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
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