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HomeMy WebLinkAbout211762 HINES IRRIGATION CONSULTANTS - INSURANCE CERTIFICATEACill CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 12/28j2012 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 NAMEHON Van Gilder Insurance Corp. 1515 Wynkoop, Suite 200 Denver CO 80202 FAX IPA/. Ee Ext: - 7- ac,NeJ30; 3-831-5296 EMAIL — ADDREssizzamarri a v ic.com INSURER(S) AFFORDING COVERAGE NAICM INSURER A : 19308 INSURED HININC INSURERB:Travelers Indemnity Company CL 5 INSURER C:PL-Tr vel r Indemnity f_C 25682 Hines Irrigation Consultants 323 W. Drake Road Fort Collins CO 80526 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 834484608 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 ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY) POLICY EXP (MN1IDDIYy`)YI LIMITS B GENERAL LIABILITY Y Y 5807544M320IND12 12/31/2012 2/31/2013 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $300,000 MED EXP(Anyone person) $5,000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - GOMPIOP AGG $2,000,000 POLICY X PRO- LOC $ B AUTOMOBILE LIABILITY Y Y 6807544M3201ND12 12/31/2012 2/31/2013 Ea accident Included BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ X NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DEB RETENTION$ $ O WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE❑ OFFICERIMEMBER EXCLUDED? N/A Y �VMPFUB2402T94911 12/31/2011 2/31/2012 1 X I WC STATU- OTH- Y11MIT ER EL EACH ACCIDENT $1,000,000 E. L. DISEASE -EA EMPLOYE $1,000,000 (Mandatory In NH) p yes. describe under DESCRIPTION OF OPERATIONS below E. L. DISEASE -POLICY LIMIT $1,000,000 A Professional Liability 105386520 12/31/2012 12/31/2013 Per Claim $1,000,000 Claims Made Annual Aggregate $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks, Schedule, it 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 and Automobile Liability This insurance will apply on a primary, non-contributory basis. Per project aggregate applies to General Liability. A Blanket Waiver of Subrogation applies for General Liability, Automobile Liability and Workers' Compensation. Limited Contractual Liability is included. Included in General Liability Limit 0nG1. La1 a al AL1 I Lal fl SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Colllns;Attn: ,John Stephen, CPPO CPPB; ACCORDANCE WITH THE POLICY PROVISIONS. Senior Buyer 215 N Mason Rd AUTHORIZED � REPRESENTATIVE ' Fort Collins CO 80521 "W ©1988-2010 ACORD CORPORATION. All ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD