HomeMy WebLinkAbout475160 PIE FORENSIC CONSULTANTS INC - INSURANCE CERTIFICATEClient#: 111420
30PIEFORE
ACORD. CERTIFICATE OF LIABILITY INSURANCE
DATE"
IY MMIDDYYYI
12128/2011
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: Ifthe 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
BBVA Compass Ins. Agency, Inc.
Denver Office
8100 E Arapahoe Road, Ste 300
Centennial, CO 80112
NAME:
PHONE 303 761-0085 3037881817
HsA �° Eat : ac, Ne
ADDRESS:
u
CUSTOMER ID N:
INSURER(S)AFFORDING COVERAGE
NAIC If
INSURED I^
Pie Forensic Consultants, Inc. ��� � VO
6275 Joyce Drive #200
Arvada, CO 80403-7541
INSURER A: Valley Forge Insurance
20508
INSURERS Continental Casualty
20443
American Casual Ins. Co.
INSURER: Casualty
INSURER D: Valley Forge Insurance Company
20508
INSURER E
INSURERF
COVERAGES CERTIFICATE NUMBER: 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
DOL
N R
UBR
WD
POLICY NUMBER
POLICY EFF
MMIDDIYYYY
POLICY EXP
MMIDDIYYM
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE F7XOCCUR
X
X
4012523484
1/01/201201/01/2013
EACH OCCURRENCE
1$2,000,000
DAMA E
PREMISES Eaocwnenca
$300r000
MED EXP(Any one person)
$10,000
PERSONAL B ADV INJURY
s2,000,000
GENERAL AGGREGATE
s4,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY X PRO LOC
PRODUCTS - COMPIOP AGG
$4,000,000
$
D
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
X
X
4012523470
1/01/2012
01/01/2013
,.
COMBINED SINGLE LIMIT
(Eaacdden0
$1000000
BODILY INJURY (Per Lamson)
$
BODILY INJURY (Per accident)
$
1XX
PROPERTY DAMAGE
(Per accident)
$
$
8
B
X
UMBRELLA LJAB
EXCESS LIAR
X
OCCUR
CLAIMS -MADE
4012523496
1/01/2012
01101/2013
EACH OCCURRENCE
s2,000,000
AGGREGATE
$2 00O 000
DEDUCTIBLE
RETENTION $ $1 O 000
$
X
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y I N
ANY
OFFICEWMEMBER EXCLUDED? ECUTIVEF 7N
(Mandatory In NH)
If yes, descB,e under
DE SCRIPTION OF OPERATIONS hebw
NIA
X
WC413213592
1/01/2012
01/01/201
X wcsTATu OTH-
FIR
EL EACH ACCIDENT
$1,000,000
EL DISEASE - EA EMPLOYEE
$1,000,000
E.L.DISEASE - POLICY LIMIT
$1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ANach ACORD 101, Additional Remarks Schedule, If more apace Is reeuired)
Fort Collins Civic Center. #CO111363.00-000
The City of Fort Collins is Additional Insured as respects General Liability coverage. -
City of Fort Collins
PO 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
W 1988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009109) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S831067IM831038 DXJ
CNA
SS-146932-D
(Ed. 07/09)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED - LIABILITY EXTENSION
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS LIABILITY COVERAGE FORM
Coverage afforded under this extension of coverage endorsement
does not apply to any person or organization covered
as an additional insured on any other endorsement now or hereafter attached to this Policy.
1. ADDITIONAL INSURED — BLANKET VENDORS
employees or anyone else acting on its
behalf. However, this exclusion does not
WHO IS AN INSURED is amended to include as an
apply to:
additional insured any person or organization (referred
(1) The exceptions contained in
to below as vendor) with whom you agreed, because
Subparagraphs d. or f.; or
of a written contract or agreement to provide
insurance, but only with respect to 'bodily injury' or
(2) Such inspections, adjustments, tests or
'property damage' arising out of 'your products' which
servicing as the vendor has agreed to
are distributed or sold in the regular course of the
make or normally undertakes to make in
vendor's business, subject to the following additional
the usual course of business, in
exclusions:
connection with the distribution or sale of
1. The insurance afforded the vendor does not apply
the products.
to:
2. This insurance does not apply to any insured
a. 'Bodily injury' or 'property damage' for which
person or organization, from whom you have
the vendor is obligated to pay damages by
acquired such products, or any ingredient, part or
reason of the assumption of liability in a
container, entering into, accompanying or
contract or agreement. This exclusion does
containing such products.
not apply to liability for damages that the
3. This provision 2. does not apply to any vendor
o vendor would have in the absence of the
included as an insured by an endorsement issued
g contract or agreement;
by us and made a part of this Policy.
b. Any express warranty unauthorized by you;
4. This provision 2. does not apply if 'bodily injury' or
c. Any physical or chemical change in the
'property damage' included within the 'products -
product made intentionally by the vendor;
completed operations hazard' is excluded either
by the provisions of the Policy or by endorsement.
d. Repackaging, except when unpacked solely
2•
MISCELLANEOUS ADDITIONAL INSUREDS
for the purpose of inspection, demonstration,
testing, or the substitution of parts under
WHO IS AN INSURED is amended to include as an
instructions from the manufacturer, and then
insured any person or organization (called additional
repackaged in the original container;
insured) described in paragraphs 2.a. through 2.11h.
a e. Any failure to make such inspections,
below whom you are required to add as an additional
adjustments, tests or servicing as the vendor
insured on this policy under a written contract or
has agreed to make or normally undertakes to
agreement but the written contract or agreement must
make in the usual course of business, in
be:
connection with the distribution or sale of the
1. Currently in effect or becoming effective during the
=_ products;
term of this policy; and
f. Demonstration, installation, servicing or repair
2. Executed prior to the 'bodily injury,' 'property
operations, except such operations performed
damage' or'personal and advertising injury,' but
at the vendor's premises in connection with
the sale of the product;
Only the following persons or organizations are
additional insureds under this endorsement and
g. Products which, after distribution or sale by
coverage provided to such additional insureds is
you, have been labeled or relabeled or used
limited as provided herein:
as a container, part or ingredient of any other
thing or substance by or for the vendor; or
a. Additional Insured — Your Work
h. 'Bodily injury' or 'property damage' arising
That person or organization for whom you do
out of the sole negligence of the vendor for its
work is an additional insured solely for liability
own acts or omission or those of its
due to your negligence specifically resulting
SB-146932-D
Page 1 of 5
(Ed. 07/09)
SB-146932-D
(Ed. 07/09)
from your work for the additional insured
which is the subject of the written contract or
written agreement. No coverage applies to
liability resulting from the sole negligence of
the additional insured.
The insurance provided to the additional
insured is limited as follows:
(1) The Limits of Insurance applicable to the
additional insured are those specified in
the written contract or written agreement
or in the Declarations of this policy,
whichever is less. These Limits of
Insurance are inclusive of, and not in
addition to, the Limits of Insurance shown
in the Declarations.
(2) The coverage provided to the additional
insured by this endorsement and
paragraph F.9. of the definition of 'insured
contract' under Liability and Medical
Expenses Definitions do not apply to
'bodily injury' or 'property damage'
arising out of the 'products -completed
operations hazard' unless required by the
written contract or written agreement.
(3) The insurance provided to the additional
insured does not apply to 'bodily injury,'
'property damage,' or 'personal and
advertising injury' arising out of the
rendering or failure to render any
professional services.
b. State or Political Subdivisions
A state or political subdivision subject to the
following provisions:
(1) This insurance applies only with respect
to the following hazards for which the
state or political subdivision has issued a
permit in connection with premises you
own, rent, or control and to which this
insurance applies:
(a) The existence, maintenance, repair,
construction, erection, or removal of
advertising signs, awnings, canopies,
cellar entrances, coal holes,
driveways, manholes, marquees,
hoistaway openings, sidewalk vaults,
street banners, or decorations and
similar exposures; or
(b) The construction, erection, or
removal of elevators; or
(2) This insurance applies only with respect
to operations performed by you or on your
behalf for which the state or political
subdivision has issued a permit.
This insurance does not apply to 'bodily
injury,' 'property damage' or 'personal and
advertising injury° arising out of operations
performed for the state or municipality.
c. Controlling Interest
Any persons or organizations with a
controlling interest in you but only with respect
to their liability arising out of:
(1) Their financial control of you; or
(2) Premises they own, maintain or control
while you lease or occupy these
premises.
This insurance does not apply to structural
alterations, new construction and demolition
operations performed by or for such additional
insured.
d. Managers or Lessors of Premises
A manager or lessor of premises but only with
respect to liability arising out of the ownership,
maintenance or use of that specific part of the
premises leased to you and subject to the
following additional exclusions:
This insurance does not apply to:
(1) Any 'occurrence' which takes place after
you cease to be a tenant in that premises;
or
(2) Structural alterations, new construction or
demolition operations performed by or on
behalf of such additional insured.
e. Mortgagee, Assignee or Receiver
A mortgagee, assignee or receiver but only
with respect to their liability as mortgagee,
assignee, or receiver and arising out of the
ownership, maintenance, or use of a premises
by you.
This insurance does not apply to structural
alterations, new construction or demolition
operations performed by or for such additional
insured.
f. Owners/Other Interests — Land is Leased
An owner or other interest from whom land
has been leased by you but only with respect
to liability arising out of the ownership,
maintenance or use of that specific part of the
land leased to you and subject to the following
additional exclusions:
This insurance does not apply to:
(1) Any 'occurrence' which takes place
after you cease to lease that land; or
SB-146932-D
(Ed. 07/09)
Page 2 of 5
SB-146932-D
(Ed. 07/09)
(2) Structural alterations, new
Damage To Property, is replaced by the
construction or demolition operations
following:
performed by or on behalf of such
k. Damage To Property
additional insured.
'Property damage' to:
g. Co-owner of Insured Premises
A co-owner of a premises co -owned by you
1. Property you own, rent or occupy,
including any costs or expenses
and covered under this insurance but only
incurred by you, or any other person,
with respect to the co -owners liability as co-.
organization or entity, for repair,
owner of such premises.
replacement, enhancement,
h. Lessor of Equipment
restoration or maintenance of such
property for any reason, including
Any person or organization from whom you
prevention injury a person or
lease equipment. Such person or organization
P 9
n r
damage to another's property;
are insureds only with respect to their liability
arising out of the maintenance, operation or
2. Premises you sell, give away or
use by you of equipment leased to you by
abandon, if the 'property damage'
such person or organization. A person's or
arises out of any part of those
organization's status as an insured under this
premises;
endorsement ends when their written contract
3. Property loaned to you;
or agreement with you for such leased
equipment ends.
4. Personal property in the care,
custody or control of the insured;
With respect to the insurance afforded these
additional insureds, the following additional
S. That particular part of any real
exclusions apply:
property on which you or any
contractors or subcontractors working
This insurance does not apply:
directly or indirectly in your behalf are
(1) To any 'occurrence' which takes place
performing operations, if the °property
after the equipment lease expires; or
damage' arises out of those
() To 'bodily injry° °property damage' or 2 u 9
operations; or
'personal and advertising injury' arising
6. That particular part of any property
out of the sole negligence of such
that must be restored, repaired or
additional insured.
replaced because 'your work' was
incorrectly performed on it.
Any insurance provided to an additional insured
designated under paragraphs b. through h. above
Paragraph 2 of this exclusion does not
does not apply to 'bodily injury' or 'property
apply if the premises are 'your work' and
damage' included within the °products -completed
were never occupied, rented or held for
operations hazard.'
rental by you.
3. The following is added to Paragraph H. of the
Paragraphs 1, 3, and 4, of this, exclusion
BUSINESSOWNERS COMMON POLICY
do not apply to 'property damage" (other
CONDITIONS:
than damage by fire or explosion) to
premises:
H. Other Insurance
(1) rented to you:
4. This insurance is excess over any other
insurance naming the additional insured
(2) temporarily occupied by you with the
as an insured whether primary, excess,
permission of the owner, or
contingent or on any other basis unless a
(3) to the contents of premises rented to
written contract or written agreement
you for a period of 7 or fewer
specifically requires that this insurance be
consecutive days.
either primary or primary and
A separate limit of insurance
noncontributing.
applies to Damage To Premises Rented
4. LEGAL LIABILITY— DAMAGE TO PREMISES
To You as described in Section D —
Liability and Medical Expenses Limits of
A. Under B. Exclusions, 1. A
Applicable to
PP
Insurance.
Business Liability Coverage, Exclusion k.
S13-146932-D Page 3 of 5
(Ed. 07/09)
SB-146932-D
(Ed. 07/09)
Paragraphs 3, 4, 5, and 6 of this
exclusion do not apply to liability
assumed under a sidetrack agreement.
Paragraph 6 of this exclusion does not
apply to 'property damage' included in
the 'products -completed operations
hazard.'
B. Under B. Exclusions, 1. Applicable to
Business Liability Coverage, the last
paragraph of 2. Exclusions is deleted and
replaced by the following:
Exclusions c, d, e, f, g, h, 1, k, I, m, n, and o,
do not apply to damage by fire to premises
while rented to you or temporarily occupied by
you with permission of the owner or to the
contents of premises rented to you for a
period of 7 or fewer consecutive days. A
separate limit of insurance applies to this
coverage as described in Section D. Liability
And Medical Expenses Limits Of
Insurance.
C. The first Paragraph under item 5. Damage To
Premises Rented To You Limit of Section
D. Liability And Medical Expenses Limits
Of Insurance is replaced by the following:
The most we will pay under Business Liability
for damages because of 'property damage"
to any one premises, while rented to you, or
temporarily occupied by you, with the
permission of the owner, including contents of
such premises rented to you for a period of 7
or fewer consecutive days, is the Damage to
Premises Rented to You limit shown in the
Declaration.
S. Broad Knowledge of Occurrence
The following items are added to E.
Businessowners General Liability Conditions
in the Businessowners Liability Coverage
Form:
e. Paragraphs a. and b. apply to you or to any
additional insured only when such
'occurrence,' offense, claim or 'suit' is known
to:
(1) You or any additional insured that is an
individual;
(2) Any partner, if you or an additional
insured is a partnership;
(3) Any manager, if you or an additional
insured is a limited liability company;
(4) Any 'executive officer' or insurance
manager, if you or an additional insured is
a corporation;
(5) Any trustee, if you or an additional
insured is a trust; or
(6) Any elected or appointed official, if you or
an additional insured is a political
subdivision or public entity.
This paragraph e. applies separately to you
and any additional insured.
6. Bodily Injury
Section F. Liability and Medical Expenses
Definitions, item 3. 'Bodily Injury' is deleted and
replaced with the following:
"Bodily injury" means bodily injury, sickness or
disease sustained by a person, including death,
humiliation, shock, mental anguish or mental
injury by that person at any time which results as
a consequence of the bodily injury, sickness or
disease.
7. Expanded Personal and Advertising Injury
Definition
The following is added to Section F. Liability and
Medical Expenses Definitions, item 14.
Personal and Advertising Injury, in the
Businessowners General Liability Coverage
Form:
h. Discrimination or humiliation that results in
injury to the feelings or reputation of a natural
person, but only if such discrimination or
humiliation is:
1. Not done intentionally by or at the
direction of:
a. The insured; or
b. Any 'executive officer,* director,
stockholder, partner, member or
manager (if you are a limited liability
company) of the insured; and
2. Not directly or indirectly related to the
employment, prospective employment,
past employment or termination of
employment of any person or person by
any insured.
B. The following is added to Exclusions, Section
B.:
(IS)Discrimination Relating to Room,
Dwelling or Premises
Caused by discrimination directly or
indirectly related to the sale, rental, lease
or sub -lease or prospective sale, rental,
lease or sub -lease of any room, dwelling
or premises by or at the direction of any
insured.
SB-146932-D
(Ed. 07/09)
Page 4 of 5
SB-146932-D
(Ed. 07/09)
(16) Fines or Penalties
Fines or penalties levied or imposed by a
governmental entity because of
discrimination.
C. This provision (Expanded
Advertising Injury) does
discrimination or humiliation
states of New York or Ohio.
Personal and
not apply to
committed in the
Also, Expanded
Personal and Advertising Injury Coverage
does not apply to policies issued in the states
of New York or Ohio.
D. This provision (Expanded Personal and
Advertising Injury) does not apply if
Personal and Advertising Injury Liability is
excluded either by the provisions of the Policy
or by endorsement.
SB-146932-D
(Ed. 07/09)
Page 5 of 5