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Home My WebLink About489486 TUV RHEINLAND - INSURANCE CERTIFICATEOP ID: SK AID O CERTIFICATE OF LIABILITY INSURANCE DAT06/24O/YYYY) os/zan 1 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 endorsements . PRODUCER 203-7024700 Rose & Kiernan, Inc. (Danbury) 203-7024759 Lee Farm Corporate Park 83 Wooster Heights Road - Danbury, CT 06810 CONTACT PHONE F INC No EXJJ- �f No: E-MAIL ADDRESS PRODUCER .TUVRH-2 INSURERS AFFORDING COVERAGE NAILA INSURED TUV Rheinland North America Holding, Inc. 1300 Massachusetts Ave,Ste103 Boxborough, MA 01719 INSURER A:Travelers Property Casualty 341 INSURER B;HDI-Gerfing America Ins Co. INSURER C: INSURER D INSURER E COVERAGES CERTIFICATE NUMBER: 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. INSft rypE OFINSURANCE ADDL SUB pOLC N MB POLICY ESE POUCYEXP imminDITYYCI LIMITS B GENERAL UNEHUTY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxIOCCUR X Ded$330,000 GLD1152901 01/01/11 07/01/12 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 100,00 MED EXP(Any one person) $ 5,00 PERSONAL B ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 1,000,00 GEN'L AGGREGATE POLICY LIMIT APPLIES PER: PRO- LOC PRODUCTS - COMPIOP ASS $ 1,000,00 Emp Ben. $ 1,000,00 A AUTOMOBILE UABIUTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-0WNEDAUTOS P8103343P614TIL11 01/01111 01/01/12 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ B UMBRELLA UAB EXCESS UAS X OCCUR CLAIMSd1ADE CUD11530-01 ovovll ovovlz EACH OCCURRENCE $ 4,000,00 AGGREGATE $ 4,000,00 DEDUCTIBLE RETENTION 5/ 330,000 $ X $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE E OFFICEWMEMBER EXCLUDED? (Mandatory In NH) tt yes, descdbe under DESCRIPTION OF OPERATIONS below NIA UB328OP50610 01/01111 01101/12 WC STATU- OTH- T RY M E.L. EACH ACCIDENT $ 1,000,00 E1, DISEASE-EAEMPLOYE $ 1,000,00 E.L. DISEASE -POLICY LIMIT $ 1,000,00 B Professional Liab Claims Made GLD71531-01 DED $330,000 01/01/11 01/01/12 Occurrent 1,000,00 Aggregate 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Addidonal Remands Schedule, U morespace is required) Project: 7218 ISO 14001 Audit Services The City of Fort Collins, its officers and employees as an additional insured with respect to General Liability but only as required by written contracVagreement. CERTIFICATE HOLDER CANCELLATION CITYF08 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City of Fort Collins tY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing Division PO BOX 580 Fort Collins, CO 80522 AUTHORIZEDREPRESENTATIVE 9)1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD OP ID: SK AID O CERTIFICATE OF LIABILITY INSURANCE DAT06/24O/YYYY) os/zan 1 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 endorsements . PRODUCER 203-7024700 Rose & Kiernan, Inc. (Danbury) 203-7024759 Lee Farm Corporate Park 83 Wooster Heights Road - Danbury, CT 06810 CONTACT PHONE F INC No EXJJ- �f No: E-MAIL ADDRESS PRODUCER .TUVRH-2 INSURERS AFFORDING COVERAGE NAILA INSURED TUV Rheinland North America Holding, Inc. 1300 Massachusetts Ave,Ste103 Boxborough, MA 01719 INSURER A:Travelers Property Casualty 341 INSURER B;HDI-Gerfing America Ins Co. INSURER C: INSURER D INSURER E COVERAGES CERTIFICATE NUMBER: 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. INSft rypE OFINSURANCE ADDL SUB pOLC N MB POLICY ESE POUCYEXP imminDITYYCI LIMITS B GENERAL UNEHUTY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxIOCCUR X Ded$330,000 GLD1152901 01/01/11 07/01/12 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 100,00 MED EXP(Any one person) $ 5,00 PERSONAL B ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 1,000,00 GEN'L AGGREGATE POLICY LIMIT APPLIES PER: PRO- LOC PRODUCTS - COMPIOP ASS $ 1,000,00 Emp Ben. $ 1,000,00 A AUTOMOBILE UABIUTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-0WNEDAUTOS P8103343P614TIL11 01/01111 01/01/12 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ B UMBRELLA UAB EXCESS UAS X OCCUR CLAIMSd1ADE CUD11530-01 ovovll ovovlz EACH OCCURRENCE $ 4,000,00 AGGREGATE $ 4,000,00 DEDUCTIBLE RETENTION 5/ 330,000 $ X $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE E OFFICEWMEMBER EXCLUDED? (Mandatory In NH) tt yes, descdbe under DESCRIPTION OF OPERATIONS below NIA UB328OP50610 01/01111 01101/12 WC STATU- OTH- T RY M E.L. EACH ACCIDENT $ 1,000,00 E1, DISEASE-EAEMPLOYE $ 1,000,00 E.L. DISEASE -POLICY LIMIT $ 1,000,00 B Professional Liab Claims Made GLD71531-01 DED $330,000 01/01/11 01/01/12 Occurrent 1,000,00 Aggregate 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Addidonal Remands Schedule, U morespace is required) Project: 7218 ISO 14001 Audit Services The City of Fort Collins, its officers and employees as an additional insured with respect to General Liability but only as required by written contracVagreement. CERTIFICATE HOLDER CANCELLATION CITYF08 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City of Fort Collins tY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing Division PO BOX 580 Fort Collins, CO 80522 AUTHORIZEDREPRESENTATIVE 9)1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD