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Home My WebLink About130088 ICON ENGINEERIG INC - INSURANCE CERTIFICATEACOOR"" CERTIFICATE OF LIABILITY INSURANCE 001YYYY) DATE ov3m(0/zotz 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. N 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 Phone: (360)598-3700 Fax: (360)598-3703 MICHAEL J. HALL 8 COMPANY HALL & COMPANY 19660 10TH AVENUE N.E. REACT MICHAEL J. HALL 8 COMPANY PHONE (360) 598-3700 fwc Not, (360) 598-3703 NC Na EM E-MAIL ADDRESS: INSURERIS) AFFORDING COVERAGE NAICM POULSBO WA 98370 INSURERA : Underwriter's at Lloyds, London INSURED ICON Engineering Inc INSURERS : — — INSURERC 8100 S Akron St Ste 300 Centennial, CO 80112-3508 INSURER D: INSURERS: ' NSURERS COVERAGES CERTIFICATE NUMBER: 152521 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 TYPE OF INSURANCE ADD'L SUBR POLICY EFF POLICY UP LIMITS TR INSR WVD POLICY NUMBER MM MM GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ PREMISES Eaow,m—) CLAIMS -MADE F7 OCCUR MED. EXP (Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ PRO - $ POLICY JECT LOC AUTOMOBILE LABILITY 00 BINEDSINGLELIMIT (EaemdeM) $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS HIRED AUTOS NON -OWNED PROPERTY DAMAGE $ AUTOS Inn emdeml Is UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION WC STATU OTH TORY LIMITS ER $ AND EMPLOYERS' LIABIL" E.L. EACH ACCIDENT $ N I M ANY PROPRIETORIPARTHERIEXECUTIVE YI 0 FICERIMEMBER EXCLUDED? NIA (MeadMny iR NH) E.L. DISEASE -EA EMPLOYEE $ _ If Yec. tl W uMer OESCflIPTION OF OPERPTIONS CWow E.L. DISEASE -POLICY LIMIT '$ A PIOIaB510naI Ll.Shly Insurance 1104900297I011 01I30112 01I30113 $1,000,000 Per Claim Ratio, Date: Claims Woe Form $2,000,000 Aggregate JAN 01 1997 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, R more space is required) Project: General Consulting Services CEKIIf'ICAIE MULDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Purchasing Department ACCORDANCE WITH THE POLICY PROVISIONS. 215 For N Mason St FI 2 AUTHORIZED REPRESENTAnVE Fort Collins, CO 80524-0402 Attention: l Matthew L. COOLS I he ACUKU name and logo are registered marks of ACORD