HomeMy WebLinkAbout450906 MULLER ENGINEERING COMPANY - INSURANCE CERTIFICATEClient#: 8415
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ACORD., CERTIFICATE
OF LIABILITY
INSURANCE
DATE
11/24/OSDm)
PRODUCER
THIS CERTIFICATE
IS ISSUED AS A MATTER OF INFORMATION
Van Gilder Insurance Corp.
ONLY
AND CONFERS NO RIGHTS UPON THE CERTIFICATE
700 Broadway, Suite 1000
HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER
THE COVERAGE AFFORDED BY THE POLICIES BELOW,
Denver, CO 80203
303 837-8500
INSURERS AFFORDING COVERAGE
INSURED
INSURER A_
XL Specialty Insurance Company
Muller Engineering Company, Inc.
-- --
--------
INSURER B:
777 S. Wadsworth, Suite 100
INSURER C:
Lakewood, CO 80226-3118
INSURER D:
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.
INGR
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDDl1'Y
POLICY EXPIRATION
DATE MM/DD/YY
_
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$
COMMERCIAL GENERAL LIABILITY
FIRE DAMAGE (Any one fire)
$
CLAIMS MADE OCCUR
MED EXP (Any one person) _
$
PERSONAL & ADV INJURY
$
GENERAL AGGREGATE
$
GENT AGGREGATE LIM IT APPLIES PER:
PRODUCTS -COMP/OPAGG
$
PRO-
POLICY JET LOD
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$
-
ANY AUTO
(Ea accident)
ALL OWNED AUTOS
BODILY INJURY
—
SCHEDULED AUTOS
(Per person)
$
- -
HIRED AUTOS
BODILY INJURY
$
NON -OWNED AUTOS
(Per accident)
PROPERTY DAMAGE
$
--
---------_....
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
-_-_ ANY AUTO
EA ACC
OTHER THAN .-..__-.__.
$
AUTO ONLY: AGG
$
EXCESS LIABILITY
EACH OCCURRENCE
$
OCCUR CLAIMS MADE
AGGREGATE
$
$
DEDUCTIBLE
$
RETENTION $
$
1MC STATU - IGTH
WORKERS COMPENSATION AND
L___I_ER
EMPLOYERS' LIABILITY
-- _LIMLTS
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPL OYEE
$
E.L. DISEASE - POLICY LIMIT
$
A
OTHER Professional
DPR9607785
03/11/08
03/11/09
$1,000,000 per claim
Liability
$2,000,000 annl aggr.
Claims Made
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
If required by written contract or written agreement, City of Fort Collins is included as
Additional Insured for ongoing operations under General Liability with respect to the
above referenced. *Except 10 days notice for non-payment of premium.
City of Fort Collins
Attn: James O'Neil
215 North Mason Street, 2nd
Floor
Fort Collins, CO 80522-0580
SH OULD ANYOF TH E ABOVE D ESCRIBED POLICIES B E CANCELLED BEFORE TH E EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30*___ DAYS WRITTEN
NOTICE TO THE CERTIFICATE H OLDER NAM ED TO TH E LEFT. BUT FAILURE TO DO SO SHALL
IM POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TH E INS URE R,ITS AGENTS OR
A HORIZED REPRESENTATIV
AA --A cam . 0-0.j
ACORD 25-S (7/97)1 of 2 #S554182/M526345 SXB 0 ACORD CORPORATION 198a
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 #S554182/M526345