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Home My WebLink About110168 U S ENGINEERING CO - INSURANCE CERTIFICATE (5)oRb® CERTIFICATE OF LIABILITY INSURANCE OPID GB DATE(MMIDDi i� USENG-1 07/19 Thomas McGee, L.C. P.O. Box 419013 Kansas City MO 64141-6013 Phone:816-842-4800 Fax:816-472-5018 U.S. Enggineering Company 729 SE 8th Loveland CO 80537 COVERAGES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND,OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.. INSURERS AFFORDING COVERAGE NAIL # INSURER A: Travelers indemnity Company INSURER B: Travelers Prop. Cas. of Amer.* INSURERC: Navigators Insurance Co*`` INSURER D: Travelers Indem Co of America INSURER E: 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 DATE MM/DDT DATE POLIC MM/DD/YYYY)LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1, O O Q, 000 A X X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ® OCCUR VTKC0131J8589IND10 07/31/10 07/31/11 UA PREMAIS s(Eaoccuence)' 000 MED EXP (Any one person) $ 10, 000* PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2, 0 0 0, 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 , 0 0 0 , 0 0 0 POLICY X PRO LOC JECT B AUTOMOBILE LIABILITY ANY AUTO VTJCAP131J8590TIL10 07/31/10 07/31/11 COMBINED (EaaaccidSINGLE'uMlr accident) $' 1, 000, 000 X BODILY INJURY,: (Per person) . ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY ' (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident). $ :- GARAGE LIABILITY AUTO ONLY -,EA ACCIDENT. $ OTHER THAN ._ . EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ 5,000,000 C X OCCUR CLAIMSMADE SE10EXC712729IV 07/31/10 07/31/11 AGGREGATE $ 5; 000, 000 $ 0DEDUCTIBLE X RETENTION $ 0 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PAR7NER/EXECUTIVE0 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yyes, describe under SPECIAL PROVISIONS below VTRHUB2932L55310 07/31/10 07/31/11 X TORY LIMITS I H E.-L EACH ACCIDENT ' $ , 1000; 000 E.L. DISEASE , EA EMPLOYEE $ 1, 0 0 0 � 0 0 0 - - E.L. DISEASE "- POLICY LIMIT $ 1, 0 0 0 '000 OTHER B Leased/Rented QT6302786C871TIL10 07/31/10 07/31/11 Limit." 2001000 Equipment Ded 5,000: DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certholder is named additional insured with respects to general liability, for all operations performed by the insured for the certholder. GtK IIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITYFT2 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN iil 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 City of Fort Collins REPRESENTATIVES. Dir. of Purchasing & Risk Mgt. AUTHORIZED REPRESENTATIVE 256 W. Mountain Avenue Fort Collins CO 80521 ACORD 25 (2009/01) &-Z - C71A8-f0 AtORD CORPORATION. All rights reserved: The ACORD name and logo are registered marks of ACORD 1 ,, 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 (2001/08)