No preview available
HomeMy WebLinkAbout130088 ICON ENGINEERING INC - INSURANCE CERTIFICATE (5)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID EH DATE(MM/DD/YYYY) ICONE-1 10 07 l0 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Cherry Creek Ins. Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Suite 500 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 5660 Greenwood Plaza Blvd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Greenwood Village CO 80111 Phone:303-799-0110 Fax:303-799-0156 INSURED ICON Engineering Inc 8100 S Akron Street #300 Centennial CO 80112 COVERAGES INSURERS AFFORDING COVERAGE NAIC # INSURER A: The Hartford Insurance Group 22357 INSURER B: Pinnacol Assurance 41190 INSURER C: INSURER D: 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. IN LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2 , 000,000 A X COMMERCIAL GENERAL LIABILITY I CLAIMS MADE L� OCCUR 34SBAPD8771 01/30/10 01/30/11 PREM,SFS(Eaoccurence) rMED EXP (Any one person) �$ $_300,000 10,000 PERSONAL & ADV INJURY $2,000,000 GENERAL AGGREGATE s4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG $4r000,000 X7 POLICY JECT PRO LOC A AUTOMOBILE LIABILITY ANY AUTO 34UECTZ5511 01/30/10 01/30/11 COMBINED SINGLE LIMIT (Ea accident) $ 1 OOO OOO r X BODILY INJURY (Per person) � $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS X BODILY INJURY $ X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND EMPLOYERIETORI ARITY ANY PROPRIETOR/PARTNER/EXECUTIVE 4077567 02/01/10 r 02/01/11 j X 1 Tf�_Rl' Lf��il_TS!ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE -EA EMPLOYEE $ 100 , 000 OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 500 , OOO OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Re: 10-028-FCB-415 - Fort Collins Master Plan Hydrology Update Fossil Creek Basin CERTIFICATE HOLDER CANCELLATION City of Fort Collins Attn: Susan Hayes 700 Wood Street Ft. Collins CO 80521 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 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. ACORD 25 (2001/08) © ACORD CORPORATION 1988 OP ID EH ACORD CERTIFICATE OF LIABILITY INSURANCE ID ICONE-1 DATE (MMIDDIYYYY) to 07 to PRODUCER Cherry Creek Ins. Agency, Inc. Suite 500 5660 Greenwood Plaza Blvd. Greenwood Village CO 80111 Phone: 303-799-0110 Fax:303-799-0156 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 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 NAIC # INSURED ICON Eng s�neering Inc 8100 S Akron Street #300 Centennial CO 80112 INSURER A: The Hartford Insurance Group 22357 INSURERB: Pinnacol Assurance 41190 INSURER C: INSURERD: 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. IN RPOLICY LT R NSR TYPE OF INSURANCE NUMBER POLICY LI Y EFFE TIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 17 OCCUR 34SBAPD8771 01/30/10 01/30/11 EACH OCCURRENCE s2,000,000 PREMISES (Ea occurence) $300,000 MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY s2,000,000 GENERAL AGGREGATE s4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PROECT LOC J PRODUCTS - COMP/OP AGG s4,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 34UECTZ5511 01/30/10 01/30/11 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR F_ICLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ B WORKERS COMPENSATION AND EMPLOYERTUTY ANY PRO PRIEIETCR/OR/PARTNER/EXEC UTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below 4077567 02/01/10 02/01/11 X TORY LIMITS ER E.L. EACH ACCIDENT $100,000 E.L. DISEASE - EA EMPLOYEE $ 100 , 000 E.L. DISEASE -POLICY LIMIT 1 $ 500 , 000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS' Re: 10-029-MLB-415 - Fort Collins Master Plan Hydrology Update McClellands Creek Basin l.th(I 11'II..A I C tIVLUCK L ANL r_LLA I IVI I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins Attn: Susan Hayes 700 Wood Street Ft. Collins CO 80521 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 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. J ACORD 25 (2001/08) © ACORD CORPORATION 1988 OP ID EH ACORD CERTIFICATE OF LIABILITY INSURANCE ICONE-1 DATE (MMIDDIYYYY) 1 10/07/10 PRODUCER Cherry Creek Ins. Agency, Inc. Suite 500 5660 Greenwood Plaza Blvd. Greenwood Village CO 80111 Phone: 303-799-0110 Fax: 303-799-0156 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 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 NAIC # INSURED ICON Engineering Inc 8100 S Akron Street #300 Centennial CO 80112 INSURER A: The Hartford Insurance Group 22357 INSURER B: Plnnacol Assurance 41190 INSURER C: INSURERD: 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. N LTR NSR TYPE OF INSURANCE POLICY NUMBER POLI Y EFFE TIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR 34SBAPD8771 01/30/10 01/30/11 EACH OCCURRENCE $2,000,000 PREMISES(Eaoccurence) $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY s2,000,000 GENERAL AGGREGATE s4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X I POLICY F PROJECT F LOC PRODUCTS - COMP/OP AGG s4,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 34UECTZ5511 01/30/10 01/30/11 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X. BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below 4077567 02/01/10 02/01/11 X TORY LIMITS — E.L. EACH ACCIDENT 1$ $ 100,000 E.L. DISEASE -EA EMPLOYEE $ 100 , 000 E.L. DISEASE - POLICY LIMIT I $ 500 , 000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Re: 10-030-FMB-415 - Fort Collins Master Plan Hydrology Update Fox Meadow Basin CERTIFICATE HOLDER CANCELLATION City of Fort Collins Attn: Susan Hayes 700 Wood Street Ft. Collins CO 80521 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOP DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 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. lLTMMZED REPRESENTATIVE A ACORD 25 (2001/08) U ACORD GURPORATIUN 19SS OP ID EH ACORD CERTIFICATE OF LIABILITY INSURANCE ICONE-1 DATE (MMIDD/YYYY) 1 10/07/10 PRODUCER Cherry Creek Ins. Agency, Inc. Suite 500 5660 Greenwood Plaza Blvd. Greenwood Village CO 80111 Phone: 303-799-0110 Fax:303-799-0156 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 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 NAIC # INSURED ICON Engsneering Inc 8100 S Akron Street #300 Centennial CO 80112 INSURER A: The Hartford Insurance Group 22357 INSURER B: Pinnacol Assurance 41190 INSURER C: 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. INS LTR IINSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY IPOLI Y EXPIRATION DATE MM/DD/YY LIMITS A ' - GENERAL LIABILITY X COMMERCIALGENERAL LIABILITY CLAIMS MADE 17 OCCUR 34SBAPD8771 01/30/10 01/30/11 EACH OCCURRENCE s2,000,000 PREMISES(Eaomalccurence) $ 300,000 MED EXP (Any one person) $ 10,000. PERSONAL BADVINJURY $2,000,000 GENERAL AGGREGATE s4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY 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 34UECTZ5511 01/30/10 01/30/11 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMSMADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ B WORKERS COMPENSATION.AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below 4077567 02/01/10 02/01/11 X TORY LIMITS ER E.L. EACH ACCIDENT $100,000 E.L. DISEASE - EA EMPLOYEE $ 100 , 000 E.L. DISEASE -POLICY LIMIT 1 $ 500 , 000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Re:10-031-WVB-415 - Fort Collins Master Plan Hydrology Update West Vine Basin CERTIFICATE HOLDER CANCELLATION City of Fort Collins Attn: Susan Hayes 700 Wood Street Ft. Collins CO 80521 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 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. I ZED REPRESE ATIVE /J ACORD 25 (2001/08) U ACORD CORPORATION 1988