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HomeMy WebLinkAbout112468 FELSBURG HOLT & ULLEVIG INC - INSURANCE CERTIFICATE (14)Client#: 5684 FELHOI ACORD,. CERTIFICATE OF LIABILITY INSURANCE 04/78106D"Y) PRODUCER Van Gilder Insurance Corp. 700 Broadway, 1000 y Denver, CO 80203 303 837-8500 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED Felsburg Holt & Ullevig, Inc. 6300 S. Syracuse Way, #600 Centennial, CO 80111 INSURER A: St. Paul Insurance (Med/A$E) INSURER B: Hartford Insurance Group INSURER c: Hartford Insurance (Service Center) INSURER D: XL Specialty Insurance Company 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE ATE M DD POLICY EXPIRATION DAT MM !YY LIMBS A GENERAL LIABILITY BKO1421523 05/01/06 06/21/06 EACH OCCURRENCE $1 00O 000 FIRE DAMAGE (Any one fire) _ $1 000000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR MED EXP (Any we person) $1 O 000 PERSONAL & ADV INJURY _ $1 00O 000 GENERAL AGGREGATE _ s2,000,000 GENT AGGREGATE LIM ITAPPL IES PER: PRODUCTS-COMPIOPAGG $2000000 POLICY PRI -jEcT El LOC _ B AUTOMOBILE LIABILITY ANY AUTO 34UECFW5245 05/01/06 06/21/06 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X X BODILY INJURY (Per accident) $ HIREDAUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS LIABILITY BKO1421523 05/01/06 06/21/06 EACH OCCURRENCE s4,000,000 X OCCUR CLAIMS MADE AGGREGATE $4 000 O00 $ DEDUCTIBLE $ RETENTION $ C WORKERS COMPENSATION AND 34WEGPP3731 05/01/06 06/21/06 )( WC STATU- OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $500OOO E.L. DISEASE - EA EMPLOYEE $500,000 E.L. DISEASE -POLICY LIMIT s500,000 D I OTHER Professional DPR9409691 06/21105 06/21/06 $2,000,000 per claim lability $4,000,000 annl aggr. DESCRIPTION OF OPERATIONSILOCATWHSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS RE: #P-768 North College Corridor Improvements Phase I SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O_—DAYS WRITTEN Administrative Services -Purchasing NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL 215 N Marson St.,2nd Floor IMPOSE NO OBLIGATION OR LIABILITYOF ANYKIND UPON THE INSURER,ITS AGENTS OR PO Box 580 REPRESENTATIVES, Fort Collins, CO 80522-0580 AUTHORIZED REPRESENTATIVE ACORD 25-9 (7/9711 . f 4 4FMAACA44 0— eenr_ ra ACnRn CA2PnRATInk1 1095 ACQBQrM CERTIFICATE OF LIABILITY INSURANCE 04113106Dm) 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. Paul Insurance (Med/A&E) Felsburg Holt 8r Ullevig, Inc. INSURER B: Hartford Insurance Group 6300 S. Syracuse Way, #600 INSURER C: Hartford Insurance (Service Center) Centennial, CO 80111 INSURER D: XL Specialty Insurance Company INSURER E: CnVFRAGFS 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 MM DIYY POLICY EXPIRATION DATE MIDD LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 41 OCCUR BK01421523 051011106 06/21/06 EACH OCCURRENCE $1 000 000 FIRE DAMAGE (Any one fire) _ $1 000 000 MED EXP (Any one person) _ $10 000 PERSONAL & ADV INJURY _ $1 000 000 GENERAL AGGREGATE _ $2 000 000 GEN'L AGGREGATE LIM IT APPLIES PER: POLICY r PRO- LOC PRODUCTS -COMPIOPAGG _ $2000000 _ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS 34UECFW5245 05/01/06 06/21/06 COMBINED SINGLE LIMIT (Ea accident) $1 000 000 , , X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ A EXCESS LIABILITY X OCCUR D CLAIMS MADE DEDUCTIBLE RETENTION $ BKO1421523 05/01/06 06/21/06 EACH OCCURRENCE $4 000�000 AGGREGATE s4,000,000 $ $ Ci WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 34WEGPP3731 05101/06 06121/06 �( WC STATU- OTH- E.L. EAtTiACC1DElvT $500 000 E.L. DISEASE -EA EMPLOYEE s500,000 E.L. DISEASE - POLICY LIMIT $500,000 D OTHER Professional lability DPR9409691 06/21/05 06/21/06 $2,000,000 per claim $4,000,000 annl aggr. DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL 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 ANYOF THE ABOVE DESCRIBED POLICIESSE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL 30__-. DAYS WRITTEN NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVE Arnan 9a c 171o714 _9 A "RA AACIA 14 unn_ n arnon rnoonI2AT/nM 11GAA