HomeMy WebLinkAbout450906 MULLER ENGINEERING COMPANY - INSURANCE CERTIFICATE (7)s�CORCERTIFICATE OF LIABILITY INSURANCE OP ID KL
DATE(MM/DD/YYYY)
�.�k
09/08/10
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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).
PRODUCER
E:
PHONE
C, No, Ext : (AAX
/C, No):
ACEC/MARSH
PADID'RESS:
701 Market St., Ste. 1100
St. Louis MO 63101
Phone:800-338-1391 Fax:888-621-3173
rKUUMILK
STOMERID#: MULLE-1
INSURER(S) AFFORDING COVERAGE
NAIC#
INSURED
Muller Engineer ingg Co., Inc.
777 S.Wadsworth Bivd., Ste 100
Lakewood CO 80226
INSURER A: Hartford Accident t Indemnity
INSURER 8 :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES - ICERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR
TYPE OF INSURANCE
INSR
WVD
POLICY NUMBER
(MM/DD/YYYY)
(MM/DD/YYYY)
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE ❑X OCCUR
X XCU
84SBWCT1553
PROFESSIONAL LIAR EXCL
11/01/10
11/01/10
EACH OCCURRENCE
s2,000,000
PREMISES (Ea occurrence)
$ 2 , 000 , 000
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
s2,000,000
GENERAL AGGREGATE
$ 4,000,000
GENT AGGREGATE LIMIT APPLIES PER:
POLICY j{ PRO LOC
JECT
PRODUCTS - COMP/OP AGG
$ 4,000,000
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
84TJEGNS8431
11/01/10
11/01/11
COMBINED SINGLE LIMIT
accident)
2 r 000 r 000
X
BODILY NJINJ$
BODILY (Per person)
$
BODILY INJURY (Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
X
$
A
UMBRELLA LIAB
EXCESS]
){
OCCUR
CLAIMS -MADE
84SBWCT1553
11/01/10
11/01/11
EACH OCCURRENCE
$ 1 , 000 , 000
AGGREGATE
$ 1,000,000
DEDUCTIBLE
RETENTION $
g
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY, PROPRIETOR/PARTNER/EXECUTIV
OFFICER)MEMBER'EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
/A
84WEGPa`R 413
11/01/10
11/01/11
X t^/ AT - -
TORY LIMITS ER
—
E.L. EACH ACCIDENT
$ 1 OOO , 000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
DES ON OF OP TIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if space is required)
P1147 SIGNAL TIMING PROGRAM. THE CITY, ITS OFFICERSmore AND EMPLOYEES IN
ACC ITH C0140RADO LAW ARE INCLUDED AS ADDITIONAL INSURED FOR ABOVE
COVERAGES EXCEPT W/C.
CERTIFICATE HOLDER CANCFLLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
CTYFTCO I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
CITY OF FT. COLLINS AUTHORIZED REPRESENTATIVE
ATTN: JAMES B. OrNEILL
PO BOX 580
FTI. COLLINS CO 80522-0580
riahts reserved
ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD