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Home My WebLink About112468 FELSBURG HOLT & ULLEVIG INC - INSURANCE CERTIFICATE (15)Clipnt i- SARA ACORD. CERTIFICATE OF LIABILITY INSURANCE M/DDIYY) 0DATE 6/2316/231 06 PRODUCER Van Gilder Insurance Corp. 700 Broadway, Suite 1000 Denver, CO 80203 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. 303 837-8500 INSURERS AFFORDING COVERAGE INSURED FelsINSURERA: 6300 S. Holt 8r UWay, ,Inc. Cent S. Syracuse Way, #600 Centennial, CO 80117 St. Paul Insurance (Mod/A&E) INSURER B: Hartford Insurance Group INSURER c: Hartford Accident and Indemnity Co INSURER D: XL Specialty Insurance Company INSURER E: COVE 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 T TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE MIDD POLICY EXPIRATION DA LIMITS A GENERAL LIABILITY BKO1421523 06/21/06 06/21107 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fx_1 OCCUR FIRE DAMAGE (Any one fire) _ $1 OOOOOO MED EXP (Any one person) $10,000 PERSONAL &ADV INJURY $1 OOO OOO GENERAL AGGREGATE $2 OOO OOO GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS-COMP/OPAGG _ $2000000 POLICY PRO LOC B AUTOMOBILE LIABILITY ANY AUTO 34UECFW5245 06/21/06 06121/07 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON-OWNEDAUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - FA ACCIDENT $ OTHERTHAN FA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS LIABILITY BKO1421523 06/21/06 06/21/07 EACH OCCURRENCE s4,000,000 X OCCUR CLAIMS MADE AGGREGATE _ s4,000,000 $ DEDUCTIBLE $ RETENTION $ C WORKERS COMPENSATION AND 34WEGPP3731 06121106 06/21/07 X ITORY WC STATIT OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $500 0O0 E.L. DISEASE -FA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT $500.000 D OTHER Professional DPR9417648 06121/06 06/21/07 $2,000,000 per claim lability $4,000,000 annl aggr. laims Made DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSK)NS 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 (See Attached Descriptions) IJ /99 yd SHOULD ANYOF THE ABOVE DESCRIBED POLICIESBE CANCELLED BEFORE THE EXPIRATION City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30DAYS WRITTEN Administrative Services -Purchasing NOTICE TO THE CERTIFICATE H OLDER NAM ED TOTH E LEFT, BUT FAILURE TO DO SOSH ALL 215 N. Mason St., Second Floor IM POSE NO OB LIGATION OR LIABILITY OF ANY KIND UPON TH E INSU RE R,ITS AGENTS OR PO BOX 580 REPRESENTATIVES. Fort Collins, CO 80522-0580 AUTHORIZED REPRESENTATIVE ACORn 25S 171Q714 s o 8\AACCCcO P— - enn n &enon 1-n00n0A71nu 4029 DESCRIPTIONS (Continued from Page 1) Liability only, in respects to their interest in work performed by the insured as per written specified contracts. MMO ca.s wnai) Z OT L 8M40000Z Client*: 5694 FFI Wnl ACORD. CERTIFICATE OF LIABILITY INSURANCE (MMID 0DATE 612316123/06DIYY) PRODUCER Van Gilder Insurance Corp. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 700 Broadway, Suite 1000 Denver, CO 80203 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 303 837-8500 INSURERS AFFORDING COVERAGE INSURED FelsINSURER 6300 S. Holt & UWay, ,Inc. Cent n Syracuse Way, #600 Centennial, CO 80711 A: St. Paul Insurance (Med/A&E) INSURER B: Hartford Insurance Group INSURER C: Hartford Accident and Indemnity Co 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 AT M D POLICY EXPIRATION DATE MM DD LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [k] OCCUR BKO1421523 06/21/06 06/21/07 EACH OCCURRENCE $1000000 FIRE DAMAGE (Any one fire) $1 1 OOO I OOO MED EXP (Any one person) $1 O 000 PERSONAL &ADV INJURY _ $1 OOO OOO GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIMITAPPLIES PER: POLICY PRO JECT F-1 LOC PRODUCTS -COMPIOPAGG $2000000 _ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 34UECFW5245 06/21/06 06121/07 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 - FA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ A EXCESS LIABILITY X OCCUR El CLAIMS MADE DEDUCTIBLE RETENTION $ BKO1421523 06/21/06 06/21/07 EACH OCCURRENCE s4,000,000 AGGREGATE s4,000,000 _ $ $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 34WEGPP3731 06/21/06 06/21/07 X WC STAMTV- OTH- E.L. EACH ACCIDENT $500000 E.L. DISEASE -EA EMPLOYEE $500,000 E.L. DISEASE -POLICY LIMIT 1 $500,000 D OTHER Professional lability laims Made DPR9417648 06/21/06 06/21/07 $2,000,000 per claim $4,000,000 annl aggr. DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES(EXCLUSIONS 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 30_DAYS WRITTEN Administrative Services -Purchasing NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL 215 N Marson St.,2nd Floor IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPONTHE INSURER,ITS AGENTS OR PO BOX 580 REPRESENTATIVES. Fort Collins, CO 80522-0580 AUTHORIZED REPRESENTATIVE ACORD 25 4 171Q714 -4 4 XRAACCCCn 0 - - - '�i/ ...�.. � Ar^MM nneene wrrnu 4eaa