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Home My WebLink About162366 CARL WALKER INC - INSURANCE CERTIFICATE (6)A`COR UP® CERTIFICATE OF LIABILITY INSURANCE 10/7/2010 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 Professional Concepts Insurance CONTACT ®P NAME: CertB ciaoaliae. eom PHONE (800)969-4041 FAX (900)969-e081 AC No: EAIAIL ADDRESS, certa®pciaonliae.Coin 1127 South Old US Highway 23 PRODUCER 00001460 $TOMER.ID�' INSURER(S) AFFORDING COVERAGE NAIC0 Brighton MI 48114-9861 INSURED INSURER A:Hartford Casualty Insurance CO 29424 INSURER B:Hartf ord Underwriters Ins. Co. 30104 Carl Walker, Inc. INSURERc XL Specialty Ins. Co. 37885 5136 Lovers Lane INSURER D: INSURER E Suite 200 Kalamazoo MI 49002 INSURER F: COVERAGES CERTIFICATE NUMBER:All 10/11 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 AO INSR U13R WVD POLICY NUMBER POLICY EFF MMIDD[YNNY POLICY EXP MMMDl1'VYY LIMITS A GENERALLIABIUTY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ®OCCUR X X,C,9 358BWRU0693 35SBWUI2279 2/31/2010 2/31/2011 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTE9_ PREMISES Ea occurrence $ 300,000 MED EXP(Any one person) $ 10,000 PERSONAL S ADV INJURY $ 1,000,000 X Contractual Liability GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: JECTX POLICY PRO El LOC PRODUCTS-COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NONOWNED AUTOS SUEGAF3505 2/31/2010 2/31/2011 COMBINED SINGLE LIMB (Ea acodent) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per acdtlenQ $ X PROPERTY DAMAGE (Per accident) $ X X PIP -Basic $ Uninsured motorist combined $ 11 000,000 A X UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE P5XHGXY9736 12/31/201012/31/2011 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 51000,000 DEDUCTIBLE RETENTION $ 10,000 $ X $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, des.be under DE Ins,OF OPERATIONS below NIA 35NEGPN3645 12/31/2010 2/31/2011 X WC STATU- OTH- T RV IA E EL EACH ACCIDENT $ 11000,000 E.L. DISEASE - EAEMPLOVE $ 11000,000 ET. DISEASE LIMIT $ 11000,000 C Professional Liability DPR9689186 10/15/2011 0/15/2012 Per Claim $ 2,000,000 Aggregate $ 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. Additioml Remarks Schedule, 8 morn space la required) Project 11: R32006017. City of Fort Collins is named as Additional Insured as respects to General Liability only and would apply to the above named project so long as required within a written contract. City of Fort Collins Attn: Second Floor 215 North Mason Street P. O. Box 580 Fort Collins, CO 80522-0580 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 25 t20091091 Cosgrove/CHUCK n T9RR-200g ACORD CORPORATION- All rights reserved- INS025 (200909) The ACORD name and logo are registered marks of ACORD A`C)R i;` CERTIFICATE OF LIABILITY INSURANCE 10/7/2010 ' 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 Professional Concepts Insurance CONTANAME' certs®pciaonline.com PHONE (800) 969-4041 �; (800)969-4081 E-M-ADess:certs@pciaonline.com 1127 South Old US Highway 23 PRODUCER D0001460 CUST Maup-1 INSURERS AFFORDING COVERAGE NAICa Brighton MI 48114-9861 INSURED INSURER A:HdrtfOrd CasualtyInsurance CO 29424 INSURER B:Hartf Ord Underwriters Ins. Co. 30104 INSURERC:XL SpecialtyIns. Co. 37885 Carl Walker, Inc. 5136 Lovers Lane INSURER D: INSURER E: Suite 200 1 INSURER F: Kalamazoo MI 49002 COVERAGES CERTIFICATE NUMBER:All 10/11 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 R U MD POLICYNUMBER POLICY EFF MM/DDINYYY POLICY EXP MMIDD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ®OCCUR X r,C,D 35SBwRU0693 35SBWU12279 2/31/2010 2/31/2011 EACH OCCURRENCE $ 1,000,000 DAMAGE T RENTED PREMISES Ea occurrence $ 300,000 MED EXP(Any one person) $ 10,000 PERSONAL B ADV INJURY $ 1,000,000 X Contractual Liability GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE X POLICY LIMIT APPLIES PER: PRO- LOC PRODUCTS -COMPIOP AGO $ 2,000,000 - $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 5UEGAF3505 2/31/2010 2/31/2011 COMBINED SINGLE LIMIT (Ea accident)$ 11000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ X X PIP -Basic $ Uninsured motorist combined $ 1, 000, 000 A X UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE 35XHGXY9736 12/31/2010 2/31/2011 EACH OCCURRENCE $ 51000,000 AGGREGATE $ 51000,000 DEDUCTIBLE RETENTION $ 10,000 $ X $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOWPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 35NEGPN3645 12/31/201012/31/2011 X WC STATU- I IOTH- LIMITS E. EACH ACCIDENT .L $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 11000,000 E.L. DISEASE -POLICY LIMIT $ 1 1000 L000 C Professional Liability DPR9689186 10/15/2011 0/15/2012 Per Claim $ 2,000,000 Aggregate $ 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, AddiOonal Remarks ScM1edule.8 in" pace is required) Project #: R320077037. City of Fort Collins is named as Additional Insured as respects to General Liability only and would apply to the above named project so long a required within a written contract. City of Fort Collins Second Floor 215 North Mason Street PO Box 580 Fort Collins, CO 80522-0580 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 Cosgrove/CHUCK ACORD 25 (2009109) W 19BB-2009 AGURO GUKPUKA I IUN. All rlgnt5 reserv9O. INS025 (200909) The ACORD name and logo are registered marks of ACORD