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Home My WebLink About450906 MULLER ENGINEERING COMPANY INC - INSURANCE CERTIFICATE (2)ACtl CERTIFICATE OF LIABILITY INSURANCE III2/20/2013 DATE (MMIDD/YYYY) 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 NTA NAME: CT KathyStar P"D"N 303-837-8500 FAX No: 1- 2 Van Gilder Insurance Corp. 1515 Wynkoop, Suite 200 Denver CO 80202 El AIL ADDRESS:kstar v ic.com INSURERS AFFORDING COVERAGE NAIC p hV O 1 INSURERA:XL Specialty Insurance Co. 37885 INSURED MULENG INSURER B: INSURER C: Muller Engineering Company, Inc. 777 S. Wadsworth, Suite 100 Lakewood CO 80226-3118 INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 818978560 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 INSRWVD SUBR POLICY NUMBER POLICY EFF MM/O D/YYYY POLICY E%P MMIODIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS -MADE 171 OCCUR MED EXP (Any one person) $ PERSONAL B ACV INJURY $ GENERAL AGGREGATE $ GEN'LAGGREGATE LIMITAPPLIES PER: PRODUCTS - COMP/OP AGG $ $ POLICY PRO LOC AUTOMOBILE LIABILITY - COMBINED siRi7TFT79rr-- Ea accident BODILY I NJ U RY(Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AN BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN TCRYLIMIT ER ANY PROPRIETOR/PARTNEWEXECUTIVE❑ OFFICER/MEMBER EXCLUDED? NIA E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, describe under' DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 1 $ A Professional Liability �DPR9703843 /11/2013 /11/2014 Per Claim $2,000,000 Claims Made Annual Aggregate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ANacb ACORD 101, Additional Remarks Schedule, if more space is required) If required by written contract or written agreement, City of Fort Collins is included as Additional Insured for ongoing operations under General Liability with respect to the above referenced. ■nacuoLnara City of Fort Collins Attn: James O'Neil 215 North Mason Street, 2nd Floor Fort Collins CO 80522-0580 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 ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD All rights reserved