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HomeMy WebLinkAbout130088 ICON ENGINEERING INC - INSURANCE CERTIFICATE (13)ACORD' CERTIFICATE OF LIABILITY INSURANCE OATS IM.11313 YYTYI 01/21/2013 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 Phone: (360) 598-3700 Fax: (360) 598-3703 MICHAEL J. HALL 8 COMPANY HALL & COMPANY CONTACT MICHAEL J. HALL & COMPANY NAME PHONE FAX uc ee E.t: (360) 598-3700 Lem: (360) 596-3703 EMAIL 1966010TH AVENUE N.E. ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC IT POULSBO WA 98370 INSURERA Lloyds of London - Syndicate #623 1� 0 0 INSURED i Icon Engineering Inc INSURER INSURERC 8100 South Akron Street, #300 Centennial, CO 80112 INSURER D: NSURERE INSURER F COVERAGES CERTIFICATE NUMBER: 177905 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 ADUL IrvsR SUBR MD POLICY NUMBER POLICY EFF MMIDDNYYY POLICY EXP MM1DQDTY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE To RENTED PREMISES (Ea oocurence) $ CLAIMS -MADE El OCCUR MED. EXP (Any one person) $ PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ PRO $ POLICY ECT LOC AUTOMOBILE LABILITY COMBINED SINGLE LIMIT (EaaCtlMl) $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED accident)BODILY INJURY (Per accident)E AUTOS AUTOS HIREDAUTOS NON -OWNED PROPERTY DAMAGE $ AUTOS (per src.CenO UMBREL" LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LMB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION T STATU OTH ORV LIMITS ER $ AND EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOWPARTNEWEXECUTIVE YINr I OFFICERIMEMBER EXCLUDED> NIA JI Mandatory In NHI E.L. DISEASE -EA EMPLOYEE $ u yes eexnee under OF OPERATIONS aece .DI$EASE-POLICY LIMn $ A Professional Liability; Claims Made Form 1104900297/013 01/30/13 01/30/14 [ELDESCRIPTION ,000,000 Per Claim Retroactive Date ,000,000 Aggregate January 1, 1997 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Project: Laporte Avenue Storm Sewer Improvements 11-016-LSS-352 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 700 Wood Street ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80521-1945 AUTHORIZED REPRESENTATIVE Attention: Mark Taylor (/ / Matthew L. Copus I no At vnu name and logo are reglscerea marKS Or ACUNU AC"ROa CERTIFICATE OF LIABILITY INSURANCE DATE (MYYY, 01I2112012013 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 Phone: (360) 598-3700 Fax: (360) 598-3703 MICHAEL J. HALL & COMPANY HALL & COMPANY 19660 10TH AVENUE N.E. CONTACT MICHAEL J. HALL & COMPANY NAME FAx ac No E.,, (360) 598-3700 aC NO (360) 598-3703 E-MAIL ADDRESS INSURERIS) AFFORDING COVERAGE NAIC M POULSBO WA 98370 INSURERA Lloyds of London - Syndicate #623 INSURED Icon Engineering Inc INSURER INSURER 8100 South Akron Street, #300 Centennial, CO 80112 INSURER D. INSURER E INSURER COVERAGES CERTIFICATE NUMBER: 177906 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 ADD'L INSR SUBS WVD POLICY NUMBER POLICY EFF LMMIDONYYY PoucYEXP MMIDDNYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE El OCCUR DAMAGE TO RENTED PREMISES Ca omurence) $ MED. EXP (Anyone person) $ PERSONAL B ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ - PROJECT $ POLICY LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accidern $ ANY AUTO ALL OAUTOSSCHED AUUTOSS HIREDAUTOS NON -OWNED AUTOS BODILY INJURY (Per person) $ BODILY BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Par accident) $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS UUM CLAIMS -MADE AGGREGATE $ DIED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- OTH TORYLIMITS ER $ E.L. EACH ACCIDENT $ ANY PROPRIETORIPARTNERIEXECUTNE YIN OFFICEWMEMBER EXCLUDED? (Mandatory In NH) NIA E.L. DISEASE -EA EMPLOYEE $ DESCRIPTION OFder DESCRIPTION OF OPERATIONS Calox E.L. DISEASE -POLICY LIMIT $ A Professional Liability; Claims Made Form 1104900297/013 01/30113 01/30/14 $1,000,000 Per Claim Retroactive Date $2,000,000 Aggregate January 1, 1997 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Project: 10-031-WVB-415 Fort Collins Master Plan Hydrology Update West Vine Basin CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 700 Wood Street ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 60521-1945 AUTHORIZED REPRESENTATIVE Attention: Susan Hayes Matthew L. Copus :ORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. r nC ^Vwmw naNre allu Iugu Ertl ruiis Ui reu mart s or m1 vrtu ACORTO' CERTIFICATE OF LIABILITY INSURANCE DATE IMw0O13 01I21I2013 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(iea) 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 Ileu of such endorsement(s). PRODUCER Phone: (360) 598-3700 Fax: (360) 598-3703 MICHAEL J. HALL &COMPANY HALL & COMPANY CONTACT MICHAEL J. HALL & COMPANY PHONE FAX lac No Exn. (360) 598-3700 (lac em: (360) 598-3703 E-MAIL 19660 LOTH AVENUE N.E. ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # POULSBO WA 98370 INSURER A : Lloyds of London - Syndicate #623 INSURED Icon Engineering Inc INSURERS INSURER C 8100 South Akron Street, #300 Centennial, CO 80112 INSURER D'. INSURERE INSURER F COVERAGES CERTIFICATE NUMBER: 177907 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 WV° POLICY NUMBER POLICY EFF MIWDmYYYYHAWDENYTTY POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY OAMFGESOaEmEO PREMISES (Ea aaurerce) $ CLAIMS -MADE 17 OCCUR MED. EXP(Any one person) $ PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ PROECT $ POLICY 7 JLOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea amiden0 $ ANY AUTO BODILY INJURY (Per person) S ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS HIRED AUTOS NON -OWNED PROPERTY O_t GE $ AUTOS uer acoben0 E UMBRELLA LMB OCCUR EACH OCCURRENCE $ AGGREGATE S EXCESS LIAR CLAIMS -MADE DIED I RETENTION b $ WORKERS COMPENSATION WC STATU- OTH TORY LIMITS ER $ AND EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOWARTNERIEXECUTNE YIN OFFILER/MEMBER EXCLUDED? NIA E.L. DISEASE -EA EMPLOYEE $ (Mandatory in NH) If,. de. to under DESCRIPTION OF OPERATIONS Gel— E.L. DISEASE -POLICY LIMIT Is A Professional Liability; Claims Made Form 1104900297/013 01130/13 01/30/14 $1,000,000 Per Claim Retroactive Date $2,000,000 Aggregate January 1, 1997 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Project: 10-030-FMB-415 Fort Collins Master Plan Hydrology Update Fox Meadow Basin CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 700 Wood Street ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80521-1945 AUTHORIZED REPRESENTATIl Attention: Susan Hayes (/ / Matthew L. Corms I lie m%,vrev name ana Togo are reglscereo marks or AtaLi AC"RO• CERTIFICATE OF LIABILITY INSURANCE °RTF (MYYYI 01I21/2012013 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 Phone: (360) 598-3700 Fax: (360) 598-3703 MICHAEL J. HALL &COMPANY HALL & COMPANY CONTACT MICHAEL J. HALL & COMPANY NAME PHHO"h . (360) 598-3700 FAX (360) 598-3703 CeeA'c "° E-Milt. 19660 10TH AVENUE N.E. ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC a POULSBO WA 98370 INSURER A : Lloyds of London - Syndicate #623 INSURED Icon Engineering Inc INSURERS INSURER C 8100 South Akron Street, #300 Centennial, CO 80112 INSURER D: INSURER INSURER COVERAGES CERTIFICATE NUMBER: 177908 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 INSfl SUBR WVD POLICY NUMBER POLICY Err M pDIYYYYI POLICY E%P MWM LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea dreurence) $ CLAIMS -MADE OCCUR MED. EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ PRO- S POLICY1-1 JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea amdenq $ ANY AUTO BODILY INJURY (Per person) $ ALL OS SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS BODILY INJURY Per accident ( ) $ PROPERTY DAMAGE 19mauAdenD $ UMBRELLA we OCCUR EACH OCCURRENCE $ AGGREGATE $ Ex'.. LIAB CLAIMS -MADE DED RETENTION $ S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIE%EOUTIVE YIN OFFICFRIMEMBER EXCLUDED? JJJI (MandM°ry In NMI NIA WC STAT IT OTH TORT LIMITS ER $ E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ If yea descnee under DESCRIPTION OF OPERATIONS debw E.L. DISEASE -POLICY LIMIT $ A Professional Liability; Claims Made Form 1104900297/013 01130113 01/30/14 $1,000,000 Per Claim Retroactive Date $2,000,000 Aggregate January 1, 1997 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Project: 10-029-MLB-415 Fort Collins Master Plan Hydrology Update McClellands Creek Basin CERTIFICATE HOLDER CANCELLATION - -- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 700 Wood Street ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80521-1945 AUTHORIZED REPRESENTATIVE Attention: Susan Hayes c / Matthew L.Copus I The AL,ur%U name ano logo are reglsierea marks OT AGUKU ,acoRoe CERTIFICATE OF LIABILITY INSURANCE DATE 01/21/2013 ) /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 terns 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 Phone: (360)598-3]00 Fax: (360) 598-3703 MICHAEL J. HALL & COMPANY HALL & COMPANY 19660 10TH AVENUE N.E. caM ACT MICHAEL J. HALL & COMPANY PRONE rArC Ho (360) 598-3700 F^X (360) 598.3703 E-MAIL ADDRESS INSURER(S) AFFORDING COVERAGE NAIC Is POULSBO WA 98370 INSURER A : Lloyds of London - Syndicate #623 INSURED Icon Engineering Inc INSURERS INSURER C 8100 South Akron Street, #300 Centennial, CO 80112 INSURER D: INSURER E NSURER, COVERAGES CERTIFICATE NUMBER: 177907 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 TYPE OF INSURANCE ADD'L SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1—]OCCUR DAMAGE TO RENTED PREMISES Ea Prmr N $ MED, EXP(Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ PRO- $ POLICV T LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Eaacclden0 $ ANY AUTO BODILY INJURY (Per person) $ ALLOS AUTOSSCHED AU HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPeera MAGE m Iwrademl $ S UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LWe CLAIMS -MADE DED I RETENTION $ $ WORKERS COMPENSATION Me EMPLOYERS' LIABILITY ANY PROPRIETOBNARTNER/EXECUTWE YIN OFFICER/MEMBER EXCLUDED? IMandrtory In NHI N/A WC STATU. OTH TORYLIMITS ER $ E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE 8 CN under _DESCRIPTION DESCRIPTION OF OPERATIONS Nelow E. L. DISEASE -POLICY LIMIT $ A Professional Liability; Claims Made Foen 1104900297/013 01/30/13 01130114 $1,000,000 Per Claim Retroactive Date $2,000,000 Aggregate January 1, 1997 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace Is required) Project: 10-030-FMB-415 Fort Collins Master Plan Hydrology Update Fox Meadow Basin CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 700 Wood Street ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80521-1945 AI.THORI= REPRESENTATIVE Attention: Susan Hayes ( / Matthew L. Copus ACORD 25 (2010/05) ©1988.2010 ACORD CORPORATION. All rights reserved. i nu AX vrcu name ana logo are registerea marks OT AUUHU T AC40Ro• CERTIFICATE OF LIABILITY INSURANCE DATE (MWDDM'YY) 01/27/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Phone: (WD) 598-3700 Fax: (360) 598-3703 MICHAEL J. HALL & COMPANY HALL &COMPANY 19660 10TH AVENUE N.E. CONTACT MICHAEL J. HALL & COMPANY NAME: WCN o Ell (360) 598-3700 F C Na: (360) 598-3703 E-MAIL ADDRESS. INSURER($) AFFORDING COVERAGE NAIC# POULSBO WA 98370 INSURERA Lloyds of London - Syndicate #623 INSURED Icon Engineering Inc INSURER INSURER C 8100 South Akron Street, #300 Centennial, CO 80112 INSURER D: INSURERS INSURERF COVERAGES CERTIFICATE NUMBER: 177906 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO 1 HE 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 ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADD'L SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR DAMAGE TO RENTED PREMISES (Ea occurence) $ MED. EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERALAGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP ADD $ PRO $ POLICY F JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea ecddam) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIREDAUTOS NON -OWNED AUTOS BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTYDAWGE (Peracodant) $ UMBRELLA UPS H OCCUR EACH OCCURRENCE $ EXCESS CLAIMS MADE AGGREGATE $ DED I IRETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE YIN T OFFICERiMEMBER EXCLUDED? III (Mandatory In NH) NIA WC STATLL OTH TORY LIMITS ER $ E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ be not, DESCRIPTION OF OPERATIONS beiD E.L. DISEASE -POLICY LIMIT $ A Professional Liability; Claims Made Form 1104900297/013 01130113 01/30/14 $1,000,000 Per Claim Retroactive Date $2,000,000 Aggregate January 1, 1997 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Project: 10-031-WVB-415 Fort Collins Master Plan Hydrology Update West Vine Basin vcmiirwnitz nvLnER CANGELLAHLIN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 700 Wood Street ACCORDANCE WITH THE POLICY PROVVVIISIO/NSS////��.��� Fort Collins, CO 60521-1945 AUTHORIZED REPRESENTATIVE Attention: Susan Hayes Matthew L.Copus ACORD 25 (2010/05) r rra mA vrcu name ana logo are reglsterea marks OT AL:UKU ,acoRV* CERTIFICATE OF LIABILITY INSURANCE MIADDI DATE (01I2I20112013 Y) 13 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(les) 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 Phone: (360)598-3700 Fat: (350) 598-3703 MICHAEL J. HALL & COMPANY HALL & COMPANY 19660 LOTH AVENUE N.E. CONTNA.EACT MICHAEL J. HALL 8 COMPANY PHONE FA% . (360) 598-3700 uc NO; (360) 598.3703 E-MAIL ADDRESS INSURER(S) AFFORDING COVERAGE NAIC N POULSBO WA 98370 INSURERA : Lloyds of London - Syndicate #623 INSURED Icon Engineering Inc INSURER INSURER C 8100 South Akron Street, #300 Centennial, CO 80112 INSURER 0: INSURER E INSURER COVERAGES CERTIFICATE NUMBER: 177905 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 ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTRPOLICY TYPE OF INSURANCE ADD'L SUBR NUMBER POLICY EFF POLICY EXP ODDLIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR DAMAGE To RErvTEO PREMISES IEa o[carenw) $ MED. EXP (Any one person) $ PERSONAL B ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ PRO- $ POLICY1-1 E T LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (El Kods t) $ ANY AUTO ALI OAUTOS AUUTOSS MIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per person) $ BODILY BODILY INJURY (Per accident) $ PROPERTY DAMAGE (perecdden0 $ 8 UMBRELLA IJ 8 OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LMB CLAIMS -MADE DIED I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOMPARTNEWEXECUTIVE YID OFFICERIMEMBER EXCLUDED? QaandMory In NHI NIA WC STATU OTH TORY LIMITS ER $ E.L. EACH ACCIDENT $ E. L. DISEASE -EA EMPLOYEE $ If,, Osumi.DESCRIPTION OFF DESCRIPTION OF OPERATIONS Oelaw E.L. DISEASE -POLICY LIMIT $ A Professional Liability, Claims Made Form 11049002971013 01/30/13 01/30/14 $1,000,000 Per Claim Retroactive Date $2,000,000 Aggregate January 1, 1997 DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Project: Laporte Avenue Storm Sewer Improvements 11-016-LSS-352 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 700 Wood Street ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80521-1945 AUTHORIZED REPRESENTATIVE Attention: Mark Taylor Matthew L. Copus I ne AL.VI[U name Eno logo are regeterea marKS Or AGVRU ACC>RLY CERTIFICATE OF LIABILITY INSURANCE DATE I01/2/201/2013 q 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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditlons 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 Phone: (WO1598-3700 Fax: (360)599-3703 MICHAEL J. HALL & COMPANY HALL & COMPANY 1966010TH AVENUE N.E. CONTACT MICHAEL J. HALL & COMPANY NAME PHONE FAX A/C NP : (360) 598-3700 C No, (360) 598-3703 E-MAIL ADDRESS INSURERS) AFFORDING COVERAGE NAICe POULSSO WA 98370 INSURER A : Lloyds of London - Syndicate #623 INSURED Icon Engineering Inc - INSURER INSURER C 8100 South Akron Street, #300 Centennial, CO 80112 INSURER D. INSURER INSURER F COVERAGES CERTIFICATE NUMBER: 177903 REVISION NUMBER: THIS IS TO CERTIFY THATTHE 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. INTR TYPE OFINSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMIGES Ee o[c.er. $ MED. EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ PE $ POLICY T LOC CT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Eseccaen0 $ ANY AUTO BODILY INJURY (Per person) $ ALL OAUTOS AUUTOSS BODILY INJURY (Par accident) $ HIREDAUTOS NON-OWNED AUTOS PROERTYBODILY (per. mDAJMGE $ S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LJAa CLAIMS -MADE DED I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STAT OTH TORY LIMITG ER S E.L. EACHACCIDENT $ ANY PROPRIETORIPARTNER/EXECUTNE Y N OFFICER/MEMBER EXCLUDED? J^I (Mandatary in NH) NIA E.L. DISEASE -EA EMPLOYEE $ If yes,DESCRIPTION IPTION Older OEeCRIPTION OF OPERATIONS Eelpx E.L. DISEASE -POLICY LIMIT S A Professional Liability; Claims Made Form 1104900297/013 01/30/13 01/30/14 $1,000,000 Per Claim Retroactive Date $2,000,000 Aggregate January 1, 1997 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Project: General Consulting Services CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Purchasing Department ACCORDANCE WITH THE POLICY PROVVVII/SIIO/yNNSS///,/�a''A� For N Mason St FI 2 AUTHORIZED REPRESEMTVE A Fort /////?`^✓_ ✓ i'' ���/�-+'�'��� Collins, CO 80524.4402 Attention: l Matthew L.Coous ACORD 25 r ne NMVRV llallle dl1D logo are reglSlereD mar65 OT AL UKU 7 AcoROe CERTIFICATE OF LIABILITY INSURANCE MD r r, Ot 121/201DATE ,1m,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 Phone: (3601 Fax: (360) 59BJ703 MICHAEL J. HALL & COMPANY HALL & COMPANY 19660 10TH AVENUE N.E. ..,A" MICHAEL J. HALL & COMPANY PHONE . (360) 598.3700 FMC( Nn: (360) 598-3703 E-MAIL 69DREM INSURERS) AFFORDING COVERAGE NAIC e POULSBO WA 98370 INSURER A : Lloyds of London - Syndicate #623 INSURED Icon Engineering Inc INSURERB INSURER D 8100 South Akron Street, #300 Centennial, CO 80112 INSURER D: INSURER E INSURER COVERAGES CERTIFICATE NUMBER: 177904 RFVISInN NIIMRFR• THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREDNAMED 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 TYPE OF INSURANCE ADD'L SUBR POLICY NUMBER POLICY EFF FOUCYEXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F__] OCCUR DAMAGE TO RENTIiO PREMISES (Eeocou . $ MED. EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE IS GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ PRO- POLICV T LOC q AUTOMOBILE LIABUW COMBINED SINGLE LIMIT (EaacWenl) $ BODILY INJURY (Per person) E ANY AUTO AOSCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIREDAUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Paaddenl $ $ UMBRELLA LIM OCCUR EACH OCCURRENCE IS AGGREGATE $ EXCESS LIM CLAIMS -MADE DELI I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEKECUTNE IC OFFERIMEMBER EXCLUDED? (Mandatory In NH) NIq VIC STATU- OTH TORY LIMITS ER IS E.L. EACH ACCIDENT If E.L. DISEASE -EA EMPLOYEE 8 if yes, desUEe onaer oE.CIIPTIONOFOPERATIONS.1— E. L. DISEASE -POLICY LIMIT $ A Professional Liability; Claims Made Form 11049002971013 01/30113 01/30/14 $1,000,000 Per Claim Retroactive Date $2,000,000 Aggregate January 1, 1997 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Project: P1044 Consulting Engineering Services W. Orchard Pond and Storm Drainage Project and Future Stormwater Facilities Minor Capital Improvements U ianl iMCATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Purchasing Department ACCORDANCE WITH THE POLICY PROVVVIIJSI_IONNNSS215 (//�/,'jy For N Mason St FI 2 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80524-4402 Attention: 1. Matthew L. Copus Ina mx wmu Hanle dnu ivgo are reglsterea marks OT ACOKU