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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