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HomeMy WebLinkAboutKIMLEY-HORN AND ASSOCIATES INC - INSURANCE CERTIFICATE (2)A`� b® CERTIFICATE OF LIABILITY INSURANCE 11/27/20 ) 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 endorsements . PRODUCER Greyling Insurance Brokerage 450 Northridge Parkway - Suite 102 Atlanta GA 30350 CONTACT NAME: r,ry ya Jelly NO Ol PHONE (770)552-4225 FAX (e66)550-4082 E-MAIL . jerry. noyola@greyling. corn INSURERS AFFORDING COVERAGE NAIC9 INSURER A:National Union Fire Ins. Co. 19445 INSURED Rimley-Horn and Associates, Inc. P.O. Box 33068 Raleigh NC 27636 INSURER S:COmmerce & Industry Insurance 19410 INSURERC:New Hampshire Insurance Company 23841 INSURER D:Lexia ton Insurance Company 19437 INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER:12-13 (Rimley LUAnn) 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 LTR TYPE OF INSURANCE ADDL lba& SUBR jyM POLICY NUMBER POLICY EFF MMIDDIYYYYI POLICY EXP IMMIDDNYYYILIMITS GENERAL LIABILITY X X EACH OCCURRENCE $ 1.000.000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 9645227 12/1/2012 /1/2013 DAMAGE TO RENTED PREMISES Ea occurrence) $ 500,000 MED EXP (Any one person $ 25,000 PERSONAL B ADV INJURY $ 1,000,000 X Contractual Liability GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000.000 $ POLICY X PRO X LOC AUTOMOBILE LIABILITY X X _ CEOMBINEED SINGLE LIMIT 11000,000 X BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 4982985 12/1/2012 /1/2013 BODILY INJURY (Per accident) $ X Perry Caen( DAMAGE $ HIRED AUTOS X NON -OWNED AUTOS $ X UMBRELLA LIAB X OCCUR X X EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 51000,000 B EXCESS LIAR CLAIMS -MADE DED I X I RETENTION$ 10, 00C $ PBE 021730741 12/1/2012 /1/2013 C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE DFFICERIMEMBER EXCLUDED? � (MarMstory in NH) NIA X 018112556 12/1/2012 /1/2013 XI WC STATU- OTH- E.L. EACH ACCIDENT $ 1 0 00 000 E.L. DISEASE - FA EMPLOYEE $ 1,000,000 If yes, descriee under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000, D Professional Liability X 016017332 12/1/2012 4 /1/2014 Per Claim $2,000,000 Aggregate $2, 000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Re: LDS - 7235 Parking Plan for the City of Fort Collins. The City of Fort Collins is named as an Additional Insured on the above referenced liability policies with the exception of workers compensation & professional liability. Should any of the above described policies be cancelled by the issuing insurer before the expiration date thereof, 30 days written notice (except 10 days for nonpayment of premium) to the Certificate Holder named below will be provided. City of Fort Collins Purchasing Division 215 North Mason P.O. Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Ormaza/JERRY ACORD 25 (2010/05) INS025 (201005).01 ©1988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD