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Home My WebLink About450906 MULLER ENGINEERING COMPANY - INSURANCE CERTIFICATE (3)11/24/2008 15:18 FAX Q 001/004 ACORD. CERTIFICATE OF LIABILITY INSURANCE OPID x DATE(MM/DDA(M) MULLE-1 11 21 08 ,'RooucER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ., ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE .CEC/MARSH - HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 'i 01 Market St., Ste. 1200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. t. Louis MO 63101 2hone: 800-338-1 191 Fax:880-621-3173 INSURERS AFFORDING COVERAGE NAIC # .JSUREU INSURER A: Hort[ecd Acottlent c Lndemni ty INSURER B: Muller E ngineerin . 5URER 77 S.Wadsworth BgvC.Ste100 INSURE SR Lakewooc CO 80226 EURR :;OVERAGES THE POLICIES OF INSURANCI LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING AI4Y REQUIREMENT, TERM O I CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURAN E AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMP i SHOWN MAY HAVE BEEN REDUCED BY PAID CIAIMS. �.YR NSR TYPE OF ISURANCE POLICY NUMBER DATE MMIDDNY DATE MMIDO LIMITS t i- j GENERAL LIABILIT X I COMMERCIAL SENERALLIABILITY - CLAIMS LADE OCCUR X XCU". j. [,<: 84SBWCT1553 Pn nl)Slo LlAB EXCL - 11/01/08 11/01/09 EACH OCCURRENCE $1 000,000 PREMISES EBocryrence $ 1 00O 000 MEDEXP(Any onoperson) $10000 PERSONAL A ADV INJURY II1.,000.OQO GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE UMITAPPLIES PER: POLICY X jEC ` LOC" PRODUCTS-COMR/OPAdb $2'000,000 1 Is AUTOMOBILE X LIAB LITY- ANY AUTO ALL OWNED ITOS SCHEDULED! JT06 HIRED AUTOS ':) NON -OWNED ,UTOS' B4UEGNS8431 11/01/08 11/01/09 COMBINED SINGLE LIMIT (Enettmem) $ 2 , 0OO OOO 4 BODILY INJURY!, (Perpereon) $ X BODILY INJURY (Peraccidenq $ X PROPERTY DAMAGE (Peremiden) If ! GARAGE LUIBILIT' ANY AUTO - AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC AUTO ONLY: AGO S $ i f' iDEDUCTIBLE EXCESSNMBRELL\LIABILITY OCCUR I CLAIMS MADE RETENTION S EACH OCCURRENCE $ AGGREGATE $ $ $ S i WORKERS GOMPEN6AT )N AND EMPLOYERS'LIABILRY ANY PROPRIETOR/PART IER/EXECUTIVE OFFICERM,EMBEfl EXCL IDEOT If yea, describe under SPECIAL PROVISIONS be ow 84WEGPM0413 11/01/08 11/01/09 X TORY LIMU TA BSI ER el -EACH ACCIDENT' $11000 000 E.L. DISEASE -EA EMPLOYEE S1 OOO OOO E.L. DISEASE -POLICY LIMIT $1 000 000 OTHER i )UCRIPTIONOFOPERATION' / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS ',. AZ: P2147 SIGNAL TIMING PROGRAM. THE CITY, ITS OFFICERS AND EMPLOYEES IN ACCORDANCE WITS COLORADO LAW ARE INCLUDED AS ADDITIONAL INSURED FOR ABOVE COVERAGES EXCEIT W/C. i CITY OF F'..COLLINS ATTN: JAMSS B. OINEILL PO BOX 58 ) FT. COLLI4S,CO 80522-0580 CTYFTCO I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVORTD MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 80 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. 11 ACORD 26 (2001/08) 7� 11/24/2008 15:34 Van Gilder Insurance Corp. Shirley Bolstok-+Muller Engineering 6/7 Clicnf$• Rd95 IRRH oNlr_ CERTIFICATE OF LIABILITY INSURANCE DATE -r,081 ,I, 11124/08o/YYl PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Van Gilder Insurance Corp. i 700 Broadway, Suite 1000 Denver, CO 80203 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 303 837-8500 .. INSURERS AFFORDING COVERAGE INSURED.. Muller Engineering Company, inc. 777 S. Wadsworth, Suite 100 Lakewood, CO 80226-3118 INSURER A: XL Specialty Insurance Company INSURER B: - INSURER C: INSURER D: INSURER E: l UVMKAUCO 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATIDN SR TYPE OF INSURANCE POLICY NUMBER DATE MMIDDIYV GATE MMIODIVV _ LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COM MERCIAL GENERAL LIAR ILITY FIREOAMAGE('n'ono fire) $ CLAIM&MADE:' D OCCUR ., - MEDEXP(Anyogg Pgr,..,) ;_, $ LOC I' AUTO MOBILE LIABILITY ` ANY AUTO ALL OWNED AUTOS - SCHEDULED AUTOS HIRED AUTOS NON-0WNED AUTOS PERSONAL 8 AOV INJURY $ GENERALAGGREGATE $ PRODUCTS -COMP/OPAGG I $ COMBINED SINCIF LIMIT., $ (Ea acdeent) BODILY INJURY.. $ (PB, Person) BODILY INJURY.. $ (Par acdtlenl) PROPERTY DAMAGE $ (Per ecdit ) f GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHERTHAN EA ACC $ ANY AUTO - $ AUTO ONLY. AGG EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE g OCCUR CLAIMS MADE $ _. $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY WC STATU- OTH- ORV IMITS ER E.L. EACH ACCIDENT $ E.L.DISEASE-EA EMPLOYEE - $ E.L. DISEASE -POLICY LIMIT $ I �•`'� O OTHER Professional - DPR9607785 03/11/08 03/11108 $1,000,000 perclaim lability $2,000,000 annl aggr. ilaims Made i DESCRIPTION OF OPERATIONSA.00ATIONSIVEHICLE$IEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS I,J I .. required by written contract or written agreement, City of Fort Collins is included as i s ,ddltional Insured for ongoing operations under General Liability with respect to the :;have referenced. *Except 10 days notice for non-payment of premium. I City of Fort Collins Attn: James O'Neil 215 North Mason Street, 2nd Floor Fort Collins, CO 80522-0580 SHOULD ANYOFTH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3DDAYSWRITTEN NOTICE TOTHE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO CB LIGATION OR LIAB ILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. A ORIZED ftEPRESENTATN d...e.,.�, St. ��w