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HomeMy WebLinkAbout110168 U S ENGINEERING CO - INSURANCE CERTIFICATE (3)ACORD CERTIFICATE OF LIABILITY INSURANCE OF ID G DATE (MM OD/YYYY) USBNG-1 07 22 08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Thomas McGee, L. C. 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: Travelers Indemnity Company INSURER B: xraveler..ro.. Ca.. of wer.• U.S. Eng ineering Company INSURER C: Traveler. PtoP.rty & Casualty 729 SE 8th INSURER D: Loveland CO 80537 INSURER E: CKeI. 40_1!!i 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. LTR WERE TYPE OF INSURANCE POLICY NUMBER DATE MMIDDM' DATE MMIDDMI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 1K OCCUR VTXCO131J8589IND08 07/31/08 07/31/09 PREMISES(Eaoccurence) s300,000 MED EXP (Any one person) $ 10,000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 POLICY X PRO- ECT OC B AUTOMOBILE LIABILITY ANY AUTO VTJCAP131J8590TIL08 07/31/08 07/31/09 COMBINED SINGLE LIMIT (Ea accident) $ 1, 000, 000 X BODILY INJURY (Par person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 5,000,000 A X OCCUR CLAIMSMADE VTSMKCUP131J8608I O807/31/08 07/31/09 AGGREGATE $ 5, 000, 000 $ DEDUCTIBLE $ X RETENTION $ 0 A WORKERS COMPENSATION AND EMPLOYERS' ANY PROPRIETORETORIPARTNER/E%ECUTIVE OFFICER/MEMBER EXCLUDED? I(yes, describe under SPECIAL PROVISIONS below VTC2KUB2932L55307 07/31/08 07/31/09 I TORY LIMITS I ER EL EACH ACCIDENT sl,000,000 E. L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT I $1,000,000 OTHER C Leased/Rented QT6302786C871 07/31/08 07/31/09 Limit 200,000 Equipment Ded 51000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certholder is named additional insured with respects to general liability for all operations performed by the insured for the certholder. CITYFT2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City Of Fort Collins IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Dir. of Purchasing & Risk Mgt. 256 W. Mountain Avenue REPRESENTATIVES. Fort Collins CO 80521 AUTHORI SENT ACORD 25 (2001/08) © ACORD CORPORATION 1988 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. FW-TT.sT-3