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HomeMy WebLinkAbout130088 ICON ENGINEERING INC - INSURANCE CERTIFICATE (12)ICONE-1 OP ID: DID ,At oizo CERTIFICATE OF LIABILITY INSURANCE DAT0111113 01/11113 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 conditioris 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 P.t r•Y.nmt. 1 303-799-0110 Cherry Creek Ins..Agency,.lnc. 303-799-0156 500 Greenwood Plaia,Blvd.,'c, 4w' ! Greenwood Village, CO 80111 Cherry Creek Insurance Agey ' - OO CONTACT NAME:. Diane Dmon PHCONNEO E1J20-212-2066 — -`; 303-799-0156Suite EMAIL5660 AODREss: DianeD thinkccig.eom.ar. 7,. —- - -- _ INSURERS AFFORDING COVERAGE . . NAIC II INSURER A: The Hartford Insurance Group 22357 INSURED ICON Engineering Inc 8100 South Akron Street #300 Englewood, CO 80112 INSURERS:Pinnacol Assurance 41190 NsuRERc: _ INSURER D : INSURER E INSURER F: CC)VFRAGFS CERTIFICATE NUMBER' 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 Abel:TYPE OF INSURANCE INSRI D POLICY NUMBER MMI-DDNYYY MEFF M LICY EXP TR % DNYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,00 A X COMMERCIAL GENERAL LIABILITY 34$BAPD8771 01/30113 01/30/14 PREMISES Ea occurrence) $ 300,00 CLAIMS -MADE OCCUR MED EXP (Any one person) $ 10,00 PERSONAL & ADV INJURY $ 2,000,00 GENERAL AGGREGATE $ 4,000,00 GEN'L'AGGREGATE LIMIT PRODUCTS AGG 4,000,000 $ ,000,00 rpec. -_ I •.Ca. $._-. . LC.rLIPOLICY PRO. A '-1X:.ANY AUTOMOBILE LIABILITY- AUTO" Wr ,'•�. ,, 4 _I r jai.: 34SBAPD8771--- .- •. 01/30/13 d� -'-- - _ "01/30/14— -COMBINED Eauide1SINGLE LIMIT $' `_-1,000,00 BODILY INJURY(Per person) - BODILY.INJURY(Per accident) $, ALL OWNED SCHEDULED, AUTOS AUTOS NON -OWNED. X HIRED AUTOS AUTOS Xi t; •�,, - .. „ PROPERTY DAMAGE Per accident $. . $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ WORKERS COMPENSATION X WCSTATU- OTH- IM B AND EMPLOYERS' LIABILITY ANY OFFICERIMEMBORIEXCLUDED?ECUTIVE Y (Mandatory in NH) NIA 4077567 02/01/13 02/01/14 E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYEE _ $ 500,00 E.I_DISEASE-POLICY LIMIT `$ 600,0010 It yes, describe under DESCRIPTION OF OPERATIDNS below __ _ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ANach ACORD 101, Additional Remarks Schedule, if more space is required) Re: Laporte Avenue Storm Sewer Improvements 11-016-LSS-352 City of Fort Collins Attn: Mark Taylor 700 Wood Street Fort Collins, CO 80521 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 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ICONE-1 OF ID: DD ,4�oRo CERTIFICATE OF LIABILITY INSURANCE DAT01111D/YVVV) 01111113 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 i the terms and •conditiohs of the policy, certain policies may require an endorsement. A statement on this certificate does not confer to the _rights r certificate holder in lieu of such.endorsement s . PRODUCER bt1t0 _ —- 6,, Vt , , 303-799-0110 Cherry Creek Ins. Agency, Inc.--'- Suite 500 - L .-'ra; 303-799-0156 5660 GreenwoodPlaza8lvd-'1':�'----`f—— -- -- Greenwood Village, CO 80111 Cherry Creek Insurance Agcy "'"' NONTAMEACT Diane D -non I - ILA -• -' ! _" --_ - PHONE - FAX - MC No Ex 1.720-212-2066 ' 'll (ac•Net: 303-799-0156 E-MAIL --- -- -ADDRESS. DianeD thinkccig.com - _ :.n INSURERIS) AFFORDING COVERAGE - NAIC N INSURER A: The Hartford Insurance Group 22357 - - INSURED ICON Engineering Inc 8100 South Akron Street #300 Englewood, CO 80112 INSURER B: Pinnacol Assurance 41190 INSURER C: INSURER 0: INSURER E: INSURER F : 1`nnVFRAr.FC CFRTIFICATF NIIMRFR: 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 TR TYPE OF INSURANCE AODC SUB POLICY NUMBER EFF MMIDWYYYY MMPOLICY L ICY EXP DDNYYV LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,00 A X COMMERCIAL GENERAL LIABILITY 34SBAPD8771 01/30/13 01/30/14 DAMA ENT PREMISES Ea occurrence $ 300,00 MED EXP (Any one person) $ 10,00 CLAIMS -MADE a OCCUR PERSONAL B ADV INJURY $ 2,000,00 GENERAL AGGREGATE It 4,000,00 GENT AGGREGATE LIMIT APPLIES PER: . PRODUCTS AGG $ 4,000,00 �L. �- o _ - $ PRO-... LOC POLICY .y.. :r... •,r AUTOMOBILE LIABILITY .av,. :.i: �_....:_.,.: C. ANY AUTO ALLOWNED"'-"'"BCHEDULEO AUTOS' • I "'AUTOS "" ' NON -OWNED , X HIRED AUTOS X AUTOS - -.-� ,. " ^t •-,..; 34SBAPD8771 1 a- _ _ -- --- " :' „'.; �- - I: _ 01/30/13 •• ';• - 01/30/14 .... COMBINED SINGLE LIMIT .accident -'— 1,000,000 $ BODILY INJURY (Per p6ison) - $ --t BODILY INJURY (Per 9ecitlent) PROPERTY DAMAGE ' -' Per accident - - --------' $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE S EXCESS LIAR CLAIMS -MADE DED I I RETENTION$ $ WORKERS COMPENSATION X WCSTATULIM - OTH- E B AND EMPLOYERS' LIABILITY ANY IEXCLUDRIE ECUTIVE Y❑ 4077567 02/01/13 02/01114 E.L EACH ACCIDENT $ 500,00 OFFICERMEIMBOER (Mandatory In NH) NIA E.L. DISEASE - EA EMPLOYEE $ 500,00 E.L. DISEASE -POLICY LIMIT S 500,00 aYY describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. Additional Remarks Schedule, If more space Is required) RE: General Consulting Services. P1044 Consulting Engineering Services W. Orchard Pond and Storm Drainage Project and Future Stormwater Facilities Minor Capital Improvements. ina:uoL�aw City of Fort Collins Purchasing Department 215 N Mason St 2nd Floor 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 REPRES,EENTATIVE x 01988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ICONE-1 OP ID: DD A`o,Ro CERTIFICATE OF LIABILITY INSURANCE DAT01/11/13vv) 1 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 holiier in liewof such endorsemeht(s :'-- PRODUCER I --. ".. `303-799-0110 Cherry�Creek ins `Agency Inc. _ _ I_ ._ ___.303-799-0156'AICD-No Suite 500 t 5660Grgenwooii,PlazaBlvd :' Greenwood Villa e;C08011 T-" r� __ Cherry Creek Insurance Agcy --'- -- --9.- -- l NAME;ICONTACDianeD mOns,a: Eat:720-212-2066-- _ °='1.7. �I ac'Na :.303-799-0156-"��'` a - nooaess: DianeD thinkcci .bom-------_ -----•--•• INSURERS AFFORDING COVERAGE .- ._.. .. NAIC # INSURER A: The Hartford Insurance Group 22357 INSURED - ICON Engineering Inc INSURER B: Pinnacol Assurance 41190 8100 South Akron Street #300 Englewood, CO 80112 INSURER : INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 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 rypE OF INSURANCE ADD L SUER POLICY NUMBER MMLICY EFF DO YYYY POLICY EXP MM/DDYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,00 A X COMMERCIAL GENERAL LIABILITY 34SBAPD8771 01/30/13 01/30/14 DAMA To RENT PREMISES RENT rrence $ 300,00 MED EXP (Any one person) $ 10,00 CLAIMS -MADE O OCCUR PERSONAL S ADV INJURY $ _ 2,000,00 t-- 5' i 'i �'� '• GENERAL AGGREGATE _. $__—'. _. 4,000,00 �'';^ .. .�, Ott JIN.L• I ,.. ... GENLAGGREGATE LIMITAPP.LIES PER: • OLICY ....'FRO= LOC ';r .. • _.-...n _. . PRODUCT$ - COMP/OP AGG A AUTOMOLIABLTYn XIANYAU= ALL OWNED", SCHEDULED r AUTOS AUTOS-- •- NON -OWNED. NIREDAUTOS X AUTOS_._ 34SBAPD6771'` '�•,• 01/30/14,_,BODILYINJURY(Perparso ' COMBIN,ED S—INGLELMIT Eaacctlent $yQU n_—)"y $ BODILY INJURY (Per accident) . $ PROPERTY DAMAGE Per accitlent $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A 4077567 02/01/13 02/01/14 X .WC STATU- OTH- T Y LI T FIR E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYEEI $ 500,00 E.L. DISEASE -POLICY LIMIT $ 500,00 If yes describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Re: 10.028-FCB415 - Fort Collins Master Plan Hydrology Update Fossil Creek Basin CFRTIFICATF HOI DFR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Susan Hayes 700 Wood Street AUTHORIZED REPRESENTATIVE Ft. Collins, CO 80521 © 1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD