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Home My WebLink About102630 AYRES ASSOCIATES INC - INSURANCE CERTIFICATE (3)1COR0® CERTIFICATE OF LIABILITY INSURANCE �� DAM -9"/201YY7 03/1IN 03/15/2011 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 1-262-792-1710 CONTACT NAME: Arthur J. Gallagher Risk Management Services, Inc. PHONE FAX INC.No: E-MAIL ADDRESS: 18000 W. Sarah Lane PRODUCER CUSTOM Brookfield, WI 53045 INSURERS AFFORDING COVERAGE NAICa Kathy Kraus 715-301-9330 INSURED INSURER A: TRAVELERS IND CO OF AMER 25666 AYRES ASSOCIATES INC INSURER B: TRAVELERS PROPERTY CAS CO OF AMER 25674 INSURER C: TRAVELERS PROP CAS CO OF AMER 25674 PO BOX 1590 INSURER D: EAU CLAIRE, WI 54702-1590 ' INSURER E: ' INSURER F : COVERAGES CERTIFICATE NUMRER- 20142346 RFVISION NIIMRFR- 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. INBR LTR TYPE OF INSURANCE ADOL SUBR POLICY NUMBER MWDDNYY POLICY EXP LIMITS A GENERAL LIABILITY P6302183P260TIAll 01/01/11 01/01/12 EACHOCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxI OCCUR OR oc D PREMISES _RI5NT REMI E 100,000 MED EXP (Anyone person) $ 5,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATELIMITAPPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO LOC $ B AUTOMOBILE LIABILITY ANY AUTO P8103790P12STIL11 01/01/1 01/01/12 COMBINED SINGLE LIMIT (Ea accident) $ 11000,000 X BODI LY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ X SCH EDULED AUTOS HIREDAUTOS PROPERTY DAMAGE (Per accident) $ $ X NON -OWNED AUTOS f B UMBRELLA LIAR X JOCCUR PSMCUP3790P149TIL11 01/01/Si 01/01/12 EACH OCCURRENCE E 5,000,000 AGGREGATE $ 5,000,000 EXCESS LIAR CLAIMS -MADE DEDUCTIBLE $ $ X RETENTION $ 0 A E C WORKERS COMPENSATION AND EMPLOYERS' LIABILITYITO ANY PROPRIETORIPARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? ❑ (Mandatary In NH) N/A PDTCEUB2522P94411 (FL 6 PJUB2528P88111 (AOS) PJUB2454P76A31 (CA-.) 1)01/O1/11 01/01/11 01/01/11 01/01/12 01/01/12 01/01/12 X WC STATU- OTH- E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 If yes, d.riba under DESCRIasPTION OF OPERATIONS below I E.L. DISEASE -POLICY LIMIT $ 500,000 ..�IFORBIIA-III LMTS APPLY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101. Additional Remarks Schedule, It more space Is required) RE: WASTEWATER COLLECTION SYSTEM - 2011 CITY WIDE INFLOW AND INFILTRATION STUDY (AYRES- 161 2011-1) CITY OF FORT COLLINS SHOULD ANY OF THE ABOVE DESCRIBED. POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCOUNTING DEPARTMENT, ACCORDANCE WITH THE POLICY PROVISIONS. ATTN: OPAL DICK PO BOX 580 AUTHORIZED REPRESENTATIVE FORT COLLINS, CO 80522-0580 I ,y/Je,•// USA I kkraus n inAR.2nnQ Ar.nPn CrTRDnDATH1M All �in6ic �mm�.aH ACORD 25 (2009109) 20142346 The ACORD name and logo are registered marks of ACORD 3:4