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Home My WebLink About102630 AYRES ASSOCIATES INC - INSURANCE CERTIFICATE (2)Client#: 108916 AYRASS ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY) 12/28/2009 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 & Surety of Ameri 31194 AYRES ASSOCIATES INC PO BOX 1590 EAU CLAIRE, WI 54702-1590 INSURER B: INSURER C: 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/Y! POLICY EXPIRATION DATE MMIDDIYY LIMITS A GENERAL LIABILITY 6302183P260TIA10 01/01/10 01/01/11 EACH OCCURRENCE $1000000 MMERCIAL GENERAL LIABILITY DAMAGE TISESO RENTED $1 OO OOO CLAIMS MADE Ex-] OCCUR Nm MED EXP (Any one person) $5 000 _ - PERSONAL & ADV INJURY $1 OOO 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG :s2,000,000 POLICYF-j PRO LOC JECT A AUTOMOBILE LIABILITY ANY AUTO 8103790P125TIL10 01/01/10 01/01/11 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS. SCHEDULED AUTOS 1 X HIRED AUTOS': . NON -OWNED AUTOS: t BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) '$ - - ' GARAGE'LIABILITY; - AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ =ANY AUTO; $ AUTO ONLY: AGG A EXCESS/UMBRELLA LIABILITY CUP3790P149TILIO 01/01/10 01/01/11 EACH OCCURRENCE $5000000 X OCCUR CLAIMS MADE AGGREGATE $5 00O 000 $ HDEDUCTIBLE $ X RETENTION $ 10000 A WORKERS COMPENSATION AND PDTCEUB2522P94410 01/01/10 01/01/11 WC X STATU- OTH- A EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE PJUB2528P88110 01/01/10 '01/01111 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 $SOO,000 A OTHER Workers Comp PACRUB2454P76A10 01/01/10 01/01/11 $1M EACH ACC/$1M EACH ACC/$1 M POL LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS PROJECT: CITY OF FORT COLLINS CONSULTING ENGINEERING SERVICES. NORTH COLLEGE DRAINAGE IMPROVEMENT PROJECT AND FUTURE WATER, WASTE WATER AND STORM WATER FACILITIES CAPITAL IMPROVEMENTS - PROJECT #P959. THE CITY OF FORT COLLINS IS INCLUDED AS AN ADDITIONAL INSURED UNDER THE GENERAL (See Attached Descriptions) CITY OF FORT COLLINS PURCHASING DEPT 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 An 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 &4., ACORD 25 (2001/08) 1 Of 3 #S436,729/M436658 KKR © 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 #S436729/M436658 LIABILITY POLICY PER CG D4 15 05/08 AND AS LIMITED INSURED UNDER THE AUTO PER CA T3 53. AMS 25.3 (2001/08) 3 of 3 #S436729/M436658