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HomeMy WebLinkAbout450906 MULLER ENGINEERING COMPANY - INSURANCE CERTIFICATE (8)Al� tf CERTIFICATE OF LIABILITY INSURANCE 3/17/2011 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 Van Gilder Insurance Corp. ISIS Wynkoop, Suite 200 Denver CO 80202 NAME:IT KathyStar PHONE FAX _(AIC, No,Eatl: - - BSOO AIC,No: - - E-MAIL DRESS: kstarOygiC.Com PRODUCER CUSTOMER to p: MULENG INSURERS) AFFORDING COVERAGE NAICN INSURED INSURERA:XL Specialty Insurance Co. 37885 Muller Engineering Company, Inc. 777 S. Wadsworth, Suite 100 INSURERS: INSURER C: Lakewood CO 80226-3118 INSURER D INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 392946560 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 INSR WVD POLICY NUMBER POLICY EFF MMIOD/YYYY POLICY EXP MMMD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ AMAGFTb-REM COMMERCIAL GENERAL LIABILITY PREMISES Ea orcunence $ VIED EXP(Any one Person) $ CLAIMS -MADE F-IOCCUR PERSONAL S ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ POLICY F-1 JPE`CT n LOC 3 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acodenl) $ ANY AUTO BODILY INJURY (Per person) S ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Peraccident) S $ NON -OWNED AUTOS S UMBRELLA UAB OCCUR EACH OCCURRENCE S AGGREGATE $ EXCESS LU\B CLAIMS -MADE DEDUCTIBLE g $ RETENTION $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNE'EXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ NIA E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYE S (Mandatory in NH) If yes. describe under E.L. DISEASE - POLICY LIMIT S UEBCRIPLCN OF OPERATIONS below A Professional Liability Claims Made 543038 3/11/2011 3/11/2012 Per Claim $1, 000,000 Atnual Aggregate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) If required by written contract or written agreement, City of Fort Collins is included as Additional Insured for ongoing operations under General Liability with respect to the above referenced. City of Fort Collins Attn: James O'Neil 215 North Mason Street, 2nd Floor Fort Collins CC 80522-OS80 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 1�/� /KQ 104i © 1988-2009 ACORD reserved, ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD