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HomeMy WebLinkAbout111694 TST INC CONSULTING ENGINEERING - INSURANCE CERTIFICATE (3)Client#: 10439 TSTCON O ACRD,M CERTIFICATE OF LIABILITY INSURANCE 12111/080nv) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Van Gilder Insurance Corp. 700 Broadway, Suite 1000 ONLY HOLDER. ALTER AND CONFERS NO RIGHTS UPON THE CERTIFICATE THIS CERTIFICATE DOES NOT AMEND, EXTEND OR THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80203 — 303 837-8500 INSURERS AFFORDING COVERAGE INSURED TST, Inc. Consulting Engineers 748 Whalers Way Fort Collins, CO 80525 INSURER A: Hartford Casualty Insurance Cc INSURER B: Hartford Underwriters Insurance Co INSURER c: Hartford Ins. Co. of the MidWest INSURER D: XL Specialty Insurance Company 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. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMID DM' POLICY EXPIRATION DATE MMIDONV LIMITS A GENERALLIABILITY X COMM ERCIAL GENERAL LIAR LITY CLAIMS MADE n OCCUR 34SBAVS3417 12/01/08 12/01/09 EACH OCCURRENCE $1000,000 FIRE DAMAGE (Any one fire) $300000 MED ENE (Any one person) $19,990 PERSONAL &ADV INJURY Al 000,000 GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIMITAPPILIES PER: PRO- POLICY JECT LOG PRODUCTS - COMPIOP AGG $2,000,000 ._._..._ _ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 34UECP02033 12/01/08 12/01/09 COMBINED SINGLE LIMIT Be accident) $1,000,000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ — GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC AUTO ONLY: AGO $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $_ _ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 34WEGIO8204 12/01/08 12/01/09 X WC STATU- E.L. EACH ACCIDENT $110001000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 D OTHER Professional Liability Claims Made DPR9616004 12/01/08 12/01/09 $1,000,000 per claim $1,000,000 annl aggr. DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS *Except 10 days notice for non-paynent of premium. City of Fort Collins Attn: James B. O'Neill II 281 N. College Avenue Fort Collins, CO 80524 SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL36*___ DAYS WRITTEN NOTICE TOTHE CERn FICATE HOLDER NAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURERJTS AGENTS OR A HORIZED REPRESENTATIV ACORD 25-S (7I97)1 of 2 #S555312/M555099 CDW © 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. ACORD25-S(7/97)2 of 2 ##S555312/M555099