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HomeMy WebLinkAbout450906 MULLER ENGINEERING COMPANY - INSURANCE CERTIFICATE (4)1v24/2008 15:18 FAX 0 001/004 ACORD CERTIFICATE OF LIABILITY INSURANCE OPID x DATEIMWDONYYY) MULLS-1 11 21 08 'ADDUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE I.,.CEC/MARSH HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR j 'i 0l Market St., Ste. 1100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. I�- Louis MO 63101 ?hone:800-338-1191 Fax:888-621-3173 INSURERS AFFORDING COVERAGE NAIC# ' .,15URED INSURER A: tbrt[or Accident a Indemnity INSURER B: Muller E ngineerin CO. , Inc. IN511RER C: 777 S-Wadsworth Blvd., Ste 100 NSURERD Lakewcoc CO 80226 INSURER E: � �nvconr_ca --THE POLICIES OFINSURANCI LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM O I CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURAN .E AFFORDED BY THE PDLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMIT i SHDWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. YR NSR TYPE OF ISURANCE POLICY NUMBER DATEYMMIDD)YY DATE MMIDOA LIMITS GENERALLIASILT EACH OCCURRENCE $1 000,000 PREMISES Eeoccurenw $ 1 000 000 f X COMMERCIAL 3ENERALLIABILITY 84SBWCT1553 11/01/08 11/01/09 - CLAIMSR ADS OCCUR MED EXP(Any one parson) $10 000 PERSONAL S ADV INJURY sl'.000 000 X XCU' GENERAL AGGREGATE s2,000,000 'V PADPEBBIONAL LIAR E%CL + GEN'LAGGREGATE L(MIYAPPLIES PER: PRODUCTS-COMRb0XdB s2'000 000 POLICY X !EC �' LOC _ i IL AUTOMOBILE X LIAR LITY ANY AUTO B4UEGNS8431 11/01/08 11/01/09 COMBINED SINGLE LIMIT (Eaa.1dent) s2,000,000 BODILY INJURYI. (Parpereon) - $ �. ALL OWNED A)TOS SCHEDULED JTOS X BODILY INJURY (Peraccident) $ HIRED AUTOB ': I NON -OWNED AUTOS' _ X PROPERTY DAMAGE ,. (Per accident) S GARAGE LIABIUT AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC S ANY AUTO $ - AUTO ONLY: AGO fEXCESSNMBRELL L LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ S iDEDUCTIBLE $ RETENTION $ WORKERS COMPENSA7 JN AND EMPLOYERS' LIABILITY ANY PROPRIETORMART IER(EAECUTNE OFFICER/MEMBER EXCL IDED7 84WEGPM0413 11/01/09 11/01/09 X 70PY LIMITSI I ER E.L EACHACCIDENT $1 00Q 000 E.L. DISEASE - EA EMPLOYEE $1 000 000 i It you, doacribo under SPECIAL PROVISIONS bs ow E.L. DISEASE -POLICY LIMIT $1 000 000 i OTHER ,)ESCRIP710N OF OPERATION: I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS P1147 SIGNAL TIMING PROGRAM- THE CITY, ITS OFFICERS AND EMPLOYEES IN !ACCORDANCE WITF. COLORADO LAW ARE INCLUDED AS ADDITIONAL INSURED FOR ABOVE !COVERAGES EXCEIT W/C. -... 1 I :;ERTIFICATE HOLDER - CANCELLATION - CTYFTCO SHOULD ANY OF THE ABOVE D95CRIBM POLICIES BE CANCELLED BEFORE THE EXPIRATION �i DATE THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL 30 DAYSWRITTEN i NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DD BO SHALL CITY OF F'.. COLLINS IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR i'. ATTN: JAMOS B. OINEILL PO BOX 58) REPRESENTATIVES. FT. COLLI 7S' CO 80522-0580 AUTHORIZED RE�ENT TVE� (� 'I L' '! ':CORD 25 (2001I08) © ACORD CORPORATION 1986 r/ 11/24/2008 15:34 Van Gilder Insurance Corp. Shirley Bolstok-hfuller Engineering 6/7 Mi..f1b RANI. ,CORD.,, CERTIFICATE OF LIABILITY INSURANCE DATE 11124108DYv) PRODUCER Van Gilder Insurance Corp. i 700 Broadway, Suite 1000 Denver, CO 80203 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 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 INSURERA: XL Specialty Insurance Company INSURER B: INSURER C; NBURERD: NSURER 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 INAY 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. @i5H LTR TYPE OF INSURANCE POLICY NUMBER LICYEFFECT POIVE DATE MM/DD/YY POLICY EXPIRATION DATE RIM /YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIAR ILITY CLAIMS: MADE;'nl.i OCCUR .., --- _FIRE DAMAGE(Any one fire) § MEO EXP (Any ogepelyon)'. $ PERSONAL S ADV INJURY $ GENERAL AGGREGATE § GEN'L AGGREGATE LIM RAPPLIES PER PROEC- POLICY 7 IT LOG PRODUCTS-COMP/OPAGG $' I I' AUTOMOBILE LIABILITY 1:. - ANY AUTO COMBINED SINGLE LIMIr., (Ea..cIdwQ $ - BODILY INJURY. (Per person) $ f' ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BODILY (P.,, ardd.�IRY,. $ PROPERTY DAMAGE (Per endd.nl) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO ' - OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ $ f DEDUCTIBLE g -RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WCSTATU- OTIH ORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE — $ EL. DISEASE -POLICY LIMIT $ $1,000,000 per claim $2,000,000 annl aggr. r;1 OTNER professional iability laims Made DPR9607785 03/11/08 03/11109 DESCRIPTION OF OPERATIONSROCATIONSNEHICLES/EXCLUSIONS ADDED BYENDORSEMENT/SPECIAL PROVISIONS :i required by written contract or written agreement, City of Fort Collins is included as ,I.ddltlonal Insured for ongoing operations under General Liability with respect to the I I^hove referenced. *Except 10 days notice for non-payment of premium. f� City of Fort Collins Attn: James O'Neil 215 North Mason Street, 2nd Floor Fort Collins, CO 80522-0580 SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TOMAIL3D* DAYSWRITTEN NOTICE TOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, SUTFAILURE TODD SOSHALL IMPOSE NO OBLIGATION OR LIASILITYOFANYKIND UPON THE INSURER,ITS AGENTS OR A ORRED REPRESENTATN€`