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HomeMy WebLinkAbout211762 HINES IRRIGATION CONSULTANTS INC - INSURANCE CERTIFICATE (2)CERTIFICATE OF LIABILITY INSURANCE MID 1�4�2011D�Y' 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 - Van Gilder Insurance Corp. 1515 Wynkoop, Suite 200 Denver CO 80202 CONTACT NAME: Dawn Gaba an PHONE FAX A/C No Ext: - - A/C No: - - ADDRESS: dqabayan@vqic.com PRODUCER CUSTOMER ID#: HININC INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Travelers Insurance 0 Hines Irrigation Consultants, Inc. 323 W. Drake Road INSURER B: Travelers Casualty & Surety CO 0 INSURERC.: Fort _Collins_ CO_80526_ ^_ INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 141;R7211 S1 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. INSR LTR TYPE OF INSURANCE ADDL I SUBR POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DDIYYYY LIMITS A GENERAL LIABILITY 6807544M320IND10 12/31/2010 12/31/2011 EACH OCCURRENCE $1,000,000 COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1XI OCCUR DAGE ToX PREMISES Ea occurrence) $300,000 MED EXP (Any one person) $5, 000 PERSONAL BADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'LA GGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRO, LOC $ A AUTOMOBILE LIABILITY 6807544M320IND10 12/31/2010 12/31/2011 COMBINED SINGLE LIMIT (Ea accident) $Included ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ X SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Per accident) $ $ X NON -OWNED AUTOS $ ELLAtAB OCCUR 'EACH OCCURRENCE $ AGGREGATE $ SS LIAB E CLAIMS -MADE CTIBLE $ $ RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE "OFFICERIMEMBER EXCL'UDED7 N / A XVMPFUB2402T94910 12/31/2010 12/31/2011 X WCSTATU- OTH- Y IMITfL E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYE _ $1,000,000 (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT 1 $1,000,000 DESCRIPTION OF OPERATIONS below B Professional Liability 105386520 12/31/2010 12/31/2011 Per Claim $1,000,000 Claims Made Annual Aggregate $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) If required by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The Certificate Holder and Owner are included as Additional Insureds for ongoing and completed operations under General Liability and Automobile Liability See Attached... City of Fort Collins;Attn: John Stephen, CPPO CPPB; Senior Buyer 215 N Mason Rd Fort Collins CO 80521 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE �/j�� - ©1988-2009 ACORD CORPORATION: All riohts reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: HININC LOC #: ACO OR L ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY Van Gilder Insurance Corp. NAMEDINSURED Hines Irrigation Consultants, Inc. 323 W. Drake Road Fort Collins CO 80526 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: AUUI I IUNAL THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, I FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE This insurance will apply on a primary, non-contributory basis. Per project aggregate applies to General Liability. A Blanket Waiver of Subrogation applies for General Liability, Automobile Liability and Workers' --Compensation. Limited Contractual Liability is included. 101120081011 © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD