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HomeMy WebLinkAbout307110 HDR ENGINEERING INC - INSURANCE CERTIFICATE11.. o CERTIFICATE OF LIABILITY INSURANCE �� 6/v2o12 GATE 7/2011 Y) 5/27/2011 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 policyties) 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 Llxkton Com anies, LLC-1 Kansas City 444 W. 471h Street, Suite 900 Kansas Cityy M0 64112-1906 (816) 960-9000 CONTACT NAME: PHONE A/C No Exit: A A No E-MAIL ADDRESS, INSURERISI AFFORDING COVERAGE NAICp INSURERA: I'lartford Fire Insurance Com anV 19682 INSURED HDR ENGINEERING, INC. 1013472 ATTN: LOUIS J. PACHMAN 8404INDIAN HILLS DRIVE _ OMAHA, NE 68114-4049 _ -. DENVER/R. BRADLEY MARTIN INSURERB: SLPeal Fireendb/ednemsurencc Celnpeny 24767 INSURERC: Sentinel Insurance Company. Ltd. 11000 .Zurich American Insurance Company 16535 INSURER F COVERAGES HDRIN01 SA CERTIFICATE NUMBER: 1916422 REVISION NUMBER: XXXXXXX 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 TYPE OF INSURANCE ADDL INSR SUBR POLICY NUMBER POLICY EFF POLICY EXPIm LIMITS A GENERALLIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS-MADE—x]OCCUR X Contractual Liab. N N 37CSE000950 6/I/2011 6/1/2012 EACH OCCURRENCE 1,000000 DAMAGE TO RENTED PREMISES Ea omuoence 1.0DD.000 MEDEXP(Any oneperson) 10.000 PERSONAL B ADV INJURY $ 1.000 00 GENERAL AGGREGATE $ 1000.000 GENT AGGREGATE LIMIT APPLIES PER: P LI V X JEOT X L PRODUCTS - COMP/OP AGG $ 2.000.000 $ A A AUTOMOBILE LIABILITY ANY AUTO AUTUSNED SCHEDULED UTOS HIRED AUTOS X AUTO WNED N N 37CSE UO951 ((AOS) 37CSE000952(Hp 6/1/2011 6/I/2011 6/1/2012 6/12012 OMBMIEDSINGLELIMIT Eaaccldent - $ 2,000,000 X BODILY INJURY (Per person) S j{XXX} xx BODILY INJURY(Per accident $ XXXXXXX X Perr ao den DAMAGE $ XXXXXXX $ XXXXXXX B X UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE N N OK08001218 ( XCLUDES PROF. LIAR) 6/1/2011 6/1/2012 EACH OCCURRENCE $ 1 000,000 AGGREGATE $ 1,000,000 DIED I X I RETENTION$O $ XXXXXXX C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OF, EXCLUDED? N (Mandat.,.n NH) If yes desnbe unUer DESCRIPTION OF OPERATIONS below NIA A N 91WEOHI000 7/1/2011 7/1/2012 WC STATU- OTH- X T RYLIMITS E L EACH ACCIDENT s 1 DDD D00 E. L. DISEASE - EA EMPLOYEE 1.000,000 E. L. DISEASE -POLICY UNIT is 1,000,000 D ARCHS & ENGS PROFESSIONAL LIABILITY N N EOC9260026-04 6/12011 6/1/2012 PER CLAIM: $1 000,000. AGG: $1,000,000. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1916422 AUTHORIZED REPRESENTATIVE CITY OF FORT COLLINS ATTN: PURCHASING P.O. BOX 580 FORT COLLINS CO 80522 ACORD 25 (2010/05) ©9 6-2010 ACCFDItORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD acoRO° CERTIFICATE OF LIABILITY INSURANCE 6/uzolz DADD 5/27//27/2011 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 endomement(s). PRODUCER Lockton Companies, LLC-1 Kansas City 444 W. 47th Street, Suite 900 Kansas Cityy M0 64112-1906 (816)960-9000 CONTACT NAME: INC,No Eat): FOLK No E-MAIL ADDRESS INSURERS) AFFORDING COVERAGE AIC If INSURERA: Hartford Fire Insurance Company 19682 INSURED HDR ENGINEERING, INC. 1013472 8404 INDIAN HILLS DRIVE OMAHA NE 68114-4049 INSURERS: St Paul Fire and Marine Insurance Company 24767 INSURER C: Sentinel Insurance Com anv, Ltd. 11000 N RER D: Zurich American Insurance Com anv 16535 NSURER INSURER COVERAGES HI)R INOI SA CERTIFICATE NUMBER: 10796277 REVISION NUMBER: XXXXXXX 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 INSR SUER MD POLICY NUMBER POLICY EFF MM/DD POLICY EXP LIMITS A GENERAL LIABILITY NI N 37CSE000950 6/1/2011 6/1/2012 EACH OCCURRENCE 1,000,000 PREMGESE.omurrence 1000000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any oneperson) 10,000 CLAIMS -MADE Fx_1 OCCUR PERSONAL a ADV INJURY $ 1,000,000 X Contractual Liab, GENERAL AGGREGATE s 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/DP AGG s 2000,000 POLICY M PECOT X LOG $ A A AUTOMOBILE LIABILITY ANY AUTO N N 37CSE000951 ((ADS) 37CSE000952(HI) 6/1/2011 6/1/2011 6/1/2012 6/1/2012 COMBINED SINGLE LIMIT Ea accident s 2,000,000 X BODILY INJURY (Per person) $XXXXXXX AUTOWNED AUTOS LED BODILY INJURY (Per accident $ XXXXXXX X PROPERTY acEciden DAMAGE $ Xx.X.X.X.X.X. HIRED AUTOS X AUTOSWNED $XXXXXXX B )( UMBRELLA LIAR X OCCUR N 1N 6/1/2011 6/1/2012 EACH OCCURRENCE $ 1,000,000 EXCESS LIAR CLAIMS -MADE (K08001218 (C-XCLUDES PROF. LIAB) AGGREGATE s 1,000,000 DED I X I RETENTION$0 $ XXXXXXX C WORKERS COMPENSATION AND EMPLO ERS'LABILIITY YIN OFFICER/MEMBER EXCLUDED? PROPRIETOPIPARTNE�ECUrIVE (Mandatory In NH) R yea duscHbs undo DESCRIPTION OF OPERATIONS below NIA N 91WEOH1000 7/1/2011 7/1/2012 X TWORYTIMIT LI OTH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE 1,000,000 E L DISEASE- POLICY LIMIT 1, 1000000 D ARCHS & ENGS PROFESSIONAL N N EOC9260026-04 6/1/2011 6/1/2012 PER CLAIM: $1,000,000. AGG: $1,000,000. LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I(AUach ACORD let, Additional Remarks Schedule, if more space is required) RE: 7077 LINDEN STREET STREETSCAPES PROJECT. CITY OF FORT COLLINS IS NAMED AS ADDITIONAL. INSURED ON GENERAL LIABILITY AS PER WRITTEN CONTRACT, ON A PRIMARY, NON-CONTRIBUTORY BASIS. WAIVER OF SUBROGATION APPLIES WHERE APPLICABLE BY LAW. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10786277 AUTHORIZED REPRESENTATIVE CITY OF FORT COLLINS ATTN: JAMES O'NEIL 215 NORTH MASON STREET, 2ND FLOOR PO BOX 580 FORT COLLINS CO 80522 ACORD 25 (2010105) ©9 8-2010 ACCFD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD 4COREY CERTIFICATE OF LIABILITY INSURANCE `� 6/1/2012 DATE 5/27/2011 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 Lockton Companies, _LC-1 Kansas City 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816) 960-9000 CONTACT IAX AIC No Ex : A C No): EMAIL ADD INSURERISI AFFORDING COVERAGE NAIC N INSURER A: Hartford Fire Insurance Company 19682 INSURED HDR ENGINEERING, INC. 10IJ472 8404 INDIAN HILLS DRIVE OMAHA NE 681144049 INSURER B: Sr Paw Fire and Marine lnaarance C..,.rY 24767 INSURER C: Sentinel Insurance Company, Ltd. 11000 Zurich American Insurance Company 16535 FNRE INSURER P COVERAGES Hn R I N 0 1 SA CERTIFICATE NUMBER: 10794893 REVISION NUMBER: XXXXXXX 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. ILTR TYPE OF INSURANCE ANDL SUBR POLICY NUMBER POLICY EFF 6/1/2011 POLICY EXP 5/1/2012 LIMITS A GENERAL LIABILITY N N 37CSE000950 EACH OCCURRENCE 1,000.000 PREMGEES (ETO dEORTwED nce 1.000.000 X COMMERCIAL GENERAL LIABILITY MED EXP (My one pers.ro s 10,000 CLAIMS -MADE M OCCUR PERSONAL 8 ADV INJURY $ 1.000.000 X Contractual Llab. GENERAL AGGREGATE $ 2.000,000 GENLAGGREGATE LIMITAPPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,000 P LI V X PRO-JECT FX7 L $ A A AUTOMOBILE LIABILITY ANY AUTO N N 37CSEQU0951 ADS) 37CSE000952(HI) 6/1/2011 6/I/2011 6/1/2012 6/I/2012 COMBINED SINGLE LIMIT Eaaccddern $ 2.000,000 X BODILY INJURY(Perpersonl $ XXj(](XXX AALL UTOS NED SAICITOSULED BODILY INJURY (Per accident s XXXXXXX X PS accd DAMAGE s XXXXXXX HIRED AUTOS X AUTOSWNED $XXXXXXX B X UMBRELLA LIAB X OCCUR N N OK08001218 5/1/2011 6/1/2012 EACH OCCURRENCE s 1,000000 EXCESS LIAB CLAIMS -MADE (EXCLUDES PROF. LIAB) AGGREGATE s 1,000.000 DED I X 1 RETENTION $0 $ XXXXXXX C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOWPARTNERIE%ECUTIVE IMFICERIMEMBER EXCLUDED? N andidary In NH) It yes descdne under DESCRIPTION OF OPERATIONS... NIA N 91WEOHI000 7/1/2011 7/1/2012 WC STATU- OTH- X TORVLIMITS EL EACH ACCIDENT s 1,000,000 FL. DISEASE - EA EMPLOYEE 1,000.000 EL DISEASE -POLICY LIMIT 1,000,000 D ARCHS&ENDS PROFESSIONAL N N EOC9260026-04 6/1/2011 6/1/2012 PER CLAIM. SI,o00,000. AUG $1,000,000. LIABILITY DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES IIAUach ACORD 101, Additional Remarks Schedule, if more space is required) RE: LINDEN STREET STREE'I'SCAPES PROJECT - REPLACEMENT INS CERTIFICATE. CITY OF PORT COLLINS AND COLORADO DEPARTMENT OF TRANSPORTATION ARE NAMED AS ADDITIONAL INSURED ON GENERAL LIABILITY AS PER WRITTEN CONTRACT, ON A PRIMARY, NON-CONTRIBUTORY BASIS. WAIVER OF SUBROGATION APPLIES WHERE APPLICABLE BY LAW. 10794883 CITY OF FORT COLLINS ATTN: JOHN STEPHENS 215 NORTH MASON STREET, 2ND FLOOR FORT COLLINS CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 25 (2010/05) The ACORD name and logo are registered marks of ACORD All rights reserved