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Home My WebLink About113618 AQUA ENGINEERING INC - INSURANCE CERTIFICATEACORN® CERTIFICATE OF LIABILITY INSURANCE oATE(MMOD rvr) 5/8/2012 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(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 CONT CT NAME: Kathy EHOANE Eat) 7 aC No: - - 5295 Van Gilder Insurance Corp. 1515 Wynkoop, Suite 200 Denver CO 80202 AODREss,k t r v . INSURER(S) AFFORDING COVERAGE NAICN INSURER Aflartford Insurance Company P p11 INSURED 11�h I AQUENG INSURER B:Travelers Insurance INSURERC:XL Specialty Insurance_Co. 7885 Aqua Engineering, Inc. 375 East Horsetooth Road, Bldg 2-202 Fort Collins CO 80525-3196 INSURERD:HARTFORD INS CO 7478 INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: 1298131071 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. INTR TYPE OF INSURANCE �INSR ISWVDU8RF POLICY NUMBER MMIDOhC Y EFF MMIDOY EXP LIMITS B GENERAL LIABILITY Y V �6801538L091 5/5/2012 5/5/2013 EACH OCCURRENCE $1,000,000 % COMMERCIAL GENERAL LIABILITY WAMAGE TO RE PREMISES Ea omTu ante $1,000,000 CLAIMS -MADE a OCCUR MED EXP(Any one person) $10,000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMITAPPLIES PER PRODUCTS - COMPIOP AGG $2,000,000 POLICY % PRO- n LOC S A AUTOMOBILE LIABILITY Y V 34UEGI51066 5/5/2012 6/5/2013 Eaawdenl $1,000,000 BODILY INJURY (Per person)$ _ ANY AUTO AU OS SCHEDULED AUTOS AUTOS JX BODILY INJR(Peraccitlen0 $ PPen DAMAGE $ HIRED AUTOS X NON S B % UMBRELLA LIAB X I OCCUR Y Y XSFCUP6105Y4391247 /5/2012 5/5/2013 EACH OCCURRENCE $3,000,000 AGGREGATE $3,000,000 EXCESS LIAB CLAIMS -MADE DED X RETENTION$ 10,000 1 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN V 34WEGKC2904 5/5/2012 % WCSTATU- OTH- TQBY IMI E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETORIPARTNEWEXECUTNE OFFICERIMEMBER EXCLUDED] NIA �/5/2013 (Mandatory In NH) E.L. DISEASE - EA EMPLOYE $1,000,000 IIy de—beuntler DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $1.000,000 C Professional Liability DPR9695337 6/5/2012 5/5/2013 Per Claim $1,000,000 Claims Made Annual Aggregate $2,000.000 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, Automobile Liability and Additional Insured under Umbrella / Excess Liability but only with respect to liability arising out of the Named Insured's work performed on behalf of the certificate holder and owner. This insurance will apply on a primary, non-contributory basis. A Blanket Waiver of Subrogation applies for General Liability, Automobile Liability, Umbrella/Excess Liability and Workers' Compensation. Limited Contractual Liability is included. The Umbrella / Excess Liability policy provides excess coverage over the General Liability, Automobile Liability and Employers Liability. City of Ft. Collins Purchasing Division PO Box 580 Fort Collins CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOMMID O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD