HomeMy WebLinkAbout110168 U S ENGINEERING CO - INSURANCE CERTIFICATE (2)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID G DATE IMM OD 108
PRODUCER USENG-1 07 22 08
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Thomas McGee, L.C. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 419013 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Kansas City MO 64141-6013
Phone:816-842-4800 Fax:816-472-5018 INSURERS AFFORDING COVERAGE NAIC#
INSURER A: Traveler. 1Mamnity company
INSURER B: Travelers Prop. Cam. of Amar.e
U.S. Engineering Company INSURER C:
3433 Roanoke Road INSURER D:
Kansas City NO 64111
INSURER E:
rnvcoer_ce
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.
TIN
LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
DATE MMIDDIYY
DATE MMKID/YY
LIMITS
A
GENERAL
LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [X] OCCUR
XCII
VTKC0131J8589IND08
07/31/08
07/31/09
EACH OCCURRENCE
$ 1, 000, 000
X
PREMISES (Eaoccurence)
$300,000
NED EXP(Any one person)
$ 10, 000
X
PERSONAL& ADV INJURY
$1,000,000
X
Blkt COntractllal
GENERAL AGGREGATE
$2, QQQ�QQQ
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY X PRO
JECT p LOC
PRODUCTS-COMP/OP AGG
$2, 0OO, OQQ
B
AUTOMOBILE
LIABILITY
ANY AUTO
NED AUTOS
ULED AUTOS
AUTOS
[XNON-OWNED AUTOS
VTJCAP131J8590TIL08
07/31/08
07/31/09
COMBINED SINGLE LIMIT
(Ea accident)
$1 QQQ ,000
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTOONLY-EAACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
A
EXCESSNMBRELLA LIABILITY
X OCCUR [::I CLAIMSMADE
EDUCTIBLE
ETENTION $ 0
VTSMKCUP131J8608I
0807/31/08
07/31/09
EACH OCCURRENCE
$51000,000
AGGREGATE
$ 5, 000, 000
Follow
$
Form
$
$
A
OMPENSATION AND
' LIABILITY
ETOWPARTNER/EXECUTIVE
MBER EXCLUDED?
e under
tg6id�cnbe
VISIONS below
OTHER
VTC2KUB2932L55307
07/31/08
07/31/09
X TW LIMITS ER
E.L. EACH ACCIDENT
$1,0001QQQ
E.L. DISEASE - EA EMPLOYEE
$ 1, 0 0 0,000
E.L. DISEASE -POLICY LIMIT $1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECML PROVISIONS
All operations conducted by the insured.
rcQTlclr ATc Ynl non
City of Fort Collins
P 0 Box 580
Fort Collins CO 80522
FORTCOI I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL EXIMIiXI M =MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT 1111411111BOXICIRKUSHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
ACORD 25
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.