Loading...
HomeMy WebLinkAbout307110 HDR ENGINEERING INC - INSURANCE CERTIFICATE (2)aco/20 CERTIFICATE OF LIABILITY INSURANCE 6/1/2oD DATE O1Yrrr) 5/22/222/2012 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(les) 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 Lockton Companies, LLC-I Kansas City 444 W. 47th Street, Suite 900 Kansas Cityy 64112-1906 (816)(816)960-9000 CONTACT AIC No Et WC, No DRLESS- 19682 INSURER A: Hartford Fire Insurance Company INSURED HDRENGINEERING,INC. 1013472 84041NDIAN HILLS DRIVE OMAHA NE 681144049 INSURERB: St Paul Fin, fast Madnelnsf mCompany 24767 INSURER C: Sentinel Insurance Company,Ltd. 11000 INSURER . Zurich American Insurance Company 16535 COVERAGES HDRINOI SA CERTIFICATE NDMRER- 107R6277 RFVISION NIIMRFR• XXXXXXX 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 ADDL SUBR POLICY NUMBER POLICY EFF 6/1/2012 POLICY EXP 6/1/2013 LIMITS A GENERAL LIABILITY N N 37CSE000950 EACH OCCURRENCE 1000000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx_] OCCUR PR MI ETO RENTED ncs 1,000,000 MED EXP (My oneperson) 10,000 PERSONAL a ADV INJURY $ 1,000,000 X Contractual Liab. GENERAL AGGREGATE s 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG s 2000000 POLICY X PRO XLOC 8 A A A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS N N 37CSE000951 (AOS) 37CSE U0952 (HI)) 37MCP U1160(MA) 6/1/2012 6/1/2012 6/1/2012 6/12013 6/12013 6/12013 CO MINEawideD SINGLE LIMIT $ 2,000,000 X- BODILY INJURY (Per person) $ XXX'XXXX BODILY INJURY (Per accident $ XXXXXXX X HIRED AUTOS X AUTOSWNED PROPERTY acciden DAMAGE $ XXXXXXX $XXXXXXX B X UMBRELLA LIAB X OCCUR N N ZUP-IOR64084-12-NF 6/1/2012 6/12013 EACH OCCURRENCE $ 1 000 000 EXCESS LIAR CLAIMS -MADE (EXCLUDES PROF. LIAB) AGGREGATE $ I.000 000 DED X RETENTION $() $ XXXJ(XXJ( C WORKERS COMPENSATION AND EMPLOYERS'LIABILIITY YIN OFFICEOPRIEBEREXCTJER ECLITE �NIA (Mandmery in NH) If yes, fh vn under DESCRIPTION OF OPERATIONS belvd - N 91 WEOHIO()0 7/I/2012 7/12013 X VYC STATU- OTH T RV LIMIT EL. EACH ACCIDENT $ 1000000 E.L. DISEASE - EA EMPLOYEE 1,000,000 E.L. DISEASE - POLICY LIMIT 1000000 D ARCHS&ENGS PROFESSIONAL LIABILITY N N EOC9260026-05 6/1/2012 6/1/2013 PER CLAIM:$1000,000. AGG: SI,000,000. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /lAtlach ACORD 101, Additional Remarks Schedule, if more space Is required) RE: 7077 LINDEN STREET STREETSCAPES PROJECT. CITY OF FORT COLLINS IS NAMED AS ADDITIONAL INSURED ON GENERAL LIABILITY AS PER WRITTEN CONTRACT, ON A PRIMARY, NON-CONTRIBUTORY BASIS. WAIVER OF SUBROGATION APPLIES WHERE APPLICABLE BY LAW. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. /0786277 CITY OF FORT COLLINS ATTN: JAMES O'NEIL 215 NORTH MASON STREET, 2ND FLOOR PO BOX 580 FORT COLLINS CO80522 reserved The ACORD name and logo are registered marks of ACORD 6.. R CERTIFICATE OF LIABILITY INSURANCE �� 6/1/2013 DA5/22/2OIYYYY) 5/22/2012 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(Sj, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(!") 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 Lockton Companies, LLC-1 Kansas City 444 W. 47th Street, Suite 900 Kansas Cityty 64112-1906 (816) 9( 000 CONTACT INC,No EXINC,No E-MAIL 19682 INSURER A: Hartford Fire Insurance Company INSURED HDR ENGINEERING, INC. 1013472 ATTN: LOUIS J. PACHMAN 8404INDIAN HILLS DRIVE OMAHA, NE 681144049 DENVER/R. BRADLEY MARTIN St. Paul Fire and Marine Insurance Co INSURER B: mpsny 24767 INSURER C: Sentinel Insurance Company,Ltd. 11000 INSURER , Zurich American Insurance Company 16535 COVERAGES HDRINOI SA CERTIFICATE NUMBER: 1916422 REVISION NUMBER: XXXXXXX 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 Im TYPE OF INSURANCE ADDL N SUER POLICY NUMBER POLICY EFF (MMIDD POLICY EXP M LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CIAJMS-MADE 7 OCCUR X Contractual Llab. N N 37CSE000950 6/1/2012 6/1/2013 EACH OCCURRENCE 1,000,000 PREMISES EaEoocurrerce 1,000,000 MED EXP (My one erson 10,000 PERSONAL a ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER. P 1 X JECT X LOC PRODUCTS -COMP/OP AGG $ 2 000 000 $ A A A AUTOMOBILE LIABILITY ANVAyU./TO ALTOS OWNED AC EDDULED HIRED AUTOS X AUTOgWNEO N N 37CSE000951 (ADS) 37CSE U1160IN-(l 37MCP�01160 (MA) 6/1/2012 6/1/2012 6/1/2012 6/l/2013 6/1/2013 6/1/2013 Ee BBIN ED1SINGLE LIMIT $ 2 000 000 X BODILYINJURY(PerPerson) $ XXXXXXX BODILY INJURY (Per accident $ XXXXXXX X PeOP.ER- nDAMAGE $ XXXXXXX $XXXXXXX B X UMBRELLALUIB EXCESS LWB X OCCUR CLAIMS -MADE N N ZUP-IOR64084-12-NF (EXCLUDES PROF. LIAB) 6/1/2012 6/1/2013 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1000 000 DED X RETENTION$0 $ XXXXXXX C WOR AND EMPSOYERS'LIABIUTY YIN OFFICERM,EM ERPARTNERr ECOTIVEIHI (Myandatary in NN) DESCRIPTION OF OPERATIONS tel. NIA N 91WEOHI000 7/1/2012 7/1/2013 X TORT LIMIT OTH- EL EACH ACCIDENT $ 1,000,000 EL. DISEASE - EA EMPLOYEE 1000000 EL. DISEASE -POLICY LIMIT 1000000 D ARCHS&ENGS PROFESSIONAL LIABILITY N N EOC9260026-05 6/1/2012 6/1/2013 PERCLA $1,000,000. AGG: S1,000,000, DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I(Aftach ACORD 101, Additional Remarks Schedule, if more space is required) 1916422 CITY OF FORT COLLINS ATTN: PURCHASING P.O. BOX 580 FORT COLLINS CO80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The ACORD name and logo are registered marks of ACORD All rights reserved ACORD° CERTIFICATE OF LIABILITY INSURANCE 6n2o13 °ADD/YYYY) 5/22//22/2012 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(les) 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 Lockton Companies, LLC-1 Kansas City 444 W. 47th Street, Suite 900 Kansas Cityty 64112-1906 (816) 960-9000 CONTACT Mr. Exit: (FAX AIC, No), E-MAIL INS NAIC If INSURER A: Hanford Fire Insurance Company 19682 INSURED HDR ENGINEERING, INC. 1013472 8404INDIAN HILLS DRIVE - OMAHA NE 68114-4049 INSURER B: St P.1 Fin, and Merin, In ...n Cornpany 24767 INSURERC: Sentinel Insurance Company, Ltd. 11000 . Zurich American Insurance Company 16535 COVERAGES HDRfNOI SA CERTIFICATE NUMBER: 10794883 REVISION NUMBER: XXXXXXX 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 ADDL IN SUBR POLICY NUMBER POLICY EFF POLICY UP LIMITS A GENERAL LIABILITY N N 37CSE000950 6/1/2012 6/l/2013 EACH OCCURRENCE 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7XI OCCUR PAEMGETOEaEoNaorrence 1,000,000 MED UP (Any one rson 10,000 PERSONAL S ADV INJURY $ 1000 000 X Contractual Llab. GENERAL AGGREGATE $ 2,000,000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG 000 $ 1000,000 P LICV X PRO X L $ A A A AUTOMOBILE LIABILITY ANY AUTO - ALL OWNED SCHEDULED AUTOS AUTOB N N 37CSE000951(AOS) 37CSE0Q00952((H`I()l� 37MCPQU1160 (IVW) 6/1/2012 6/l/2012 6/1/2012 6/1/2013 6/1/2013 6/12013 Eaa¢IICeDSINGLELIMIT $2000000 X BODILY INJURY (Per Person) $ XXXXXXX BODILY INJURY (Per accident $XXXXXXX X HIRED AUTOS X NON -OWNED PROPERTY r $ XXXXXXX $XXXXXXX B X UMBRELLA EMS X OCCUR N N ZUP-IOR64084-12-NF 6/1/2012 6/l/2013 EACH OCCURRENCE $ 1 000000 EXCESS LIAB CLAIMS -MADE (EXCLUDES PROF. LIAB) AGGREGATE $ 1,000,000 DED I X I RETENTION$0 $ XXXXXXX C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN O FICERIMEIA ERREXCLUERIE E0�1- � (Mandatory in NHl Nras DESCRIPTIONOF OPERATIONS Oelaw vNs P NIA N 91WEOHI000 7/1/2012 7/12013 XT wCRSTATu- oTH- RY IMT E L. EACH ACCIDENT $ 1,000,000 EL. DISEASE - EA EMPLOYEE 1000000 E.L. DISEASE - POLICY LIMIT 1000000 D ARCHS a ENGS PROFESSIONAL LIABILITY N N EOC9260026-05 6/1/2012 6/1/2013 PER CLAIM :$ 1,000,000. AGG: $1,000,000. DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I(Anach ACORD 101, Additional Remarks Schedule, If more space is required) RE: LINDEN STREET STREETSCAPES PROJECT - REPLACEMENT INS CERTIFICATE. CITY OF FORT COLLINS AND COLORADO DEPARTMENT OF TRANSPORTATION ARE NAMED AS ADDITIONAL INSURED ON GENERAL LIABILITY AS PER WRITTEN CONTRACT, ON A PRIMARY, NON-CONTRIBUTORY BASIS. WAIVER OF SUBROGATION APPLIES WHERE APPLICABLE BY LAW. UCR I IrIUA 1 C nULUMM UANLJCLLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10794883 AUTHORIZED REPRESENTATIVE CITY OF FORT COLLINS ATTN: JOHN STEPHENS 215 NORTH MASON STREET, 2ND FLOOR FORT COLLINS CO 80522 ACORD 25 (2010105) ©9 8-2010 ACCJWDItORPORATION. All rights reserved the ACORD name and logo are registered marks of ACORD