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Home My WebLink About465997 MICHAEL BAKER JR INC - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/01/2009 PRODUCER Aon Risk Services Central, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Pittsburgh PA Office AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Dominion Tower, loth Floor CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE 625 Liberty Avenue Pittsburgh PA 15222-3110 USA COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # Phone- 866 283-7122 FAX-(847) 953-5390 INSURED INSURER A: Syndicate #2623 Lloyds Of London 0005FI Michael Baker ]r., Inc. 355 Union Blvd, suite 200 INSURERB: INSURER C: Lakewood CO 80228 USA INSURER D: INSURER E: O CnVFRAC:FC SIR aoolies Der terms and conditions of the Dolicv ;i-. 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. LIMITS SHOWN ARE AS REQUESTED INSR ADD' LTR INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE(MVVDD/YYYY DATE(MM/DD/YYYY) ERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY CLAIMS MADE M OCCUR 9 PREMISES (Ea occurtence) (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE t IEN'L .AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG ❑ POLICY ❑ ; CT ❑ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS ( Per person) HIRED AUTOS BODILY INJURY NON OWNED AUTOS (Per accident) PROPERTY DAMAGE (Pcr accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT ANY AUTO OTHER THAN EA ACC AUTO ONLY AGG EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE ❑ OCCUR ❑ CLAIMS MADE AGGREGATE HDEDUCTIBLE RETENTION WORKERS COMPENSATION AND WC STATU- OTH- JE EMPLOYERS' LIABILITY E.L. EACH ACCIDENT ANY PROPRIETOR / PARTNER / EXECUTIVE E.L. DISEASE -EA EMPLOYEE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE -POLICY LIMIT I1' es, describe under SPECIAL PROVISIONS below A OTHER QK0902675 06/30/2004 Excess Professional $5,000,000 E&O-ProfLiabi,ri DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT, SPECIAL PROVISIONS. For Named insured only: Attn:steve McQuilkin. \,EK I IV 1%-A I E rIULIIEK t,AINI;ELLA l IUIN City of Fort Collins P.O. BOX 580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Attn- Steve McQui 1 ki n .10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. Fort Collins CO 80522 USA BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ayJil�E'e.7k.te�ets0 Caess�dG �iaa ACORD 25 (2009/01) 01988-2009 ACORD CORPORATION. All rights The ACORD name and logo are registered marks of ACORD a CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/01/2009 PRODUCER Aon Risk Services Central, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Pittsburgh PA Office AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Dominion Tower, loth Floor CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE 625 Liberty Avenue Pittsburgh PA 15222-3110 USA COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # PHONE• 866 283-7122 FAX- 847 953-5390 INSURED INSURER A: National Union Fire Ins Co of Pittsburgh 19445 Michael Baker Jr., Inc. 355 union Boulevard, Suite 200 INSURERB: Insurance Company of the State of PA 19429 INSURERC: Illinois National insurance Co 23817 Lakewood Co 80228 USA INSURER D: INSURER E: COVERAGES SIR applies per terms and conditions of the policy 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. LIMITS SHOWN ARE AS REQUESTED INSR ADDII LTR INSRD TYPE Of INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION I.imi rs ATE(MM/DDIVYYY DATE(MM/DD/YYYY) A JiMERAL LIABILITY GL4572230 06/30/2009 06/30/2010 EACH OCCURRENCE $2,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $1 , 000 , 000 CLAIMS MADE OCCUR PREMISES (Ea occurrence) MED EXP (Any one person) ® PERSONAL & ADV INJURY $2,000,000 El GENERAL AGGREGATE $4,000,000 ,FN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPOP AGG $4,000,000 POLICY PRO- X❑ ❑ ElLOC IECT q AUTOMOBILE LIABILITY X ANY AUTO CA1469780 ADS 06/30/2009 06/30/2010 COMBINED SINGLE LIMIT (Ea accident) $2 , 000 , 000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS I Per person) X HIRED AUTOS BODILY INJURY X NON OWNED AUTOS iPer accident) PROPERTY DAMAGE ( Per accident) (:APACE LIABILITY AUTO ONLY - EA ACCIDENT ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG A EXCESS UMBRELLA LIA B11. I I N BE6543780 06/30/2009 /30/2010 EACH OCCURRENCE , ElOCCUR ❑ CLAIMS MADE AGGREGATE $10,000,000 0XDEDUCTIBLE RETENTION $10,.000 A C W'ORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) WC q05 WC714013 CA wc714014 06/30/2009 06/30/2009 06/30/2010 06/30/2010 X T/ STATU- T R IM T OTH- ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1, 000, 000 E.L.DISEASE-POLICYL[bllT $1,000,000 If es, describe under SPECIAL PROVISIONS below FL OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS For Named insured Only: Attn: Steve McQuilkin. City Of Fort Collins is included as an additional insured with respect to the General Liability, per written contract with the named insured. CERTIFICATE HOLDER CANCELLATION City Of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION P.O.BOX 580 DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL Attn • Steve MCQu i l kl n 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. Fort Collins CO 80522 USA BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2009/01) C1988-2009 ACORD CORPORATION. All rights The ACORD name and logo are registered marks of ACORD O x Attachment to ACORD Certificate for Michael Baker Jr., Inc. The terms, conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the coverage afforded by the insurer(s). This attachment does not contain all terms, conditions, coverages or exclusions contained in the policy. INSURED Michael Baker Jr., Inc. 355 union Boulevard, Suite 200 Lakewood Co 80228 USA INSURER INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSR LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY DESCRIPTION POLICY EFFECTIVE DATE POLICY EXPIRATION DATE LIMITS WORKERS COMPENSATION C wc714247 LA 6/30/2009 06/30/2010 C wc4883659 Tx 6/30/2009 06/30/2010 ULSCRIPIION UP OPERA IIONS/LOCATIONS/VLIIICLES/EXCL.USIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate No : 570036973710