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450906 MULLER ENGINEERING COMPANY - INSURANCE CERTIFICATE (5)
ACORV. CERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MMIDOlYYYY) MULLE-1 09/08 09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ACEC/MARSH HOLDER- THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 701 Market St., Ste. 1100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. St. Louis MO 63101 Phone: 800-338-1391 Fax: 888-621-3173 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A. Hareford Accident 5 Indermnty INSURER B: Muller Engineering Co., Inc. INSURERC: 777 S.Wadsworth Blvd., Ste 100 INSURER Lakewood CO 80226-------- rnvcoAr_Gc THE POLICIES OF INSURANCE. LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR I HE POLICY PERIOD INDICATED. NOIWITI(STANDING ANY RFQUIREMEN E TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WI HCt1 THIS CERTIFICAI'I: MAY BE ISSUED OR MAY PERTAIN, I'HE INSURANCE AFFORDED BY I HE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDIP IONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD'-- _.._ POLCY NUMBER POLICY IMMIDDNY)E PDATE (MMIDDNY) LIMITS LTR NSR TYPE OF INSURANCE DATE MMIDD/YY GATE MMIDD/YY GENERAL LIABILITY EACH OCCURRENCE. $ 1 , 000 , 000 A X COMMERCIAL GENERA(- I IABILITY 84SBWCT1553 11/01/09 11/01/10 DAMAGE TO RENI FD PREMISES(Ea occurence) - - $1,000,000 CLAIMS MADE XOCCUR MFD EXP (Any one person) $ 10,000 ...J X XCU PERSONAL &ADV INJURY $1,000,000 PROH..SSIONAL LIKE EXCI. GENERALAGGRFGATE $2,000,000 GFNL AGGREGATE LIMIT APPLIES PF14: PRODUCTS - COMPIOP AGG $2,000,000 POLICY X I jEo' I - LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $2,000, 000 A X ANY AUTO 84UEGNS8431 11/01/09 11/01/10 (Ea accident) ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS X HIRED AUTOS BOOK Y INJURY $ X NON -OWNED AU TOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER IRAN FA ACC $ — AUTO ONLY: AGO $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ _ I l OCCUR _ _ CI AIMS MAD_ AGGREGATE $ _. _.. .... $ .. OEOUCI'IBL[ $ RETENTION $ $ 51 At WORKERS COMPENSATION AND X TWC ORY_IIMITS _ER A EMPLOYERS' LIABILITY 84WEGPM0413 11/01/09 11/01/10 FLEACH ACCIDENT $1,000,000 ANY PROPRIETOILPXCLUDED?ECUTIVE OFFICF:(UMEMBERFXCI-UDED? ASS- --- Lt. DISGSE-F.AEMPLOYEE $1,000, 000 If SPECIAL yes, describe under SPECCIAL PROVISIONS below El, - DISEASE LIMIT $1r 000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE: P1147 SIGNAL TIMING PROGRAM. THE CITY, ITS OFFICERS AND EMPLOYEES IN ACCORDANCE WITH COLORADO LAW ARE INCLUDED AS ADDITIONAL INSURED FOR ABOVE 'COVERAGES EXCEPT W/C. L:tK I WIGA I t HIOLUtK CTYFTCO 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 CITY OF FT. COLLINS IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ATTN: TAMES B. OINEILL PO BOX 580 REPRESENTATIVES. FT. COLLINS CO 80522-0580 AUTHOROED REPRESENTATIVE A A A ' 75 l�DD'I INRI © ACORD CORPORATION 198E