HomeMy WebLinkAbout130088 ICON ENGINEERING INC - INSURANCE CERTIFICATE (6)OP ID EH DATE (MM/DD/YYYY)
ACORD,. CERTIFICATE OF LIABILITY INSURANCE ICONE-1 01/10 11
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 G d Plaza Blvd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
reenwoo
Greenwood Village CO 80111
Phone:303-799-0110 Fax:303-799-0156
INSURED
ICON Engineering Inc
8100 S Akron Street #300
Centennial CO 80112
CnVFROnFR
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.
INS
LTR
INSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MM/DDIYY
POLICY EXPIRATION
DATE MM/DD/YY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE , OCCUR
34SBAPD8771
01/30/11
01/30/12
EACH OCCURRENCE
s2,000,000
PREMISES(Eaoccurence)
$300,000
MED.EXP (Any one person)
$ 10,000
PERSONAL &ADV INJURY
s2,000,000
GENERAL AGGREGATE
$ 4,000,000
GEN'LAGGREGATE LIMIT APPLIES PER:
X POLICY PRO
JECT LOC
PRODUCTS - COMP/OP AGG
$ 4,000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
34UECTZ5511
01/30/11
01/30/12
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"LIADILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
4077567
02/01/11
02/01/121
X I TORY LIMITS ER
E.L. EACH ACCIDENT
$ 100,000
E.L. DISEASE - EA EMPLOYEE
$ 100 r 000
E.L. DISEASE -POLICY LIMIT
$ 500 r 000
OTHER
DEON OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Gen al Consulting Services.
P1044 nsulting Engineering Services W. Orchard Pond and Storm Drainage
roject and Future Stormwater Facilities Minor Capital Improvements.
CERTIFICATE HOLDER GANGtLLA I IUN
City of Fort Collins
Purchasing Department
215 N Mason St 2nd Floor
Fort Collins CO 80522
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.
'U"91RIZED REPRESENJATIVE A 1 / /
ACORD 25 (2001/08)
V AI.UKU L UKYUKA I IUN -11100