HomeMy WebLinkAboutPOST BUCKLEY SCHUH AND JERNIGAN 214608 PBS&J - INSURANCE CERTIFICATEDATE (MM/DD/YYYY)
ACORDr. CERTIFICATE OF LIABILITY INSURANCE 9/30/2010 5/4/2010
PRODUCER Lockton Companies, LLC-1 Kansas City THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
444 W. 47th Street, Suite 900 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Kansas Cityy MO 64112-1906 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
(816) 960 9000 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURED POST, BUCKLEY, SCHUH AND JERNIGAN, INC.
1307320 DBA PBS&J
2001 NW 107 AVENUE
MIAMI FL 33172-2507
INSURERS AFFORDING COVERAGE NAIC #
INSURERA: LLOYDS OF LONDON A XV
INSURER B :
INSURER C :
INSURER D :
INSURER E :
nnVFRArFR Pr) THIS CERTIFICATE OF INSURANCE DUES NU t GUNS t I t U t t A GUN I KAG 1 Ct I WttN�l Ht ISSUING
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
ADD'L
INSRD
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE.(MM/DD/YY)
POLICY EXPIRATION.
DATE (MM/DD/YY)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ XXXXXXX
COMMERCIAL GENERAL LIABILITY
DAMAGE TO RETE
PREMISES (Ea occurence)
$ XXXXXXX
CLAIMS MADE OCCUR
NOT APPLICABLE
MED EXP (Any one person)
$ XXXXXXX
PERSONAL & ADV INJURY
$ XXXXXXX
GENERAL AGGREGATE
$ XXXXXXX
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ XXXXXXX
PRO -
POLICY JECT LOC
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$ XXXXXXX
BODILY INJURY
(Per person)
$ XXXXXXX
ALL OWNED AUTOS
SCHEDULED AUTOS
NOT APPLICABLE
BODILY INJURY
(Per accident)
$ XXXXXXX
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$ XXXXXXX
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$ XXXXXXX
ANY AUTO
NOT APPLICABLE
OTHER THAN EA ACC
$ XXXXXXX
AUTO ONLY: AGG
$ XXXXXXX
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$ XXXXXXX
OCCUR ❑ CLAIMS MADE
AGGREGATE
$ XXXXXXX
UMBRELLA
NOT APPLICABLE
$ XXXXXXX
$ XXXXXXX
❑
DEDUCTIBLE FORM
$ XXXXXXX
RETENTION $
WORKERS COMPENSATION AND
WC STATU- OTH-
TORY LIMITS ER
-
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
NOT APPLICABLE
E.L. EACH ACCIDENT
$ XXXXXXX
E.L. DISEASE - EA EMPLOYEE
$ XXXXXXX
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
$ XXXXXXX
A
OTHER
LDUSA0900811
9/30/2009
9/30/2010
$1,000,000 EACH CLAIM & $1,000,000
A
CLAIMS -MADE FORM
ANNUAL AGGREGATE.
PROFESSIONAWPOLLUTION
I1/11/]961 RETRODATE.
LIABILITY
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: JEFFERSON STREET ALTERNATIVES ANALYSIS (JEFFERSON STREET/SH14 PROJECT); PBS&J JOB NO. P100008854
10871793 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF FORT COLLINS, COLORADO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
ATTN: JOHN STEPHEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
215 N. MASON, 2ND FLOOR IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
FORT COLLINS CO 80524
REPRESENTATIVES.
AUTHORIZED REPRESE E _
ACORD 25 (2001/08) For questions regarding this certificate, contact the number listed in the'Producer' section above. — IF r 0 ACORD CORPORATION 1988