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HomeMy WebLinkAbout492167 TETRA TECH CONSTRUCTION SERVICES INC - INSURANCE CERTIFICATE (4)CERTIFICATE OF PROPERTY INSURANCE °10/01/20 1 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. U this certificate is being oreoared for a oariv who has an Insurable Interest In the orocerly. do not use this torn. Use ACORD 27 or ACORD 28. PRODUCER AOn Risk Insurance Services West, Inc. LOS Angeles CA office 707 Wilshire Boulevard. suite 2600 Los Angeles CA 90017-0460 USA INSURED Tetra Tech Construction Services, Inc. 4304 E. 60th Avenue Commerce City Co 80022 USA c eo. E.O. (866) 283-7122 WC. No '. (847) 953-5390 MR d .NcPRt I90MERID x:' DUCER 570000036654 9 INSURERS AFFORDING COVERAGE NAIC p INSURERA: Travelers Property Cas Co of America 25674 9 INSURER B: 0 INSURERC x' INSURERD: INSURER E; INSURER F: LOCATION OF PREMISEW DESCRIPTION OF PROPERTY (A11ach ACORD tat, AOEllional Nmnks SOMtlule, N more apace is mouirttl) RE: Mr. John Stephen Bid Jab #5738 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 POLICY NUMBER POLICY EFFECTIVE DATE (MMIOD/(YYY) POLICY EXPIRATION DATE (MMIDD/YYYY) COVERED PROPERTY - LIMITS PROPERTY OF LOSS DEDUCTIBLES BUILDING PERSONAL PROPERTY BUSINESS E.t. INCOME EXTRA EXPENSE RENTAL VALUE BLANKET BUILDING BLANKET PERS PROP BLANKET BLDG S PP CAUSES BASIC BUILDING BROAD SPECIAL CONTENTS, d/ EARTHQUAKE WIND FLOOD A % INLAND MARINE OF LOSS NAMED PERILS Al Risk TYPE OF POLICY Equipment Flatr 10/01/2011 10/01/2012 X Leased or Remoo Equ $11000,000 CAUSES PODCYNUMBER tTIcMB6296W2611 X CRIME TYPE OF POLICY BOILER 8 MACHINERY I EQUIPMENT BREAKDOWN SPECIAL CONDITIONS I OTHER COVERAGES (Arch MOM 101. Addibonal Remarks Schedub, If more space is required) CERTIFICATE HOLDER CANCFI I ATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins P.O. Box 580 AUTHORIZEDREPRESENTATIVE L� n sJaNana GGtVECd Fort Collins CO 80522 USA ©1995-2009 ACORD CORPORATION. All rights reserved. ACORD 24 (2009109) The ACORD name and logo are registered marks of ACORD a N rn m V O O n