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HomeMy WebLinkAbout110168 U S ENGINEERING CO - INSURANCE CERTIFICATE (9)1.. l CERTIFICATE OF LIABILITY INSURANCE �/ 7/31/2013 DA7/25/ODIYYVY) 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 endoreement(s). PRODUCER Lockton Companies, LLC-1 Kansas City 444 W. 47th Street, Suite 900 Kansas Cityy MO 64112-1906 (816) 960-9000 1t CONTACT NAME. Pac INENa Ed): (VC, No); EMAIL ADDRESS, INSURER A: Liberty Mutual Insurance Company 23043 INSURED U.S. ENGINEERING COMPANY 1354946 729SE8TH LOVELAND CO 80537 INSURERB: St PawFtreandMadaelnsar cComp., 24767 INSURERC: TravelersP,.,MC..IoCoofArncm. 25674 NS E INSURER F COVERAGES USENG03 V6 CERTIFICATE NUMBER: 11886688 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 SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR IMMIDDIYYYY LIMITS A GENERAL LIABILITY N N TB7-Z91-457358-012 7/31/2012 7/31/2013 EACH OCCURRENCE 1 000 000 PREMI ES E.occcurrrence 300000 X COMMERCIAL GENERAL LIABILITY MED EXP AnY oneperson) 10,000 CLAIMS -MADE 191 OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s 2,000,000 P LI Y PRO-JECT PRO- F-ILOC $ A AUTOMOBILE LIABILITY N N AS2-Z91457358-032 7/31/2012 7/31/2013 COEe eBINED SINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ XXXXXXX ANYAUTO AALL UTOS NED AUTOSULED - BODILY INJURY (Per accident $ XXXXXXX Pere is DAMAGE $ XXXXXXX HIRED AUTOS AUTOSWNED $XXXXXXX B UMBRELLA LIAB X OCCUR N N ZUP-14S32357-12-NF 7/31/2012 7/31/2013 EACH OCCURRENCE $5000000 X AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ XXXXXXX A WORKER AND EMPLOYERSNATION YIN ANY PROPRIETOR/PARTNER/EXECLnVE ❑ OFFICERIMEMBER EXCLUDED? N (Mandatory in NH) Ir yes, deaedne under DESCRIPTION OF OPERATIONS Maw NIA N WA2-Z90457358-022 7/31/2012 7/31/2013 X TpRVLIMITS OTH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE 1000000 E.L. DISEASE -POLICY LIMIT S 1000000 C LEASED/RENTED EQUIPMENT N N QT63043OB388TIL12 7/31/2012 7/31/2013 $200,000 LIMIT; $5,000 DEDUCTIBLE DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certholder is named additional insured with respects to general liability for all operations performed by the insured for the certholder. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 11886688 AUTHORIZED REPRESENTATIVE City of Fort Collins Dir, of Purchasing & Risk Mgt. 256 W. Mountain Avenue Fort Collins CO 80521 ACORD 25 (2010105) © 9 8-2010 AC ORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD