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Home My WebLink About112468 FELSBURG HOLT & ULLEVIG INC - INSURANCE CERTIFICATE (7)RO �® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) ..�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 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver CO 80202 INSURERS AFFORDING COVERAGE I NAIC # INSURED INSURER A: Travelers Insurance 0 Felsburg Holt & Ullevig, Inc. INSURER B:Hartford Insurance Groulp 0 6300 S. Syracuse Way, #600 Centennial CO 80111 INSURERC:XL Specialty Insurance Co. 0 Cent INSURER D: rnVFRArFC 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 LT DD' POLICY NUMBER POLICY EFFECTIVE A D POLICY EXPIRATION DATE 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, 00 000 MED EXP (Any one person) $ 1 Q 0 0 0 CLAIMS MADE FX_1 OCCUR PERSONAL & ADV INJURY $ 1 0 0 0 000 GENERAL AGGREGATE $ 2 0 0 0 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 0 0 Q 000 POLICY X PRO- LOC JECT A AUTOMOBILE X LIABILITY ANY AUTO BA3008L260 6/21/2010 6/21/2011 COMBINED SINGLE LIMIT (Ea accident) $ 1, 0 0 0, 0 0 0 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ X X HIRED AUTOS NON -OWNED AUTOS 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 CUP654OY22A 6/21/2010 6/21/2011 EACH OCCURRENCE $4 000 000 AGGREGATE $ 4 0 0 0 0 0 0 $ DEDUCTIBLE $ X RETENTION $ 1 Q 0 0 0 B WORKERS COMPENSATION Y/N RS' AND EMPLOYELIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? 34WEGPP3731 6/21/2010 6/21/2011 X TNCY IMIT ER E.L. EACH ACCIDENT $ 11000,000 E.L. DISEASE - EA EMPLOYEE $ 1 000, 000 (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ 1,000, 000 SPECIAL PROVISIONS below C OTHER Professional Liability Claims Made DPR9683187 6/21/2010 6/21/2011 Per Claim $2,000,000 Annual Aggregate $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS f required by written contract or written agreement, the following provisions apply subject to the policy terms, onditions, limitations and exclusions: The Certificate Holder and Owner are included as Additional Insureds for and completed operations under General Liability; Designated Insured under Automobile Liability; and Additional [ngoing nsured 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 ee Attached... City of Fort Collins; Attn: James B. O'Neill II, CPPO, FNIGP 215 North Mason Street, 2nd Floor Fort Collins CO 80524 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 A%'Umu cD tcuvv/D-1) U 19BB-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%'U cu Zu tcuuUtu 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: Fort Collins Quiet Zone Study Additional Insured: City of Fort Collins