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HomeMy WebLinkAboutMCLAUGHLIN WATER ENGINEERS LTD - INSURANCE CERTIFICATE (2)AC6Ro® CERTIFICATE OF LIABILITY INSURANCE III OAT2011 DYYYY) r 1z7/o11 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 Van Gilder Insurance Corp. 1515 Wynkoop, Suite 200 Denver CO 80202 C N NAME: CT Kathy r PHONE , 303 837-8500 ac No: 1- 2 E#1AIL AODREss:kst.r Vgic,com INSURER(S) AFFORDING COVERAGE RAW# INSURER A:Travelers Insurance INSURED MCLWATI INSURERB:Trayelers Casualty & Surety CO 19308 37478 McLaughlin Water Engineers, Ltd. INSURERC:HARTFORD INS CO INSURER D 2420 Alcott Street Denver CO 80211 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 967605120 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 ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MWDD/YYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABIUW Y Y 6808817L887TIA08 1/1/2012 1/1/2013 EACH OCCURRENCE $1,000,000 x COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ly, I OCCUR DAMAGE ( RENTED PREMISESS RENT occurrence)$1,000,000 MED EXP(Any one person) $10,000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LI MIT APPLIES PER: PRODUCTS-COMP/OP AGO $2,000,000 POLICY X PRO- LOG JECTA $ OMOBILE LIABILITY Y IIA571IP44711 1/1/2012 /1/2013 Ea accident 1,000,000 _ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per aaccident)$ x PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS x AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ E%CESS LIAB CLAIMS -MADE DED RETENTION$ 1 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED' NIA y 34WEGBI1371 1/1/2012 /l/2013 X WCSTATU- OTH- T RY IMIT E.L. EACH ACCIDENT $1,000,000 EL DISEASE - EA EMPLOYEd $1,000,000 (Mandatory in NH) If yes, descnbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 1 $1,000,000 B Professional Liability 105246157 1/1/2012 /1/2013 Per Claim $2,000,000 Claims Made Annual Aggregate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) If required by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The Certificate Holder and Owner are included as Additional Insureds for ongoing and completed operations under General Liability; Designated Insured under Automobile Liability but only with respect to liability arising out of the Named Insured's work performed on behalf of the certificate holder and owner. This insurance will apply on a primary, non-contributory basis. A Blanket Waiver of Subrogation applies for General Liability, Automobile Liability and Workers' Compensation. Limited Contractual Liability is included. Re: P1073 Water Craft Course Design project. As required by written contract, or written agreement, the City of Fort Collins is included as Additional Insured under General Liability with respect to the referenced project. City of Fort Collins Attn: Purchasing/ John D. Stephen 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 ACORD 25 (2010/05) © 1988.2010 ACORD The ACORD name and logo are registered marks of ACORD All rights reserved.