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Home My WebLink About130088 ICON ENGINEERING INC - INSURANCE CERTIFICATE (8)ICONE-1 OP ID: DD CERTIFICATE OF LIABILITY INSURANCE DAT01124DYYYY) o1/zanz 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 endomement(s). PRODUCER 303-799-0110 Cherry Creek Ins. Agency, Inc. 303-799-0156 Suite 500 5660 Greenwood Plaza Blvd. IONT NAMEpCT Diane Dymon PAHCONNEo Ext:720-212.2066 a No:303.799-0156 E-MAIL DianeD@thinkccig.com GreenwoodADDRESS: GreeVillage, CO 60111 Cherry Creek Insurance Agcy INSURER(S) AFFORDING COVERAGE NAICp INSURER A: The Hartford Insurance Group 22357 INSURED ICON Engineering Inc Mr Penn Gildersleev 8100 South Akron Street #300 INSURER 8: Pinnacol Assurance 41190 INSURER C : Englewood, CO 80112 INSURER D: INSURER E : INSURER F 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. INSRLTR TYPE OF INSURANCE ABDL SUB POLICY NUMBER MMIDD YYYY LICY IERF MM �DNYYY LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 2,000,00 A X COMMERCIAL GENERAL LIABILITY 34SBAPD8771 01/30112 01130/13 DAMAGETD-RENTE PREMISES Eaoccurrencef_ $ 300,00 CLAIMS -MADE Fx_] OCCUR MED EXP (Any one person) $ 10,00 PERSONAL & ADV INJURY $ 2,000,00 GENERAL AGGREGATE $ 4,000,00 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 4,000,00 $ POLICY PRO- LOC JECT AUTOMOBILE LIABILITY Ee a.,d.nISINGLE LIMIT $ 1,000,00 BODILY INJURY (Per person) $ A X ANY AUTO 34SBAPD8771 01/30/12 01/30/13 BODILY INJURY (Par accident) $ ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident S UMBRELLA LAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS MADE DED I I RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? 71 (Mandatory lnNH) NIA 4077567 02/01112 02101/13 X WC STATU- OTH- T RV LIMITS ER E.L. EACH ACCIDENT $ 500,00 '- E.L. DISEASE -EA EMPLOYEE $ 500,00 (DESCRIPTION OF OPERATIONS Eelowf es describe under I E.L. DISEASE -POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) RE: General Consulting Services. P1044 Consulting Engineering Services W. Orchard Pond and Storm Drainage Project and Future Stormwater Facilities Minor Capital Improvements. City of Fort Collins Purchasing Department 215 N Mason St 2nd Floor 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 4D1988-2010 ACORD CORPORATION. All rights reserved. ACORD 26 (2010/05) The ACORD name and logo are registered marks of ACORD