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HomeMy WebLinkAbout110168 U S ENGINEERING CO - INSURANCE CERTIFICATE (8)4COR0' CERTIFICATE OF LIABILITY INSURANCE �� 7/31no13 DA7/25/DD/YYYY) 7/25/2012 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 endomement(s). PRODUCER Lockton Companies, _LC-1 Kansas City 444 W. 47th Street, Suite 900 Kansas Cityy MID64112-1906 (816)960-9000 CONTACT yNh AIC No Ext :INC.FAX No E-MAIL INSURERISI AFFORDING NAIC ft INSURER A: Liberty Mutual Insurance Company 23043 INSURED U.S. ENGINEERING COMPANY 1354733 3433ROANOKEROAD KANSAS CITY MO 64111 INSURER B: Sr. psW Fre and Marine lnsnsrm Campsny 24767 INSURER C: INSURER F COVERAGES I ISF.N603 V6 CERTIFICATE NUMRER- 11996393 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 INSR SUBR POLICY NUMBER POLICY EFF POLICY EXPLM LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx—I OCCUR N N TB7-Z91457358-012 7/31/2012 7/31/2013 EACH OCCURRENCE 1000000 PREMISES I .Eoccurrenca 300,000 MED EXP (My oneperson) 10,000 PERSONAL S ADV INJURY $ 1000 000 GENERAL AGGREGATE $ 2,000.000 GEN'L AGGREGATE V LIMIT APPLIES PER: ECT LO PRODUCTS - COMP/OP AGG $ 21000,000 $ A AUTOMOBILE LIABILITY ANY AUTO AUTUS NED AUTOSULED HIRED AUTOS AUTO WNED N N AS2-Z91457358-032 7/31/2012 7/31/2013 COMBINED aSINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ XXXXXXX PPReOPPEERd DAMAGE $XXXXXXX $XXXXXXX B UMBRELLA LIAB EXCESS LIAB XOCCUR CLAIMS -MADE N N ZUP-14S32357-12-NF 7/31/2012 7/31/2013 EACH OCCURRENCE $5000000 X AGGREGATE $ 5 000 000 OED I I RETENTION $ $ XXXXXXX A WRKERS COMPENSATION AND EMPLOYERS' LBILIITY Y/N ANY PROPRIE0IWPARTNEW CUrIVE ❑NIA OFFICER/MEMOER EXCLUDED'! N IMYandM., In NH) OE CRIIPPTToeuMer ION OF OPERATIONS bebw N WA2-Z90457358-022 7/31/2012 7/31/2013 X 1WRY AMU- OTH E.L. EACH ACCIDEM s1000000 E.L. DISEASE. EA EMPLOYEE 1000000 E.L. DISEASE -POLICY LIMIT 1,000.000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, if mom space is required) All operations conducted by the insured. t Crc I Ir WA IC I Ul-UMM GArvLaLLAIIUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 11886393 AUTHORIZED REPRESENTATIVE City of Fort Collins P 0 Box 580 Fort Collins CO 80522 ACORD 25 (2010105) ©9 8-2010 AC ORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD