HomeMy WebLinkAboutKIMLEY-HORN AND ASSOCIATES INC - INSURANCE CERTIFICATE`&
CERTIFICATE OF LIABILITY INSURANCE
ATE
YYY
DN)�
11110/2011
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 riequire an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER 1CONTACT
NAME, Jerry Noyola
Greyling Insurance Brokerage I
450 Northridge Parkway
PHONE (770) 552-4225 FAX UVC Not' (866)550-4082
E-MAIL . jerry.noyola@greyling.com
Suite 102
INSURERS AFFORDING COVERAGE
NAICN
Atlanta GA 30350
INsuRERA:Travelera Property Casualty
5674
INSURED -
INSURER B:Travelers Indemnity Company
5682
Kimley-Horn and Associates, Inc.
INSURER c:Lexin ton Insurance Company
19437
INSURER D:
P.O. Box 33068
INSURER E
Raleigh NC 27636
1 INSURER F:
COVERAGES CERTIFICATE NUMBER:11-12 (Kimley Bonnie) REVISION NLIMRFR-
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
ADDL
SUER
POLICY NUMBER
POLICY EFF
M DO YYY
POLICY EXP
MWDDNYYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 11000,000
X COMMERCIAL GENERAL LIABILITY
DAMAGE TRENTED
PREMISES Es occurrence
$ 1, 000, 000
A
CLAIMS -MADE OCCUR
-630-81.3B99A-TIL-11
2/1/2011
2/1/2012
MED EXP (Any one person)
$ 10,000
PERSONAL &ADV INJURY
$ 11000,000
X Contractual Liability
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE
LIMIT APPLIES PER
PRODUCTS - COMP/OP AGO
$ 11000,000
I
POLICY
rX I PRO X LOC
$
AUTOMOBILE
LIABILITY
Ea BINEDt SINGLE LIMIT
1,000,000
BODILY INJURY (Per person)
$
B
ANY AUTO
Ix
BODILY INJURY Per accitlent
( )HIRED
$
ALL OWNED SCHEDULED
AUTOS AUTOS
-810-5724B497-TCT-11
2/1/2011
2/1/2012
AUTOS X NON -OWNED
AUTOS
PROPERTY DAMAGE
Per accident)
$
Underinsured motorist BI s ie
$
X
UMBRELLA LIAR
X
OCCUR
EACH OCCURRENCE
0,000
AGGREGATE
A
EXCESSLIAB
CLAIMS MADE
OEDXRETENTION$ 10, 00
SM-CUP-8193B99A-TIL-11
2/1/2011
2/1/2012
A
WORKERS COMPENSATION
i
WC STATU- OTH-
M$5,000,000
AND EMPLOYERS' LIABILITY Y/NANY
E.L. EACH ACCIDENT
0, 000OFFICER/MEMBER
PROPRIETOR/PARTNER/EXECUTIVE
[flN/A(Mandatory
EXCLUDED?
in NH)
J-UB-8193B99-A-11
2/1/2011
2/1/2012
E.L. DISEASE -EA EMPLOYE0,000If
yes, describe under
EL DISEASE -POLICY LIMIT0
000
DESCRIPTION OF OPERATIONS below
C
Professional Liability
16017332
2/1/2011
2/1/2012
Per Claim $2,000,000
Aggregate $2, 000, 000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
Re: LDB - 7235 Parking Plan for the City of Fort Collins. The City of Fort Collins is named as an
Additional Insured on the above referenced liability policies with the exception of workers compensation
E professional liability. Should any of the above described policies be cancelled by the issuing insurer
before the expiration date thereof, 30 days written notice (except 10 days for nonpayment of premium) to
the Certificate Holder named below will be provided.
City of Fort Collins
Purchasing Division
215 North Mason
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
Ormaza/JBRRY o
01988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05)
INbu2b (201005).01 The ACORD name and logo are registered marks of ACORD