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Home My WebLink About112468 FELSBURG HOLT & ULLEVIG INC - INSURANCE CERTIFICATE (6)RO & CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) ..�1 6 22 2010 PRODUCER Phone: 303-837-8500 Fax: 303-831-5295 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Van Gilder Insurance Corp. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1515 Wynkoop, Suite 200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Denver CO 80202 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Travelers Insurance 0 Felsburg Holt & Ullevig, Inc. INSURER B:Hartford Insurance Group 0 6300 S. Syracuse Way, #600 Centennial CO 80111 INSURERc:XL Specialty Insurance Co. 0 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. INSR R ADD'L POLICY NUMBER POLICY EFFECTIVE E M D POLICY EXPIRATION A M D LIMITS A GENERAL LIABILITY 6802278L711 6/21/2010 6/21/2011 EACH OCCURRENCE $ 1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000, 000 MED EXP (Any one person) $ 10,000 CLAIMS MADE ZI OCCUR PERSONAL 8 ADV INJURY $ 1,000, 000 GENERAL AGGREGATE $ 2 0 0 Q 000 GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 0 0 Q 000 POLICY X PRO LOC A AUTOMOBILE X LIABILITY ANY AUTO BA3 0 0 8 L2 6 0 6/ 2 1/ 2 0 1 0 6/ 2 1/ 2 0 11 COMBINED SINGLE LIMIT (Ea accident) $ 1, 000, 000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS NON -OWNED AUTOS 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 X OCCUR CLAIMS MADE CUPG540Y22A 6/21/2010 6/21/2011 EACH OCCURRENCE $4 000 000 AGGREGATE $ 4 0 0 0 0 0 0 $ $ DEDUCTIBLE $ X RETENTION $10 0 0 0 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? 34WEGPP3731 6 / 21 / 2 010 6 / 21 / 2 011 WCSTATU- OTH- X Y LIMIT R E.L. EACH ACCIDENT $ 1 0 0 0 0 0 0 E.L. DISEASE - EA EMPLOYEO $1,000,000 (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT I S1,000,000 SPECIAL PROVISIONS below C OTHER Professional Liability Claims Made DPR9683187 6/21/2010 6/21/2011 Per Claim $5,000,000 Annual Aggregate $,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS If required by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The Certificate Holder and Owner are included as Additional Insureds for ngoing and completed operations under General Liability; Designated Insured under Automobile Liability; and Additional Insured under Umbrella / Excess Liability but only with respect to liability arising out of the Named Insured's work erformed on behalf of the certificate holder and owner. This insurance will apply on a primary, non-contributory See Attached... City of Fort Collins 215 N Mason St.,2nd Floor; PO Box 580 Fort Collins CO 80522-0580 <rM1V VCLLN I IVIV 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 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. 10 DAYS NOTICE FOR NON-PAYMENT OF PREMIUM. AUTHORIZED REPRESENTATIVE w _ __ / i __ Al,vmu ca (cuua/ui) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 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 This Certificate of Insurance 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. M%'Ur%u 'Ca ttuumu 1) DESCRIPTIONS Continued. basis. A Blanket Waiver of Subrogation applies for General Liability, Automobile Liability, Umbrella/Excess Liability and Workers' Compensation. Limited Contractual Liability is included. The Umbrella / Excess Liability policy provides excess coverage over the General Liability, Automobile Liability and Employers Liability. RE: #P1027 Mason Transportation Corridor Trail Upgrade Separated Crossing Additional Insured: City of Fort Collins