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HomeMy WebLinkAbout110168 U S ENGINEERING CO - INSURANCE CERTIFICATE (4)ACORD,. CERTIFICATE OF LIABILITY INSURANCE OP ID GB DATE(MM/DD/YYYY) USENG-1 07 17 09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Thomas McGee, L . C. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 419013 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Kansas City MO 64141-6013 Phone:816-842-4800 Fax:816-472-5018 INSURED U.S. Enggineering Company 729 SE 8th Loveland CO 80537 COVERAGES INSURERS AFFORDING COVERAGE NAIC # INSURER A: Travelers INSURER B: Travelers Prop. Cas. of Amer.• INSURER C: Travelers Property s casualty - INSURER D: INSURER E: 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER DAUU-L POTE MMIDDIYY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X X COMMERCIAL GENERAL LIABILITY VTKC0131J8589IND09 07/31/09 07/31/10 A' IA PREMISES(Eaoccurence) $ 300, 000 CLAIMS MADE X❑ OCCUR MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 POLICY PRO - �[ JECT LOC B AUTOMOBILE LIABILITY ANY AUTO VTJCAP131J8590TIL09 07/31/09 07/31/10 COMBINED SINGLE LIMIT (Ea accident) $ 1, 0 0 0, 0 0 0 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 5,000,000 A X OCCUR CLAIMSMADE VTSMKCUP131J8608IND0907/31/09 07/31/10 AGGREGATE $ 5, 000, 000 $ $ DEDUCTIBLE X RETENTION $ 0 $ • WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? VTRBUB2932L55309 07/31/09 07/31/10 X TTORY LIMITS ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1 , 0 0 0 , 0 0 0 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1 , 0 0 0 , 0 0 0 OTHER C Leased/Rented QT6302786C871TIL09 07/31/09 07/31/10 Limit 200,000 Equipment Ded 5,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certholder is named additional insured with respects to general liability for all operations performed by the insured for the certholder. CERTIFICATE HOLDER CANCELLATION City of Fort Collins Dir. of Purchasing & Risk Mgt. 256 W. Mountain Avenue Fort Collins CO 80521 CITYFT2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. 1111TL DI7C CD4ft I TA}1 ACORD 25 (2001/081 © ACORD CORPORATION 1988