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HomeMy WebLinkAbout130088 ICON ENGINEERING INC - INSURANCE CERTIFICATE (10)ACORD DATE (MM/DD/YYYY) TM. CERTIFICATE OF LIABILITY INSURANCE j 02/06/2006 PRODUCER Phone: (360) 598-3700 Fax: (360) 598-3703 MICHAEL J. HALL & COMPANY THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 19578 10TH AVENUE N.E. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR POULSBO WA 98370 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # A enc Lic#: 91-1461089 INSURED ICON ENGINEERING INC _ INSURER A: Lloyd's Of London INSURER B: 8100 SOUTH AKRON STREET, #300 ENGLEWOOD CO 80112 INSURER C: INSURER D: INSURER E: 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. INSR ADD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSR DATE MMIDDlYY DATE MM/DD/YY GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurence) $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR $ MED. EX --_- P (Any one person) r$ PERSONAL &ADV INJURY GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG. $ PRO- POLICY �LOC JECT AUTOMOBILE LIABILITY. COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS HIRED AUTOS LY INJURY NON-OWNEDAUTOS accident) '$ :(Per PERTY DAMAGE $ accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC ANY AUTO $ AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE OCCUR CLAIMS MADE. $ AGGREGATE DEDUCTIBLE I$ RETENTION $ - - i$_ -- WORKERS COMPENSATION AND T O UMII- OTHER RY MITS EMPLOYERS'LIABILITY _�.-_ ANY PROPRIETORIPARTNERIE%ECUTIVE E.L. EACH ACCIDENT '$ E.L. DISEASE -EA EMPLOYEE OFFICERIMEMBER EXCLUDED? $ I/ yen, describe under - E.L. DISEASE -POLICY LIMIT - - — - -- -- $ SPECIAL PROVISIONS below OTHER: 1104900297/006 01130/06 01/30/07 7$1,000,000 PER CLAIM A PROFESSIONAL LIABILITY 1$1,000,000 AGGREGATE CLAIMS MADE FORM RETRO DATE: 1l1/97 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS PROJECT: GENERAL CONSULTING SERVICES CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT CITY OF FORT COLLINS FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OFANY KIND UPON THE PURCHASING DEPARTMENT INSURER, ITS AGENTS OR REPRESENTATIVES. 215 NORTH MASON STREET, 2ND FLOOR AUTHORIZED REPRESENTATIVE FORT COLLINS, CO 80522 Attention: Matthew L. Copus ACORD 25 (20D1/08) Certificate # 30537 © ACORD CORPORATION 1988