Loading...
HomeMy WebLinkAbout110168 U S ENGINEERING CO - INSURANCE CERTIFICATE (6)OP ID: GB CERTIFICATE OF LIABILITY INSURANCE DA 07/14DYvrY) onlan 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 816-842-4800 CONTACT Thomas McGee, L.C. 816-472-5018 P.O. Box 419013 Kansas City, MO 64141-6013 Doug Joyce PHONE PAX /C No): A/C No Est: A/C, E-MAIL ADDRESS:PRODUCER CUSTOMER,, USENG-1 INSURERS AFFORDING COVERAGE NAICN INSURED U.S. Engineering Company INSURERA: Liberty Insurance Corp 3433 Roanoke Road INSURER B: Liberty Mutual Fire Ins Co` Kansas City, MO 64111 INSURERC: Navigators Insurance Co' INSURER D : INSURER E INSURER F 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. INSR LTR TYPE OF INSURANCE ADOL SUBR POLICY NUMBER MMIDDPOLICY /YYYY MWDD/YVYV LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxI OCCUR X XCU TB7Z91457358-011 07/31/11 07/31/12 EACH OCCURRENCE $ 1,000,00 DRANIA Ea occuleancel $ 300,00 MED EXP (Any one person) $ 10,00 PERSONAL S ADV INJURY $ 1,000,00 X Blkt Contractual GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER POLICY X I PRO LOC PRODUCTS - COMPIOP AGO $ 2,000,00 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS AS2Z91457358031 07/31/11 07/31/12 COMBINED SINGLE LIMIT $ 1,000,00 X ILY INJ BODILY BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X $ $ C X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE SE11EXC7127291V `- 07/31111 �� 07131/12 EACH OCCURRENCE $ 5,000,00 AGGREGATE $ 6,000,00 _ DEDUCTIBLE RETENTIONS $ $ X $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORrPARTNER/EXECUTIVE Y OFFICLWMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A WC2Z91457358021 07/31/11 07/31/12 X I WC STATU- OTH- ER EL EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 EL DISEASE -POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if nwre space is required) All operations conducted by the insured. FORTC01 City of Fort Collins P O Box 580 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. AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD