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
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