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Home My WebLink About109888 INSITUFORM TECHNOLOGIES INC - INSURANCE CERTIFICATE (10)ACORD° CERTIFICATE OF LIABILITY INSURANCE �i 7/vzolz DATE(MMIDDYYY) /Y6/28/2011 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,LLC-1 St. Louis Three CitSy Place Drive, Suite 900 St. LOWS MO 63141-7061 (314)432-0500 CO TA T NAME: A/C No Er[ : A HONE AC No E-MAIL ADDRESS INSURERINSURERSI AFFORDING COVERAGE NAICN INSURER A: Liberty Mutual Fire Irnnrts Company(64) 23035 INSURED Insltuform Technologies, Inc. 1041932 17988 Edison Avenue Chesterfield MO 63005 INSURER B: Liberty Insurance Corporation (64) 42404 INSURER C IN 0.E N RE INSURER F: Cr1VFRARFS INSTFO? 79i YCFRTIFICATF NLIMPi '1731597 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 SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDD/YYYY LIMITS A GENERAL LIABILITY Y N TB2-641-004218-031 7/1/201I 7/l20I2 EACH OCCURRENCE 2,000,000 PREMGETOEeo¢ED.,. 350000 A A X COMMERCIAL GENERALLIABILITY CLAIMS -MADE X❑ OCCUR BROAD FORM PD/CONTRAC' PER PROJECT AGG. CAP $201, UAL MED EXP (My oneperson) 10,000 PERSONAL It ADV INJURY $ 2,000,000 X Indeoendt Contractor X XCU GENERAL AGGREGATE $ 4,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 4,000,000 POLICY O- X JPERCT LOC $ A AUTOMOBILE LIABILITY Y N AS2-641-004218-021 7/1/2011 7/12012 COMBINED eeBBIN 01 SINGLE LIMIT a 2000000 X BODILY INJURY (Per person) $ XXXXXXX ANY AUTO AUTOS AWNED UTOSULEO BODILY INJURY (Per accident $ XXXXXXX fps, AA�o DAMAGE $ XXXXXXX HIREDAUTOB NON -OWNED $XXXXXXX UMBRELLA LIAR OCCUR EACH OCCURRENCE $ XXXXXXX EXCESS LIAR CLAIMS -MADE NOTAPPLICABLE AGGREGATE It XXXXXXX DIED I I RETENTION $ $ B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORPARTNERAD(ECUTIVE Y❑ OFFICERIMEWER EXCLUDEDI N (Mandatary In NH) It yes desodbe under DESCRIPTION OF OPERATIONS.1. NIA N WA7-64D-009004-441 WC7-641-0042I8-011 (WI &O 7/I/2011 )7/1/2011 7/12612 7/1/2012 -E.L. WC STATU- OTH- X TORV LIMITS EACH ACCIDENT $ 1,000,000 EL DISEASE - EA EMPLOYEE is 1000000 E.L. DISEASE -POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I(Anach ADDED 101. Additional Remarks Schedule, if more space is required) RE: P-763, CIPP SANITARY AND STORM SEWERS (3RD YEAR OF TERM). THE CITY OF FORT COLLINS, ITS OFFICERS, AGENTS AND EMPLOYEES ARE ADDITIONAL INSUREDS UNDER GENERAL LIABILITY AND AUTOM0131LE LIABILITY AS REQUIRED BY WRITTEN CONTRACT, BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF THE NAMED INSURED'S OPERATIONS X 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. 3731597 AUTHORIZED REPRESENTATIVE CITY OF FORT COLLINS 215 N. MASON STREET FORT COLLINS CO 80524 ACORD 25 (2010/05) @1988-1044tAGIURD CO RA ON. All rights reserved Tha ACnRn nnma and Innn Ara rpnicfprad mprtrc of Ampn acoRo° CERTIFICATE OF LIABILITY INSURANCE 7n2o1z DATE(628/2012011 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 endomement(s). PRODUCER Lockton Companies,LLC-1 St. Louis Three Cit{y Place Drive, Suite 900PHONE St. LDBIB MO 63141-7031 (314) 432-0500 NAME: No Ext : A FAX No E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAICN INSURERA: Liberty Mutuu Firelnsurance Compsny(baJ 23035 INSURED InSIWform Technologies, Inc. 1041932 17988 Edison Avenue Chesterfield MO 63005 INSURER B: Liberty Insurance Corporation (64) 42404 INSURER C : INSURER D : IN URER E: N RER F: COVFRAGFS INSTF02 223KERTIFICATE NUMBER. 2660597 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 N'VD POLICY NUMBER POLICY EFF fMM/DO/YYYY POLICY EXP MMIDDrYYYY LIMITS A GENERAL LIABILITY Y N 'FB2-641-004218-031 7/1/2011 7/1/2012 EACH OCCURRENCE 2,000,000 DAMAGE TO RENTED PREMISES Ea o¢unence 350 000 A A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx] OCCUR BROAD FORM PD/CONTRAC PER PROJECTAGG. CAP $20N UAL MED EXP (Any oneperson) 10,000 PERSONAL S ADV INJURY s 2,000,000 X Independl Contractor X XCU GENERAL AGGREGATE $ 4,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMPIOP AGG s4000000 O- POLIGY X JPERCT F I LOC $ A AUTOMOBILE LIABILITY Y N AS2-641-004218-021 7/I/2011 7/l/2012 COMBINED [SINGLE LIMITCa a 2,000,000 X BODILY INJURY (Per person) $ XXXXXXX ANY AUTO AUTOS NED AUTOSULED BODILY INJURY (Per accident $ XXXXXXX PROPERTY a DAMAGE $ XXXXXXX HIRED AUTOS AUTOSWNED s XXXXXXX UMBRELLA LIAB OCCUR EACH OCCURRENCE s XXXXXXX EXCESS LIAB CLAIMS -MADE NOTAPPLICABLE AGGREGATE 8 XXXXXXX OEO I I RETENTION $ $ I B B WORKERS COMPENSATION AND EMPLOYERS'LABILIITY YIN ANVPROPRIETOR/PARTNERF ECUTIVE OFFICER/MEMBER E%CLUDEDi N IMandaton• in NH) It yes describe Under DESCRIPTION OF OPERATIONS... NIA N WA7-64D-009004-441 WC7-641-004218-011 (WI &O I 7/1/2011 )7/I/2011 7/12012 7/1/2012 X TORY LIIMITS ER EL. EACH ACCIDENT $ 1 DDD ODD EL. DISEASE- EA EMPLOYEE 1 000000 E.L. DISEASE -POLICY LIMIT Is 1000000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES /(Attach ACORD 1al, Additional Remarks Schedule, if more space is required) RE: P-1022, CURED -IN -PLACE PIPE SANITARY AND STORM SEWERS. THE CITY OF FORT COLLILNS, ITS OFFICERS. AGENTS AND EMPLOYEES ARE ADDITIONAL INSUREDS UNDER GENERAL LIABILITY AND AUTOMOBILE LIABILITY AS REQUIRED BY WRITTEN CONTRACT, BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF THE NAMED INSURED'S OPERATIONS. XX CERTIFICATE HOLDER CANCELLATION 2660597 CITY OF FORT COLLINS 215 N. MASON STREET FORT COLLINS CO 80524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Tho ACf1Rn npmp and Innn nrp henicfprpd merkQ of ACrIRD All rights reserved