HomeMy WebLinkAbout211762 HINES IRRIGATION CONSULTANTS - INSURANCE CERTIFICATE (2)ACORO® CERTIFICATE OF LIABILITY INSURANCE
GATE (MMIDO YYYY)
1 /8/2013
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
CONT CT
NAME:
Van Gilder Insurance Corp.
1515 Wynkoop, Suite 200
Denver CO 80202
PHOVC,NE, Ea : - 7- FAINCX. No:303-8 1- 2 5
EMAIL
ADDREss:szamarri a v ic.com
INSURERIS) AFFORDING COVERAGE
NAIC If
INSURER A:Travelers
i1
INSURED HININC
INSURER B:Tr V r In emnity Company C
1 5658
INSURER C:F rmingtotl_Casualty Co.
1453
Hines Irrigation Consultants
323 W. Drake Road
Fort Collins CO 80526
INSURER O:
INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER: 1314142079 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
INSR
SUBR
IWO
POLICY NUMBER
POLICY EFF
MMIDDIYYYY
POLICY EXP
NIMIDDIYYYY
LIMITS
B
GENERAL LIABILITY
Y
Y
6807544M320IND12
12/31/2012
2/31/2013
EACH OCCURRENCE
$1,000,000
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE K OCCUR
DAMAGETORENTED
PREMISES Ea occurrence
$300,000
MED EXP(Any one person)
$5,000
PERSONAL B ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$2,000,000
1-1 POLICY X PRO LDO1
$
B
AUTOMOBILE
LIABILITY
Y
Y
6807544M3201ND12
12/31/2012
2/31/2013COMBINED
TnTG[E1T9rT—
Ea accident
Included
BODILY INJURY (Per person)
$
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY (Per accident)
$
X
NON -OWNED
HIRED AUTOS X AUTOS
PROPERTY DAMAGE
Per accident
$
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED I I RETENTION$
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED? 71
N I A
y
XVMPFUB2402T94912
12/31/2012
2/31/2013
X WC STATU- OTH-
T9 V IMIT
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE - EA EMPLOYEE
$1,000,009
(Mandatory In NH)
If yes, desanbe under
EL DISEASE -POLICY LIMIT
$1,000,000
DESCRIPTION OF OPERATIONS below
A
Professional Liability
105386520
12/31/2012
2/31/2013
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, if 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
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Fort Collins;Attn: John Stephen, CPPO CPPB; ACCORDANCE WITH THE POLICY PROVISIONS.
Senior Buyer
Fort N Mason Rd AUTHORIZED ' REPRESENTATIVE
Fort Collins CO 80521
All riahts reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD