HomeMy WebLinkAbout475160 PIE FORENSIC CONSULTANTS - INSURANCE CERTIFICATE (2)Clientlt 111420
30PIEFORE
ACORD,. CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIooIYYYY)
9/07/2011
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
BBVA Compass Ins. Agency, Inc.
Denver Office
8100 E Arapahoe Road, Ste 300
Centennial, CO 80112
CONTACT
NAME:
PHONE 303 761-0085 INC 303 788.1817
AIC No Eat: AIC, No:
E-MAIL
ADDRESS:
VKUUUULK
CUSTOMER ID#:
INSURER(S)AFFORDING COVERAGE
NAIL#
INSURED
INSURER A: Valley Forge Insurance
20508
PIE Forensic Consultants, Inc.
6275 Joyce Drive #200
Arvada, CO 80403-7541
Continental Casualty
INSURER B: Casualty
20443
INSURERC: CNA Insurance Companies -
02186
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.
INST
TYPE OF INSURANCE
POLICY NUMBER
PMMI�D E�
MMIDD/YYYY OLICY Ex
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE CIOCCUR
X
X
B4012523484
1/01/2011
01101/2012
EACH OCCURRENCE
s2000000
DAMAGE TO 7ffRTE5---
PREMISES Ea occurrence)
s300,000
MED UP (Anyone person)
$10,000
PERSONAL& ADV INJURY
$2,000,000
GENERALAGGREGATE
s4,000,000
GENT AGGREGATE LIMIT APPLIES PER:
POLICY XI PRO LOC
PRODUCTS - COMPIOP AGO
s4,000,000
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
X
B4012523470
1/01/2011
01/0112012
COMBINED SINGLE LIMIT
(Ea accitlem)
$
1,000,000
X
BODILY INJURY (Par person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
X
X
s
$
B
X
UMBRELLA LIAR
EXCESS LIAB
OCCUR
CLAIMS -MADE
B4012523498
_
1/01/2011
01/01/2012
EACH OCCURRENCE
s2 000 000
AGGREGATE
s2,000,000
DEDUCTIBLE _ - _ _
RETENTION $ $10,000
$ -
X
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVEYIN❑N
OFFICERIMEMBER EXCLUDED?
(Mandator, in NH)
DESCRIPTION OF OPERATIONS belowEL.
NIA
X
WC413213592
1/01/2011
01/0112012
X I WCsrnru- OTH-
ER
EL. EACH ACCIDENT
$1,000,000
E.L. DISEASE EA EMPLOYEE
$1,000,000
DISEASE - POLICY LIMIT
$1,000,000
DESCRIPTION OF OPERATIONSI LOCATIONS I VEHICLES (AUach ACORD 101, Additional Remarks Schedule, if more space Is required) '
RE: Air Barrier Code Adoption Consultation
The City of Fort Collins is Additional Insured as respects General Liability coverage.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City Of Fort Collins
Y
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Utilities Service Center
700 Wood Street
AUTHORIZED REPRESENTATIVE
Fort Collins, CO 80521
91988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S776226/M676359 CLM
Clientlt 111420
30PIEFORE
ACORD,. CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIooIYYYY)
9/07/2011
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
BBVA Compass Ins. Agency, Inc.
Denver Office
8100 E Arapahoe Road, Ste 300
Centennial, CO 80112
CONTACT
NAME:
PHONE 303 761-0085 INC 303 788.1817
AIC No Eat: AIC, No:
E-MAIL
ADDRESS:
VKUUUULK
CUSTOMER ID#:
INSURER(S)AFFORDING COVERAGE
NAIL#
INSURED
INSURER A: Valley Forge Insurance
20508
PIE Forensic Consultants, Inc.
6275 Joyce Drive #200
Arvada, CO 80403-7541
Continental Casualty
INSURER B: Casualty
20443
INSURERC: CNA Insurance Companies -
02186
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.
INST
TYPE OF INSURANCE
POLICY NUMBER
PMMI�D E�
MMIDD/YYYY OLICY Ex
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE CIOCCUR
X
X
B4012523484
1/01/2011
01101/2012
EACH OCCURRENCE
s2000000
DAMAGE TO 7ffRTE5---
PREMISES Ea occurrence)
s300,000
MED UP (Anyone person)
$10,000
PERSONAL& ADV INJURY
$2,000,000
GENERALAGGREGATE
s4,000,000
GENT AGGREGATE LIMIT APPLIES PER:
POLICY XI PRO LOC
PRODUCTS - COMPIOP AGO
s4,000,000
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
X
B4012523470
1/01/2011
01/0112012
COMBINED SINGLE LIMIT
(Ea accitlem)
$
1,000,000
X
BODILY INJURY (Par person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
X
X
s
$
B
X
UMBRELLA LIAR
EXCESS LIAB
OCCUR
CLAIMS -MADE
B4012523498
_
1/01/2011
01/01/2012
EACH OCCURRENCE
s2 000 000
AGGREGATE
s2,000,000
DEDUCTIBLE _ - _ _
RETENTION $ $10,000
$ -
X
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVEYIN❑N
OFFICERIMEMBER EXCLUDED?
(Mandator, in NH)
DESCRIPTION OF OPERATIONS belowEL.
NIA
X
WC413213592
1/01/2011
01/0112012
X I WCsrnru- OTH-
ER
EL. EACH ACCIDENT
$1,000,000
E.L. DISEASE EA EMPLOYEE
$1,000,000
DISEASE - POLICY LIMIT
$1,000,000
DESCRIPTION OF OPERATIONSI LOCATIONS I VEHICLES (AUach ACORD 101, Additional Remarks Schedule, if more space Is required) '
RE: Air Barrier Code Adoption Consultation
The City of Fort Collins is Additional Insured as respects General Liability coverage.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City Of Fort Collins
Y
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Utilities Service Center
700 Wood Street
AUTHORIZED REPRESENTATIVE
Fort Collins, CO 80521
91988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S776226/M676359 CLM