent) i $1,000,000 ALL OWNED AUTOS -- i BODILY INJURY SCHEDULED AUTOS (Per person). $ X HIREDAUTOS - - - - X 1 NON -OWNED AUTOS BODILY INJURY (Per accident) j $ --- - - ----- -- --- - PROPERTY DAMAGE $ ' (Per accident) ��- GARAGE LIABILITY iAUTO ONLY -EA ACCIDENT,$ __-- _... _ _... ANYAUTO _. OTHER THAN EA ACC I $ I AUTO ONLY: qGG $ EXCESS LIABILITYBKO1421523 05/01/05 05/01/06 - EACH OCCURRENCE $4,000,000 X _ OCCUR . CLAIMS MADE', 1 AGGREGATE - _ ---$4,000,000 r- DEDUCTIBLE RETENTION $ $ C WORKERS COMPENSATION AND 34WEGKC2800 05/01/05 05/01/06 X I OR T MLTBPTH EMPLOYERS' LIABILITY 1____. ---- - E.L. EACH ACCIDENT $500,000 �E.L.DISEASE-EA EMPLOYEE $500, 000 — E.L. DISEASE -POLICY LIMIT $500,000 D OTHER Architects & DPR9409691 06/21/05 106/21/06 $2,000,000 per claim (Engineers $4,000,000 annl aggr. Professional Liab DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS 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 ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURERWILLENDEAVORTOMAIL30 _. DAYSWF#rMN NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUTFAILURE TO DOSOSHALL IMPOSE NOOBLIGATION OR LIABILITY OFANYKIND UPON THE INSURER,ITS AGENTS OR nrnan 9A-s 171a7%4 _. • J.... ACORDT CERTIFICATE OF LIABILITY INSURANCE osnsr0s°°'�"' 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 ,INSURER A: St. Pa-ul Insurance (Med/A&E) t Felsburg Holt & Ullevig, Inc. _ _ _ _-- -- — _-- -- 6300 S. Syracuse Way, #600 INSURER B Hartford Insurance Group_- _ INSURER c Hartford Insurance (Service Center) Centennial, CO 80111 - -- - INSURER D XL Specialty Insurance Company 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. INSRII -- - -- - _ - POLICY EFFECTIVE POLICYEXPIRATION _ _ _ -- - -- -- - LTR TYPE OF INSURANCE POLICY NUMBER AT M/DD/ AT /DD LIMITS A 'i GENERAL LIABILITY !BKO1421523 05/01/05 05/01/06 LEACH OCCURRENCE _,$11000J000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $1000z000 CLAIMS MADE`_(: OCCUR! MED EXP(Anyone person) $10,000 _ -.. ( PERSONAL B ADV INJURY $1,000,000 GENE RAL AGGREGATE $2,000,000 ' GEN'L AGGREGATE LIMIT APPLIES PER: U CTS-COMP/OP C PRODUCTSOMP/OPAGGi$2,000,000 �- POLICY, PRO- JEC LOC B AUTOMOBILE LIABILITY 134UECFW5245 05101/05 05/01/06 $1,000,000 'acccioeD)SINGLELIMIT X ANYAUTO (Ea ALL OWNED AUTOS - BODILY INJURY ' $ _ SCHEDULED AUTOS (Per person). - X -� HIRED AUTOS ! BODILY INJURY $ X', NON-OWNEDAUTOS (Per accident) PROPERTY DAMAGE (Per accident) $ I,- GARAAGELIABILITY [AUTO ONLY EAA -- AUTO - ' OTHERTHAN E_A ACCT�$ AUTO ONLY: AGO $- A EXCESS LIABILITY - BKO1421523 105/01/05 05/01/06 EACHOCCURRENCE $4,000,000 - X OCCUR ` CLAIMS MADE, _ AGGREGATE $410001000 '..$ _- -. 'DEDUCTIBLE -$ RETENTION $ $ C WORKERS COMPENSATION AND 34WEGKC2800 05/01/05 05101/06 X CSTAnU- ER ' -�- _--- - - EMPLOYERS• LIABILITY E.L. EACH I DENT $600,000 -ACC �E.L.DISEASE EA EMPLOYEE, $500,000 _ �E.L.DISEASE-POLICY LIMIT( $500,000 D OTHER Architects & IDPR9409691 06/21/05 06/21106 $2,000,000 per claim Engineers $4,000,000 annl aggr. Professional Liab DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONSADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: P-942 US 28871South 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 ANY OFTHE ABOVE DESCRIBE° POLICIESSE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVORTO MAIL30_ _-DAYSWRIT/EN NOTICETOTHE CERTIFICATE HOLDER NAMED TO THE LEFT, BUTFAILURE TO DOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURERJTS AGENTS OR REPRESENTATIVE •-�•• \ I. V,, , VLIV mwY - ,-