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HomeMy WebLinkAbout111694 TST INC CONSULTING ENGINEERING - INSURANCE CERTIFICATEClient#: 10439 ACORD,M CERTIFICATE OF LIABILITY DATE INSURANCE 05/16/OgOr ) PRODUCER Van Gilder Insurance Corp. 700 Broadway, Suite 1000 THIS CERTIFICATE ONLY HOLDER. ALTER IS ISSUED AS A MATTER OF INFORMATION AND CONFERS NO RIGHTS UPON THE CERTIFICATE THIS CERTIFICATE DOES NOT AMEND, EXTEND OR THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE Denver, CO 80203 303 837-8500 wsuRED TST, Inc. Consulting Engineers 748 Whalers Way Fort Collins, CO 80525 INSURER A: Hartford Casualty Insurance o INSURER a: INSURER c: .__SURER .--_ Hartford Underwriters Insurance Co Hartford Ins. Co. of the Mid West Insurance ce Company INSURER E: COVERAGES THE ANY MAY POLICIES. INSR LTR A "— POLICIES OF INSURANCE LISTED REQUIREMENT, TERM OR CONDITION PERTAIN, THE INSURANCE AFFORDED AGGREGATE LIMITS SHOWN ._._ _- .____.—.—_—.-- TYPE OF INSURANCE I GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY - CLAIMS MADE-X� OCCUR BELOW HAVE BEEN ISSUED TO THE INSURED OF ANY CONTRACT OR OTHER BY THE POLICIES DESCRIBED HEREIN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ------------- POLICY NUMBER 34SBAE10705 NAMED ABOVE DOCUMENT WITH IS SUBJECT POLICY EFFECTIVE DATE MMIDDIYY 05/01/08 FOR THE POLICY RESPECT TO WHICH TO ALL THE TERMS, POLICY EXPIRATION DATE MMIDDIYY 05/01/09 PERIOD INDICATED. NOTWITHSTANDING THIS CERTIFICATE MAY BE ISSUED OR EXCLUSIONS AND CONDITIONS OF SUCH ,___—__"--__.___ —_---- LIMITS EACHOCCURRENCE $1 000, 000 ----- —— onefre FIRE DAMAGE (Any )_$3000_O__ EXP (Any one person) �-0 ___ _O OOO $1ED _M PERSONAL B AOV INJURY $1,000,000 GENERAL AGGREGATE— $2 OO ,—.,_—___ PRODUCTS COMPIOP AGG $Z,000 OOO — GEN'LAGGREGATELIMITAPPLIESPER: B POLICY JEOj' LOG AUTOMOBILE LIABILITY 34UECTX2158 05/20/08 05/20/09 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ANY AUTO _X ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS X HIRED AUTOS GODLY INJURY (Per accident) $ X NON -OWNED AUTOS — —" — PROPERTY DAMAGE (Per accident) $ _—_ ----- AUTO ONLY - EA ACCIDENT $ OTHER I'HAN EA ACC AUTO ONLY: AGO GARAGE LIABILITY ANY AUTO $ EACHOCCURRENCE $ _ --- AGGREGATE EXCESS LIABILITY OCCUR D CLAIMS MADE DEDUCTIBLE C RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 34WEGKC3138 05/01/08 050011 99 NO STATU- GTH X-(TOR IMIIS._ .. EB---.--.--- E.L.EACHACCIDENT $1,000,000 _ __ E.L. DISEASE - EA EMPL OYEE $1,000,000 _ E.L. DISEASE POLICY LIMIT $1,000,000 D OTHER Professional DPR9607129 12/01107 12)01/08 $1,000,000 per claim Liability $1,000,000 annl aggr. Claims Made DESCRIPTION OF OPERATIONSILOCATIONSfVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS 10 days notice for non-payment of premium. City of Fort Collins Attn: James B. O'Neill II 281 N. College Avenue Fort Collins, CO 80524 SH GUILD ANY OF TH E ABOVE D ESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL30_--DAYSWRHTEN NOTIGETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TH E INSURER,ITS AGENTS OR ALJ7H ORIZEREFIRE ` - DL.-I ACORD 25-S (7197)1 of 2 #S532878/M532874 KAB © ACORD CUKI'UKA I Ivry -I Ban IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD25-S(7/97)2 of 2 #S532878/M532874