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Home My WebLink About110168 U S ENGINEERING CO - INSURANCE CERTIFICATE (7)OP ID: GB CERTIFICATE OF LIABILITY INSURANCE °AT07/14�t1"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 endorsements . PRODUCER 616-8424800 CONTACT PNONE FAX AIC No E,dV P/C No: Thomas McGee, L.C. 816472-5018 P.O. Box 419013 Kansas City, MO 64141-6013 Doug Joyce E-MAIL ADDRESS: PRODUCER USENG-1 CUSTOMER ID p: INSURERS AFFORDING COVERAGE NAIC Y INSURED U.S. Engineering Company INSURERA: Liberty Insurance Corp 729 SE 8th Loveland, CO 80537 INSURERS: Liberty Mutual Fire Ins Co" INSURERC: Navigators Insurance Co' INSURER D: Travelers Prop. Cas. of Amer.' INSURER E NSURERF: 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 IN UB POLICY NUMBER EFF MMIDDM'YY MM/ODPOLICY Y EXP /YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE O OCCUR X TB7Z91457358-011 07/31/11 07/31/12 EACH OCCURRENCE $ 1,000,00 AMA E T R N PREMISES Ea occurrence $ 300,00 MED EXP (Any one person) $ 10,00 PERSONAL B ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER POLICY X PRO- LOC PRODUCTS - COMP/OP AGG $ 2,000,00 $ B AUTOMOBILE LIABILITY ANYAUTO - ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-0 WNED AUTOS AS2Z91457358031 07131/11 07/31/12 COMBINED SINGLE LIMIT i $ 1,000,00 X BODILY INJURY BODILY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ C X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMSAIADE SE11EXC7127291V 07131/11 07/31/12 EACH OCCURRENCE $ 5,000,00 AGGREGATE $ 5,000,00 DEDUCTIBLE RETENTION $ $ X $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITYJL ANY PROPMETOR/PARTNER/EXECUTIVEYIN OFFICER/MEMBER EXCLUOEC9 FN] (Mandatory in NH) If yes, desrsibe under DESCRIPTION OF OPERATIONS be. NIA C2Z91457358021 07/31/11 07/31112 X WRY "T OTH- E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 I E.L. DISEASEPOLICYLIMIT $ 1,000,00 p Leased/Rented Equipment Q76302786C871TIL11 07/31/11 07/31/12 Limit 200,00 Ded 5,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certholder is named additional insured with respects to general liability for all operations performed by the insured for the certholder. CITYFT2 City of Fort Collins Dir. of Purchasing & Risk Mgt. 256 W. Mountain Avenue Fort Collins, CO 80521 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 U 19BB-Z009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD