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HomeMy WebLinkAbout211762 HINES IRRIGATION CONSULTANTS INC - INSURANCE CERTIFICATE (3)ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE (MM ODIYYYY( 12/28/2011 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 endorsements). PRODUCER Van Gilder Insurance Corp. 1515 Wynkoop, Suite 200 Denver CO 80202 NAME: PHONE FAX AICNo: - - 5295 EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC d INSURER ATraVeIerS Insurance INSURED H I N I NC INSURER B INSURER C: Hines Inc. & Hines Irrigation Consultants 323 W. Drake Road Fort Collins CO 80526 INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 39775488 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 ADD INSR UB WVD POLICY NUMBE0. POLICY EFF MM/DDrrYY POLICY EXP MM/DD/yYYY LIMITS A GENERAL LIABILITY 6807544M320IND10 12/31/2011 2/31/2012 EACH OCCURRENCE $1,000,000 X COMMER014LGENERAl- LIABILITY PREMISES Ea occurrence $300.000 MED EXP(Any one person) $5,000 CLAIMS -MADE OCCUR PERSONAL B ADV INJURY $1,000.000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $2,000.000 POLICY X PRO- LOC $ A AUTOMOBILE LIABILITY 6807544M320)NDIO 2/31/2011 2/31/2012 UUMBINED tle01 Elncluded BODILY INJURY (Per person) $ ANYAUTO ALL OMED SCHEDULED AUTOS AUTOS BODILY INJURY Per accitlent ( ) 8 X NONOWNED HIRED AUTOS AUTOS X PROPERTY DAMAGE Per amdert E $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFIC ERIMEMBER EXCLUDED? NIA VMPFUB2402T94911 12/3V2011 2/31/2012 X WC STATU- OTH- E. L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYE $1,000,000 (Mandatory In NH) If Dy SCRIe ICIN under DESCRIPTION under OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 B Professional Liability, Claims Made 105386520 12/31/2011 2/31/2012 Per Claim $1,000,000 Annual Aggregate $1,ODO,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 and Automobile Liability This insurance will apply on a primary, non-contributory basis. Per project aggregate applies to General Liability, A Blanket Waiver of Subrogation applies for General Liability, Automobile Liability and Workers' Compensation. Limited Contractual Liability is included. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of Fort Colllns;Attn: John Stephen, CPPO CPPB; ACCORDANCE WITH THE POLICY PROVISIONS. Senior Buyer 215 N Mason Rd Fort Collins CO 80521 AUTHORIZED © 1988-2010 ACORD CORPORATION- All riahfs ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD