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HomeMy WebLinkAbout102630 AYRES ASSOCIATES INC - INSURANCE CERTIFICATEClicnffi- 1ARQ15 AVRASS ACORDTM CERTIFICATE OF LIABILITY INSURANCE 12/29109DNYYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Arthur J. Gallagher RMS, Inc,.._..__ . 500 1st Street, Suite 1100 ._. ... ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Wausau, WI 54403.-4871 INSURERS AFFORDING COVERAGE NAIC # INSURED --.... ..... • :.-. INSURER A: Travelers Casualty&:Buret of Am eri Y 31194- �"" �- .:.:•.:..-.�... AYRES ASSOCIATES INC,INsuRER PO, BOX 1590 EAU CLAIRE, WI 54702-1590 B: INSURERC: - -._....-.--__._ ......,. INSURER D: INSURER E: ` " CCIVFRAMPA 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 ADDTTYPE NSR OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS A GENERAL LIABILITY 6302183P260TIA10 01/01/10 01/01/11 EACH OCCURRENCE $1 00Q 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 51OCCUR DAMAGE TMISESO RE(EaONTED c $ 100 000 MED EXP (Any one person) $5 000 PERSONAL & ADV INJURY $1 000000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG s2,000,000 POLICY PRO LOC JECT A AUTOMOBILE LIABILITY X ANY AUTO " 8103790P125TIL10 01/01/10 01/01/11 COMBINED SINGLE .LIMIT (Ea accident) $1a000 ,000 - .. BODILY INJURY$ (Per person) ...... ' ALL OWNED AUTOS•` SCHEDULED AUTOS BODILY INJURY-.. . $._.. X HIREDAUTOS "--- - — - - _. X NON -OWNED AUTOS - - - -- (Per accident)., ... .. .. . ' PROPERTY DAMAGE$' (Per accident) - -• GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ , OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESSIUMBRELLA LIABILITY CUP3790P149TIL10 01/01/10 01/01/11 EACH OCCURRENCE $5 000 000 X OCCUR CLAIMS MADE AGGREGATE $5 00O 000 $ HDEDUCTIBLE $ X RETENTION $ 10000 A WORKERS COMPENSATION AND PDTCEUB2522P94410 01/01/10 01/01/11 TH- X WCSTATU- OPR A EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE PJUB2528P88110 01/01/10 01/01/11 E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $500,000 OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $500,000 A OTHER Workers Comp PACRUB2454P76A10 01/01/10 01/01/11 $1m each acc / $1M each CA only empl / $1M pol limit DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS REGARDING PROJECT P959-CONSULTING ENGINEERING SERVICES NORTH COLLEGE DRAINAGE IMPROVEMENT PROJECT AND FUTURE WATER, WASTEWATER AND STORMWATER FACILITIES CAPITAL IMPROVEMENTS THE CITY OF FORT COLLINS IS AN ADDITIONAL INSURED ON THE GENERAL LIABILITY (See Attached Descriptions) I.CK I Irm A I C r1ULUMM I.AN%,r LLA I IUN CITY OF FORT COLLINS PURCHASING DEPARTMENT PO BOX 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3_ 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. AUTHORIZED REPRESENTATIVE . 3 ode ACORD 25 (2001/08) 1 of 3 #M437785 KKR 0 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. ACORD 25-S (2001/08) 2 of 3 #M437785 DESCRIPTIONS (Continued from Pa I), - WITH RESPECT TO LIABILITY ARISING OUT OF OPERATIONS PERFORMED BY THE NAMED INSURED. AMS 25.3 (2001/08) 3 of 3 #M437785