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HomeMy WebLinkAbout214608 ATKINS NORTH AMERICA INC - INSURANCE CERTIFICATE°� h® CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 Ol/23/2013 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 endorsement(s). PRODUCER CONTACT Willie of New York, Inc. c/o 26 Century Blvd. P. 0. Be. 305191 Nashville, IN 37230-5191 PHONE IArr N 877-945-7378 (FAX No, 888-467-2378 E-MAIL ADDRESS. certificates@willis.com INSURER(SWFFORDING COVERAGE NAIC# INSURERA: Greenwich Insurance Company 22322-001 I INSURED v-� Atkins North America, Inc. INSURERB:American Guarantee & Liability Insurance 26247-001 INSURERC:XL Specialty Insurance Company 37885-001 2001 NW 107th Avenue Miami, FL 33172-2507 INSURER D. Underwriter's; at Lloyds 15792-001 INSURER E' INSURERF: I COVERAGES CERTIFICATE NUMBER: 19293858 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 'TaTYPE OF INSURANCE DD' SUBR I POLICY NUMBE0. POLICY EFF POLICY EXP LIMITS A GENERAL LIABILITY Y CGG740901601 /1/2012 4/1/2013 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED) S 300,000 X COMMERCIAL GENERAL LIABILITY CLAIMS-MADE[ilOCCUR MED EX P(Any one person) $ 10,000 PERSONAL B ADV INJURY $ 1,000,000 X Contractual Liability GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE U M IT APPLIES PER: PRODUCTS -OOMPIOP AGO $ 2,000,000 RO X LOG POLICY X PFCT $ A AUTOMOBILE LIABILITY CAH740901701 4/1/2012 4/1/2013 COMBINED SINGLE LIMIT IEaawitlenq g 2,000,000 BODILY INJURY(Per person) $ X ANYAUTO X AUTOS OS AUTOS SCHEDULED AU BODILY INJURY(Pareaitlenl) $ X HIREDAUTOS X NON -OWNED UTOS _ (Ppr eccitlent)AMA $ B ILL UMBRELIALUB N OCCUR AUC924234900 14/1/2012 4/1/2013 EACH OCCURRENCE $ 1 000 000 j—j AGGREGATE $ 1,000,000 EXCESS LIAR CLAIMS -MADE DED I X IRETENTIONSZ,,, I S C WORKERS COMPENSATION CWG740901501 4/1/2012 4/1/2013 X AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNEWEXECUTIVE YIN OFFICERIMEMBER EXCLUDED7 IMandatory In NH) f NIA E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 eadesmibe under DE SCRIPTION OF OPERATIONS below D Professional B080111209P12 '4/1/2012 4/1/2013 $1,000,000 Each Claim & Liability -Claims Made $1,000,000 Annual Aggregate 11/11/1961 Ratrodate DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Adacb Acord 101, Addltonal Remarks Schedule, it more apace is required) Effective April 1, 2011, Post, Buckley, Schuh & Jernigan, Inc., d/b/a PBS&J changed its name officially to Atkins North America, Inc. Greenwich Insurance Companies Best Rating A XV American Guarantee and Liability Insurance Company Best Rating A XV XL Specialty Insurance Company Best Rating A+ XV Underwriters at Lloyd's London AM Beat Rating: A XV. Leaclea�amn.I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins Attn: 7amea O'Neill 215 N. Mason Street, 2nd Floor Fort Collins, CO 80522 Coll:3984981 Tpl:1424720 Cert:19293858 ©1988-2010ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC#: ' ADDITIONAL REMARKS SCHEDULE Pagel of � Willis of New York, Inc. POLICY NUMBER See First Page CARRIER NAIC CODE 4DDITIONAL REMARKS AtkinsNorthAmerica, Inc. 2001 NW 107th Avenue Miami, FL 33172-2507 EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Professional Liability policy written on claims -made basis. There are no Deductibles or Self -Insured Retentions on the General Liability, Automobile Liability, Workers Compensation and Umbrella coverages. Re: 7307 Transportation Planning & Engineering Consultant On -Call - Purchase Order: 9117628 for Work Order 901003-01-11 City of Fort Collins is included as an Additional Insured as respects to General Liability. ACORD 101(20081011 Coll:3984981 Tnl:1424720 Cart:19293RSA 0)200AACORDCORP0RATION. AIIrinhf< The ACORD name and logo are registered marks of ACORD