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HomeMy WebLinkAboutMCLAUGHLIN WATER ENGINEERS - INSURANCE CERTIFICATELmentw 4asz5 MGLVVA t l ACORDTM CERTIFICATE OF LIABILITY INSURANCE 02/26/09DNY) PRODUCER THIS CERTIFICATE IS ISSUED. AS -A MATTER OF INFORMATION— Van Gliderinsurance Corp. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 700 Broadway, 1000 HOLDER. THIS CERTIFICATE DOES • NOT AMEND, EXTEND OR Y ALTER THE COVERAGE AFFORDED BY --THE- POLICIES- BELOW: Denver, CO 80203 - 303 837-8500 INSURERS AFFORDING COVERAGE INSURED INSURER A: Travelers Insurance "(Med/A&E). McLaughlin Water Engineers,<Ltd. INSURER B: Hartford Accident & Indemnity Co 2300 15th St., Suite 2211 INSURERC: St. Paul Insurance (Med/A&E) - -- Denver, CO 80202 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. INSR LTR TYPE OF POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MMIDD/YY LIMITS A GENERAL LIABILITY 6808817L887TIA08 03/01/09 03/01/10 EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Any one fire) $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE r_X1 OCCUR MED EXP (Any one person) $5 000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS -COMP/OP AGG s2,000,000 - POLICY JEPRO- CT LOC A AUTOMOBILE LIABILITY ANY AUTO--. _- - - -- BA8818L52208GRP ------ ----._. _...-- - —.-. .. .. 03/01/09- ----- -" ---. 03/01/10 - _- _._ - G COMBINED LIMIT .(Eaaccident)---- -----' - --- --- - -'- $1e000,DOO .----- BODILY INJURY - -(Per.person) _-_._..-�... ..-- .; $ - ALL OWNED AUTOS SCHEDULED AUTOS - . X BODILY INJURY - -" (Per accident) - - - ' $ - HIRED AUTOS .. NON -OWNED AUTOS. X PROPERTY DAMAGE (Per accident) $ ' - GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND 34WEGKG8983 03/01/09 03/01/10 X WCSTATU- OTH- I ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 C OTHER Professional QP03808198 03/01/09 03/01/10 $2,000,000 per claim Liability $2,000,000 annl aggr. laims Made DESCRIPTION OF OPERATION S/LOCATIONS/VEH ICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS *Except 10 days notice for non-payment of premium. Re: P1073 Water Craft Course Design project. As required by written contract, or written agreement, the City of Fort Collins is included as Additional Insured under General Liability with respect to the referenced project. INSURER LETTER: City of Fort Collins Attn: Purchasing/ John D. Stephen P.O. Box 580 Fort Collins, CO 80522-0580 SHOULD ANYOFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL3Q* DAYS WRITTEN NOTICE TOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURERJTS AGENTS OR REPRESENTATIVES. A HORIZED REPRESENTATIV ACORD 25-5 (7197)1 of 2 #M560958 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 #M560958